HILLSDALE COMMUNITY HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: HILLSDALE COMMUNITY HEALTH CENTER (EIN 38-6005550)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-09
IRS object ID: 202011919349301611
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-07-09T09:06:37-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E Main St Suite 700	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	386005550	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HILLSDALE COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% LEYA VANDEUSEN	InCareOfNm
Business Name Control	HILL	BusinessNameControlTxt
Phone	5174374451	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	168 SOUTH HOWELL STREET	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DUKE ANDERSON	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	5174374451	PhoneNum
Signature	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren R Denton	PreparerPersonNm
PTIN	P01571860	PTIN
Phone	2604604000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35027420201915000006	FederalOriginalSubmissionId
Federal Original Submission Id	2020-07-09	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	1DB21BA5E43097C511A7D1ADC50EBB96669EB973	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4054C3EF14AA7DF352A59B9CFDC0CB34D463127C	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HILLSDALE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DUKE ANDERSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	168 SOUTH HOWELL STREET	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$70,623,706	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HILLSDALEHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1950	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	SHORT-TERM, ACUTE CARE HOSPITAL FACILITY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	542	TotalEmployeeCnt
Total Volunteers	97	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$238,735	PYContributionsGrantsAmt
CY Contributions Grants	$217,049	CYContributionsGrantsAmt
PY Program Service Revenue	$61,192,819	PYProgramServiceRevenueAmt
CY Program Service Revenue	$69,164,975	CYProgramServiceRevenueAmt
PY Investment Income	$863,692	PYInvestmentIncomeAmt
CY Investment Income	$708,859	CYInvestmentIncomeAmt
PY Other Revenue	$57,876	PYOtherRevenueAmt
CY Other Revenue	$68,824	CYOtherRevenueAmt
PY Total Revenue	$62,353,122	PYTotalRevenueAmt
CY Total Revenue	$70,159,707	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$28,143,697	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$30,404,096	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$35,781,167	PYOtherExpensesAmt
CY Other Expenses	$36,883,441	CYOtherExpensesAmt
PY Total Expenses	$63,924,864	PYTotalExpensesAmt
CY Total Expenses	$67,287,537	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,571,742	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,872,170	CYRevenuesLessExpensesAmt
Total Assets BOY	$39,871,181	TotalAssetsBOYAmt
Total Assets EOY	$45,665,008	TotalAssetsEOYAmt
Total Liabilities BOY	$14,370,409	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$16,137,813	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$25,500,772	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$29,527,195	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HILLSDALE COMMUNITY HEALTH CENTER IS AN INDEPENDENT, PROGRESSIVE HEALTH CARE TEAM. WE WILL CONTINUE TO UTILIZE THE LATEST TECHNOLOGY AND EXPERTISE WHILE DELIVERING COMPASSIONATE, QUALITY CARE. WE ARE LARGE ENOUGH TO BE OF SERVICE... SMALL ENOUGH TO CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$57,480,847	ExpenseAmt
Revenue	$69,164,975	RevenueAmt
Desc	HILLSDALE HOSPITAL IS A SHORT-TERM, ACUTE CARE HOSPITAL FACILITY INCLUDING A SKILLED NURSING UNIT, A PSYCHIATRIC UNIT, AND HOME HEALTH CARE DEPARTMENT WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE HILLSDALE, MICHIGAN AREA. THE HOSPITAL ALSO SUPPORTS UNPROFITABLE/SUBSIDIZED HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH, OBSTETRICS, AND EMERGENCY SERVICES. HILLSDALE HOSPITAL SAW 2,383 INPATIENT ADMISSIONS IN FY 2019, 96,816 OUTPATIENT VISITS, AND 21,786 EMERGENCY DEPARTMENT VISITS. DURING FY 2019 APPROXIMATELY 44% OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, APPROXIMATELY 24.6% OF SERVICES PROVIDED WERE TO PATIENTS DEEMED INDIGENT UNDER STATE GUIDELINES AND APPROXIMATELY 3.6% OF SERVICES PROVIDED WERE TO INDIVIDUALS WITHOUT ANY HEALTHCARE COVERAGE. THE HOSPITAL STRIVES TO MINIMIZE THE FINANCIAL BARRIERS TO HEALTHCARE THAT EXIST FOR CERTAIN MEMBERS OF OUR COMMUNITY, AND IN FY 2019 PROVIDED APPROXIMATELY $415,000 IN CHARITY CARE AND RECORDED A PROVISION FOR BAD DEBT OF $4 MILLION. A COMPLETE LIST OF SERVICES OFFERED IS AVAILABLE AT WWW.HILLSDALEHOSPITAL.COM, ALONG WITH THE INFORMATION REGARDING APPLYING FOR FINANCIAL ASSISTANCE. HILLSDALE HOSPITAL GIVES BACK TO THE COMMUNITY IN MANY WAYS, INCLUDING SUPPORTING THE FREE HEALTH CLINIC AND PROVIDING HIGH SCHOOL AND COMMUNITY LOANS FOR ALLIED HEALTH PROFESSIONS FOR HIGHER EDUCATION.	Desc
Total Program Service Expenses	$57,480,847	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	79	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	542	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEYA VANDEUSEN	PersonNm
Phone	5174375234	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	168 S HOWELL STREET	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GREGORY BAILEY
BOARD CHAIRMAN	1.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
ALFRED BEDIAKO MD
BOARD MEMEBER	1.5	0.0	Yes (X)		$0	$0	$0
CRAIG CONNOR
BOARD MEMBER	1.5	0.0	Yes (X)		$0	$0	$0
DAVID GOSSAGE
BOARD VICE CHAIRMAN	1.5	0.0	Yes (X)	Yes (X)	$24,290	$0	$0
DIANE PHILIPP
BOARD MEMBER	1.5	0.0	Yes (X)		$0	$0	$0
KIMBERLY BLYTHE
BOARD MEMBER	1.5	0.0	Yes (X)		$0	$0	$0
LEANNE RUMLER
BOARD MEMBER	1.5	0.0	Yes (X)		$0	$0	$0
RICHARD MOORE
BOARD TREASURER	1.5	1.0	Yes (X)	Yes (X)	$0	$0	$0
DALE MCCRIRIE
EX OFFICIO/PHYSICIAN	40.0	0.0	Yes (X)		$294,834	$0	$32,093
KARLYE HORTON
BOARD MEMBER	1.5	0.0	Yes (X)		$0	$0	$0
ROBERT HENTHORNE
BOARD MEMBER	1.5	0.0	Yes (X)		$17,920	$0	$0
NICHOLE ELLIS DO
EX OFFICIO/CHIEF OF STAFF	1.5	0.0	Yes (X)		$3,009	$0	$0
DUKE ANDERSON
PRESIDENT/CEO	40.0	0.0		Yes (X)	$402,284	$0	$30,241
MARK GROSS
CFO (STARTED 4/2018)	40.0	0.0		Yes (X)	$174,242	$0	$17,911
PARTHIV PATEL
PHYSICIAN	40.0	0.0			$605,860	$0	$30,006	Yes (X)
CHRISTOPHER HOGG
PHYSICIAN	40.0	0.0			$522,862	$0	$23,684	Yes (X)
NORRIS MARCH
PHYSICIAN	40.0	0.0			$350,116	$0	$16,683	Yes (X)
BRIAN SINISCHO
PHYSICIAN	40.0	0.0			$323,234	$0	$17,374	Yes (X)
RAVINDER SHARMA
PHYSICIAN	40.0	0.0			$303,737	$0	$32,093	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,022,388	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$200,085	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HEALTHPRO HERITAGE LLC
536 OLD HOWELL RD	GREENVILLE	SC	29615	THERAPY SERVICES	$1,699,383
MI EMERGENCY PHYSICIANS
PO BOX 677979	DALLAS	TX	75267	EMERGENCY PHYSICIANS	$1,050,201
ANES STAFFING CONSULTANTS
6225 N STATE HWY 161	IRVING	TX	75038	CRNA	$525,907
UNIV OF TOLEDO
3355 GLENDALE AVE	TOLEDO	OH	43614	ORTHO PHYSICIANS	$379,550
FOULKE CONSTRUCTION
149 LEWIS STREET	HILLSDALE	MI	49242	CONSTRUCTION	$344,740

