2025-05-07T11:12:43-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 1111 MICHIGAN AVE STE 100 EAST LANSING MI 48823 990 2023-07-01 381559180 EATON RAPIDS MEDICAL CENTER EATO 5176632671 1500 SOUTH MAIN STREET EATON RAPIDS MI 48827 SHARI GLYNN CFO 5176632671 2025-04-07 1 1 DAVID LOWENTHAL P00378651 5173326200 2025-04-07 2023 2025-03-06 01:10:19Z SHARI GLYNN 1500 SOUTH MAIN STREET EATON RAPIDS MI 48827 43182527 0 X WWW.EATONRAPIDSMEDICALCENTER.ORG X 1954 MI CARE. SERVE. INSPIRE. BY PROVIDING HEALTHCARE SERVICES IN EATON RAPIDS, MI 13 11 313 13 0 0 404682 356083 36855697 42175268 215536 531202 69760 108430 37545675 43170983 0 0 0 0 19189651 21224573 0 0 0 18430663 19110379 37620314 40334952 -74639 2836031 44825948 48070997 9754918 9752925 35071030 38318072 X CARE. SERVE. INSPIRE. 0 0 33433515 42175268 EATON RAPIDS MEDICAL CENTER OPERATES A SHORT-TERM, ACUTE CARE HOSPITAL SERVING THE EATON RAPIDS, MICHIGAN COMMUNITY. THE HOSPITALS VISION IS TO BE THE HOSPITAL PATIENTS TRUST, PHYSICIANS PREFER, AND STAFF MEMBERS LOVE.EATON RAPIDS MEDICAL CENTER PROVIDES TOOLS AND EDUCATION TO HELP PATIENTS AND THE COMMUNITY LEAD HEALTHY LIFESTYLES THROUGH PROGRAMS SUCH AS: A HEALTHWORKS PROGRAM, AND HEALTH FAIRS. SUPPORT GROUPS AND SEMINARS ARE OFFERED ON CHRONIC DISEASES INCLUDING: A DIABETES SUPPORT GROUP, ARTHRITIS CLASSES, AND LUNCH WITH A MEDICAL PROFESSIONAL. PATIENTS ARE ALSO PROVIDED ASSISTANCE TO NAVIGATE THE HEALTH INSURANCE EXCHANGES AND ARE ASSISTED WITH THE ENROLLMENT PROCESS. IN FISCAL YEAR 2024, EATON RAPIDS MEDICAL CENTER SAW THE FOLLOWING VOLUME OF PATIENTS: - INPATIENT ADMISSIONS = 207, INPATIENT DAYS = 709, AND EMERGENCY ROOM VISITS = 8,524. - OUTPATIENT VISITS TOTALED: LABORATORY = 15,229, RADIOLOGY = 6,624, RESPIRATORY = 442, CARDIOLOGY = 1,497, REHAB = 9,137 AND CLINICS = 4,928.EATON RAPIDS MEDICAL CENTER ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PROVIDED $40,563 OF CHARITY CARE DURING 2024 AND RECORDED $675,698 OF BAD DEBT EXPENSE. 33433515 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 48 0 1 313 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 X SHARI GLYNN VP OF FINANCECFO 5176639456 1500 SOUTH MAIN STREET EATON RAPIDS MI 48827 TIMOTHY JOHNSON CEO 40.00 1.00 X X 297749 0 17782 SHARI GLYNN CFO 40.00 1.00 X X 214174 0 11715 RUSSELL HALSEY CHAIRPERSON 1.00 0.00 X X 0 0 0 ROBERT DICKINS VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 JULIE REINCKE SECRETARY 1.00 0.00 X X 0 0 0 LINDA VANDENBERG TREASURER 1.00 0.50 X X 0 0 0 SARA ALLSWEDE DIRECTOR 1.00 0.00 X 0 0 0 JODI BACKOFEN DIRECTOR 1.00 0.00 X 0 0 0 BEN BODKIN DIRECTOR 1.00 0.00 X 0 0 0 KYLE BOOHER DIRECTOR 1.00 0.50 X 0 0 0 MARTY DEBOW DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 ASHKOK K GUPTA MD DIRECTOR 1.00 0.00 X 0 0 0 DOUG REAVES DIRECTOR 1.00 0.00 X 0 0 0 NATE SKINNER DIRECTOR 1.00 0.50 X 0 0 0 JOHN FATA MD ED PHYSICIAN 36.00 0.00 X 454253 0 23260 ESLI GOLLAPALLI MD ED PHYSICIAN 36.00 0.00 X 409490 0 27862 RYAN JONES MD ED PHYSICIAN 36.00 0.00 X 364486 0 28561 DONNA BROWN MD ED PHYSICIAN 32.00 0.00 X 339795 0 13233 JONATHAN COOPER RHC MEDICAL DIRECTOR 40.00 0.00 X 284131 0 15128 2364078 0 137541 37 0 1 0 LUTZ ENTERPRISES 9103 WEST END DR PORTAGE MI 49002 ANESTHESIA SERVICES 1106071 PGPA LLC 3544 MERIDIAN CROSSING DR SUITE 12 OKEMOS MI 48864 PHARMACY SERVICES 365636 AUREUS RADIOLOGY LLC PO BOX 310856 DES MOINES IA 50331 RADIOLOGY SERVICES 357032 FASTAFF LLC PO BOX 911452 DENVER CO 80291 HEALTHCARE SERVICES 314218 SPARTAN COMMERCIAL ROOFING LLC PO BOX 23156 LANSING MI 48909 ROOFING 227317 7 4400 351683 356083 NET PATIENT SERVICE REVENUE 621110 40979641 40979641 LAB REVENUE 621500 533332 533332 PHYSICIAN STAFFING/SUPPORT 621110 322354 322354 340B REVENUE 621990 243312 243312 SPECIALISTS RENTAL FEES 621110 96629 96629 42175268 508389 508389 29366 1099 28267 28267 28267 33258 10445 22813 22813 22813 CAFETERIA 722514 71695 71695 EMPLOYEE PHARMACY SALES 456110 8468 8468 80163 43170983 42175268 0 639632 X 564032 564032 16631707 13755214 2876493 173892 173892 2717538 2199754 517784 1137404 911314 226090 29708 29708 87100 87100 4390 4390 4697552 3800836 896716 131149 131149 830296 502292 328004 399841 38394 361447 4825 2054 2771 146177 117737 28440 1572044 1266193 305851 248104 190264 57840 MEDICAL SUPPLIES & DRUG 8675112 8675112 BAD DEBT EXPENSE 675698 675698 QUALITY ASSURANCE TAXES 330281 330281 MAINTENANCE & REPAIRS 286481 84202 202279 991621 884170 107451 40334952 33433515 6901437 0 561445 561986 14893361 13404232 3046907 6774652 791371 862301 2006596 2530189 39278886 24912677 14596634 14366209 4142924 4968231 1914160 1922245 2872550 2680952 44825948 48070997 4169150 5292663 3282269 2930402 2303499 1529860 9754918 9752925 X 35071030 38318072 35071030 38318072 44825948 48070997 2836031 411011 0 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4390 4390 0 PART II-B, LINE 1: PORTION OF ANNUAL DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION THAT ARE USED TOWARD LOBBYING ACTIVITIES. 724719 724719 21015476 11500792 9514684 1603080 799916 803164 15853777 12611969 3241808 81834 81834 14366209 COST REPORT SETTLEMENT RECEIVABLE 1789000 FMV INTEREST RATE SWAP 106092 RIGHT OF USE ASSETS 785860 2680952 COST REPORT SETTLEMENT PAYABLE 744000 RIGHT OF USE LEASE LIABILITY 785860 1529860 42550632 411011 411011 42139621 1031362 1031362 43170983 39303590 0 39303590 1031362 1031362 40334952 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 675,698. EXPENSES RECORDED AGAINST INCOME 355,664. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 675,698. EXPENSES RECORDED AGAINST INCOME 355,664. 1 1 X 1 X 133.000000000000 1 X 1 1 0 1 1 24185 24185 0.00060 4711372 3998972 712400 0.01800 4735557 3998972 736585 0.01860 4735557 3998972 736585 0.01860 1 675698 135140 4838756 4878906 -40150 X 1 1 1 1 EATON RAPIDS MEDICAL CENTER 1500 SOUTH MAIN STREET EATON RAPIDS MI 48827 WWW.EATONRAPIDSMEDICALCENTER.ORG 1060000161 X X X X EATON RAPIDS MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 21 1 1 1 1 X HTTPS://TINYURL.COM/BDEPJK4W X HTTP://WWW.HEALTHYCAPITALCOUNTIES.ORG/ X X 1 22 1 HTTPS://TINYURL.COM/47EZAESV 