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$217,049	AllOtherContributionsAmt
Total Contributions	$217,049	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$68,499,557	$68,499,557
CAFETERIA SALES	621110	$150,608	$150,608
EMPLOYEE PRESCRIPTION	621110	$87,474	$87,474
OTHER INCOME	621110	$427,336	$427,336

Field	Value	IRS element (for citing)
Total Program Service Revenue	$69,164,975	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$474,564	TotalRevenueColumnAmt
Exclusion	$474,564	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$124,132	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$77,142	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$46,990	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,990	TotalRevenueColumnAmt
Exclusion	$46,990	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$616,790	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$217,648	SecuritiesAmt
Other	$164,847	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$399,142	SecuritiesAmt
Other	-$164,847	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,295	TotalRevenueColumnAmt
Exclusion	$234,295	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$26,196	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$4,362	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,834	TotalRevenueColumnAmt
Exclusion	$21,834	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$70,159,707	TotalRevenueColumnAmt
Related Or Exempt Func Income	$69,164,975	RelatedOrExemptFuncIncomeAmt
Exclusion	$777,683	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$692,812	TotalAmt
Program Services	$568,106	ProgramServicesAmt
Management And General	$124,706	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,406,385	TotalAmt
Program Services	$19,193,236	ProgramServicesAmt
Management And General	$4,213,149	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$408,577	TotalAmt
Program Services	$335,033	ProgramServicesAmt
Management And General	$73,544	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,249,104	TotalAmt
Program Services	$3,484,265	ProgramServicesAmt
Management And General	$764,839	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,647,218	TotalAmt
Program Services	$1,350,719	ProgramServicesAmt
Management And General	$296,499	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$252,732	TotalAmt
Management And General	$252,732	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$52,500	TotalAmt
Management And General	$52,500	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$113,970	TotalAmt
Management And General	$113,970	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,361,726	TotalAmt
Program Services	$10,956,615	ProgramServicesAmt
Management And General	$2,405,111	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$221,674	TotalAmt
Program Services	$181,773	ProgramServicesAmt
Management And General	$39,901	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$386,395	TotalAmt
Program Services	$316,844	ProgramServicesAmt
Management And General	$69,551	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,465,977	TotalAmt
Program Services	$2,022,101	ProgramServicesAmt
Management And General	$443,876	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$216,870	TotalAmt
Program Services	$177,833	ProgramServicesAmt
Management And General	$39,037	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$36,909	TotalAmt
Program Services	$30,265	ProgramServicesAmt
Management And General	$6,644	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$912,311	TotalAmt
Program Services	$748,095	ProgramServicesAmt
Management And General	$164,216	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,221,057	TotalAmt
Program Services	$1,001,267	ProgramServicesAmt
Management And General	$219,790	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$10,740,254	$10,740,254
PROVISION FOR DOUBTFUL	$3,975,369	$3,975,369
REPAIR AND MAINTENANCE	$1,492,884	$1,224,165	$268,719
RENT TO HHF	$1,334,628	$1,094,395	$240,233