0 1 X 133.000000000000 200.000000000000 X 1 1 X X X X 1 X HTTPS://TINYURL.COM/Y9VU5SDC X HTTPS://TINYURL.COM/Y9VU5SDC X HTTPS://TINYURL.COM/Y9VU5SDC X X X X X X 1 X 0 X X X 1 X 0 0 EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 3J: THE CHNA INCLUDES OPPORTUNITY MEASURES; SOCIAL, ECONOMIC AND ENVIRONMENTAL FACTORS; BEHAVIORS, STRESS AND PHYSICAL CONDITIONS; AND HEALTH OUTCOMES. IT ALSO INCLUDES FOCUS GROUPS AND SURVEY RESULTS. EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 5: PARTNERS FOR THE END OF THE 2022-24 AND THE UPCOMING 2025-27 HEALTHY CAPITAL COUNTIES (HICC) WORKGROUP INCLUDE BIMONTHLY MEETINGS WITH REPRESENTATION FROM EATON RAPIDS MEDICAL CENTER, MCLAREN GREATER LANSING, UNIVERSITY OF MICHIGAN/SPARROW HOSPITAL HEALTH SYSTEM, MID-MICHIGAN DISTRICT HEALTH DEPARTMENT (CLINTON COUNTY), BARRY-EATON DISTRICT HEALTH DEPARTMENT, AND THE INGHAM COUNTY HEALTH DEPARTMENT. DATA MAPPING, ADDITIONAL INFOMATION, AND INPUT WAS OBTAINED FROM THE TRI-COUNTY REGION PLANNING COMMISSION, CAPITAL AREA HOUSING PARTNERSHIP, REGIONAL STRATEGY SESSIONS WITH COMMUNITY LEADERS, ELECTED OFFICIALS AND THE PUBLIC, COMMUNITY AND TARGETED SURVEYS, A STRATEGY SESSION DATA PARTY IN JULY 2024 WITH PRELIMINARY FINDINGS IN FALL OF 2024. EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 6A: MCLAREN GREATER LANSINGSPARROW HEALTH SYSTEMHAYES GREEN BEACH MEMORIAL HOSPITAL EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 6B: BARRY-EATON DISTRICT HEALTH DEPARTMENTINGHAM COUNTY HEALTH DEPARTMENTMID-MICHIGAN DISTRICT HEALTH DEPARTMENT EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 7D: SOCIAL MEDIA PAGEPUTTING A COPY AT THE LOCAL LIBRARY PRESS RELEASES TO THE LOCAL NEWSPAPERSA FULL COPY OF THE CHNA AND IMPLEMENTATION PLAN CAN BE FOUND AT: HTTPS://WWW.EATONRAPIDSMEDICALCENTER.ORG/ABOUT/COMMUNITY/ EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 11: EATON RAPIDS MEDICAL CENTER SUPPORTS HEALTH CAPITAL COUNTIES (HICC) GOALS BY ACTIVELY PARTICIPATING IN THE PLANNING PROCESS AND IDENTIFYING OPPORTUNITIES FOR US TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. AS WE CLOSE OUT THE 2022-24 CYCLE, WE HAVE SUPPORTED THE GOALS BY EXPANDING OUR SERVICES (NEW ORTHOPEDIC CLINIC AND PROVIDER, SWING BED PROGRAM, ETC.), RECRUITING NEW PROVIDERS AND HEALTHCARE STAFF, HOSTING BLOOD DRIVES, PARTICIPATION IN COMMUNITY EVENTS TO PROMOTE HEALTH AND WELLNESS, FOCUSING ON EXCEEDING QUALITY BENCHMARKS, AND PLANNING TO EXPAND OUR INPATIENT UNIT TO ADDRESS THE FUTURE HEALTHCARE NEEDS OF THIS COMMUNITY. ACCESS TO MENTAL HEALTH SERVICES AND HOUSING NEEDS ARE BEING ADDRESSED VIA REFERRAL TO AVAILABLE PROVIDERS AND LOCAL RESOURCES AND ARE OPPORTUNITIES FOR GROWTH. WE ARE CURRENTLY IN THE PROCESS OF IDENTIFYING ORGANIZATIOAL STRATEGIES AND ACTIVITIES TO SPECIFICALLY ADDRESS THE 2025-27 COMMUNITY HEALTH IMPROVEMENT PLAN GOALS. THE FOCUS AREAS IDENTIFIED INCLUDE HOUSING, ACCESS TO CARE, AND BEHAVIORAL HEALTH. EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 15E: EATON RAPIDS MEDICAL CENTER HAS STAFF ONSITE AVAILABLE TO ASSIST PATIENTS WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE FORMS FOR BOTH CHARITY CARE AND WHEN POSSIBLE WITH OTHER PROGRAMS SUCH AS MEDICAID AND MEDICARE PART D. EATON RAPIDS MEDICAL CENTER PART V, SECTION B, LINE 16J: LINE 16I DISCLOSURE - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE. PART V LINE 22B: BASED ON INTERNAL LIMITATIONS THE AMOUNTS GENERALLY BILLED COMPUTATION MAY NOT HAVE TAKEN INTO ACCOUNT THE COMBINED AMOUNT OF MEDICARE AND PRIVATE INSURANCE. PART I, LINE 7: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $675,698. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, ARTICLES IN THE NEWSPAPER ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTHCARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES PER YEAR. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $135,140 IS EQUAL TO APPROXIMATELY 20 PERCENT OF BAD DEBT EXPENSE. PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF THE CENTER'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE CENTER RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE MEDICARE SURPLUS (SHORTFALL), FROM THE MEDICARE COST REPORT, WAS CALCULATED BY UTILIZING A COST TO CHARGE RATIO. ANY SHORTFALLS WOULD BE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 9B: ALL PATIENTS' COLLECTIONS ARE TREATED THE SAME. PART VI, LINE 2: THE ORGANIZATION ASSESSES NEEDS THROUGH PATIENT SATISFACTION SURVEYS, SUGGESTIONS FROM EMPLOYEES THAT RESIDE IN OUR SERVICE AREA, RESPONSES FROM FOCUS GROUP PARTICIPANTS, COMMENTS ON OUR SOCIAL MEDIA PAGES, SUGGESTION BOXES, AND REQUESTS FROM COMMUNITY GROUPS. PART VI, LINE 3: INFORMATION REGARDING ELIGIBILITY IS PROVIDED AT TIME OF SERVICE AS WELL AS ATTACHED TO BILLING INVOICES, POSTED IN THE ADMISSIONS OFFICE, AND AVAILABLE UPON REQUEST. PART VI, LINE 4: EATON RAPIDS MEDICAL CENTER'S IMMEDIATE SERVICE AREA INCLUDES EATON RAPIDS, SPRINGPORT, AND ONONDAGA. WE ALSO DRAW PATIENTS FROM LESLIE, MASON, DIAMONDALE AND CHARLOTTE. 13% OF OUR PATIENTS ARE AGES 0-17, 11% OF PATIENTS AGES 18-34, 15% OF PATIENTS AGES 35-50, 22% OF PATIENTS AGES 51-64, 29% OF PATIENTS AGES 65-79, AND 10% OF PATIENTS AGES 80+. PATIENT INSURANCE DEMOGRAPHICS ARE MEDICARE 52%, MEDICAID 11%, COMMERCIAL 8%, HMO/PPO 2%, BLUE CROSS 26%, AND SELF-PAY 1%. PART VI, LINE 5: THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY IT SERVES THROUGH A FREE HEALTH FAIR, FREE HEALTH SCREENINGS, DIABETES SUPPORT GROUP, EDUCATIONAL TOURS FOR SECOND GRADERS, FARMERS MARKET HELD ON HOSPITAL GROUNDS, ARTICLES IN NEWSPAPERS ABOUT MEDICAL CONDITIONS AND HEALTHY LIVING, TRAINING FOR STUDENTS IN THE HEALTH CARE FIELD, FREE EDUCATIONAL SEMINARS, FREE FITNESS, NUTRITION AND SELF-CONFIDENCE PROGRAM FOR 4TH THROUGH 6TH GRADERS, CONTRIBUTIONS TO ORGANIZATIONS SUCH AS EATON COMMUNITY HOSPICE AND MEALS ON WHEELS, COALITION BUILDING PARTICIPATION AND CONTRIBUTIONS TO ORGANIZATIONS SUCH AS THE EATON RAPIDS ROTARY AND LIONS CLUB AS WELL AS THE CHAMBER OF COMMERCE, HOSTING BABYSITTING AND CPR CLASSES, AND HOSTING TWO AMERICAN RED CROSS BLOOD DRIVES EACH YEAR. PART VI, LINE 7, REPORTS FILED WITH STATES MI X X 0 0 0 0 0 0 0 1 0 JOHN FATA MD ED PHYSICIAN 454253 0 0 0 0 0 0 0 23260 0 477513 0 0 0 ESLI GOLLAPALLI MD ED PHYSICIAN 409490 0 0 0 0 0 0 0 27862 0 437352 0 0 0 RYAN JONES MD ED PHYSICIAN 364486 0 0 0 0 0 0 0 28561 0 393047 0 0 0 DONNA BROWN MD ED PHYSICIAN 339795 0 0 0 0 0 0 0 13233 0 353028 0 0 0 TIMOTHY JOHNSON CEO 297749 0 0 0 0 0 5900 0 11882 0 315531 0 0 0 JONATHAN COOPER RHC MEDICAL DIRECTOR 284131 0 0 0 0 0 0 0 15128 0 299259 0 0 0 SHARI GLYNN CFO 210574 0 3600 0 0 0 4278 0 7437 0 225889 0 0 0 PART I, LINE 7 THE CEO BONUS IS DETERMINED BY THE BOARD AND THE REMAINING BONUSES ARE DETERMINED BY THE EXECUTIVE MANAGEMENT COUNCIL AND APPROVED BY THE BOARD. A CITY OF EATON RAPIDS HOSPITAL FINANCE AUTHORITY BOND PAYABLE - SERIES 2017 386004609 NONEAVAIL 2017-10-16 5200000 NEW PROFESSIONAL BUILDING AND REFINANCE OF 2008 BOND 0 0 0 A 2241220 5200000 104000 5096000 2018 1 0 1 1 A 0 1 0 0 0.06900 0.00000 0.06900 0 0 0 A 1 0 1 PNC BANK 15.000000000000 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY ACCOUNTING STAFF AND PRESENTED TO THE FINANCE COMMITTEE PRIOR TO SUBMISSION. THE FORM 990 IS NOT PROVIDED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH EATON RAPIDS MEDICAL CENTER'S CONFLICT OF INTEREST POLICY, CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE SIGNED ANNUALLY BY THE HOSPITAL'S BOARD. THE FORMS ARE REVIEWED BY THE CEO WHO TRACKS AND MONITORS THE CONFLICTS THAT ARISE. THE CEO NOTIFIES THE BOARD OF ANY CONFLICTS AND THOSE PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS AND DECISIONS, INCLUDING BEING ASKED TO LEAVE THE ROOM. FORM 990, PART VI, SECTION B, LINE 15 CURRENTLY THE BOARD REVIEWS COMPENSATION STUDIES FROM SIMILAR HOSPITALS AND THE COMMITTEE USES THAT TO DETERMINE THE COMPENSATION FOR THE CEO. THIS IS DOCUMENTED IN THE BOARD MINUTES. THE BOARD ALSO DETERMINES COMPENSATION BASED ON PRIOR YEAR PERFORMANCE. A COMPARABILITY STUDY WAS LAST DONE FOR THE CEO, OTHER OFFICERS AND KEY EMPLOYEES IN FISCAL YEAR 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 961,642. MANAGEMENT AND GENERAL EXPENSES 513,431. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,475,073. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 595,216. MANAGEMENT AND GENERAL EXPENSES 383,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 978,501. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,914,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,914,728. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 329,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,250. FORM 990, PART XII, LINE 2C: THE PROCESS FOR THE COMMITTEE THAT ASSUMES THE RESPONSIBILITY OF OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS HAS NOT CHANGED. EATON RAPIDS MEDICAL CENTER FOUNDATION 1500 SOUTH MAIN ST EATON RAPIDS MI 48827 383582316 TO RECEIVE AND ADMINISTER FUNDS AND USE THEM FOR EATON RAPIDS MEDICAL CENTER MI 501(C)(3) LINE 12A, I EATON RAPIDS MEDICAL CENTER 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0