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,185	TotalAmt
Program Services	$80,512	ProgramServicesAmt
Management And General	$17,673	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,287,537	TotalAmt
Program Services	$57,480,847	ProgramServicesAmt
Management And General	$9,806,690	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$768,323	BOYAmt
EOY	$355,738	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,400,755	BOYAmt
EOY	$6,075,476	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,215,023	BOYAmt
EOY	$8,531,510	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,605,283	BOYAmt
EOY	$1,558,344	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$382,914	BOYAmt
EOY	$735,467	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$937,994	BOYAmt
EOY	$976,745	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,136,028	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,301,883	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,509,649	BOYAmt
EOY	$4,834,145	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$18,496,218	BOYAmt
EOY	$20,518,267	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,555,022	BOYAmt
EOY	$2,079,316	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,871,181	BOYAmt
EOY	$45,665,008	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,077,444	BOYAmt
EOY	$10,702,260	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,292,965	BOYAmt
EOY	$5,435,553	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,370,409	BOYAmt
EOY	$16,137,813	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,454,677	BOYAmt
EOY	$29,479,549	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,095	BOYAmt
EOY	$47,646	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,500,772	BOYAmt
EOY	$29,527,195	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$39,871,181	BOYAmt
EOY	$45,665,008	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,872,170	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$412,467	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$741,786	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,200	OtherCostOrOtherBasisAmt
Book Value	$3,200	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,085,041	OtherCostOrOtherBasisAmt
Depreciation	$82,606	DepreciationAmt
Book Value	$2,002,435	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,652,932	OtherCostOrOtherBasisAmt
Depreciation	$1,219,277	DepreciationAmt
Book Value	$2,433,655	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$394,855	OtherCostOrOtherBasisAmt
Book Value	$394,855	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,834,145	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	COST REPORT SETTLEMENTS	Desc
Amt	$5,435,553	Amt

Field	Value	IRS element (for citing)
Total Liability	$5,435,553	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$66,678,309	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$412,467	NetUnrealizedGainsInvstAmt
Other Revenue	$81,504	OtherRevenueAmt
Revenue Not Reported	$493,971	RevenueNotReportedAmt
Revenue Subtotal	$66,184,338	RevenueSubtotalAmt
Other Revenues Not Included	$3,975,369	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,975,369	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$70,159,707	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$63,393,672	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$81,504	OtherExpensesIncludedAmt
Expenses Not Reported	$81,504	ExpensesNotReportedAmt
Expenses Subtotal	$63,312,168	ExpensesSubtotalAmt
Other Expenses Not Included	$3,975,369	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,975,369	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$67,287,537	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ASC 740 FOOTNOTE	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS	SPECIAL EVENTS EXPENSES $4,362 RENTAL EXPENSES $77,142 TOTAL: $81,504 PART XI, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR UNCOLLECTIBLE ACCOUNTS $3,975,369
PART XII, LINE 2D - OTHER ADJUSTMENTS	SPECIAL EVENTS EXPENSES $4,362 RENTAL EXPENSES $77,142 TOTAL: $81,504 PART XII, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR UNCOLLECTIBLE ACCOUNTS $3,975,369

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF OUTING	Event1Nm
Gross Receipts Event1	$26,196	GrossReceiptsEvent1Amt
Gross Revenue Event1	$26,196	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$680	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,282	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$400	FoodAndBeverageEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$26,196	GrossReceiptsTotalAmt
Gross Revenue Total Events	$26,196	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$680	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,282	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$400	FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events	$4,362	DirectExpenseSummaryEventsAmt
Net Income Summary	$21,834	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$167,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$167,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,909,898	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,793,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,116,315	NetCommunityBenefitExpnsAmt
Total Expense	0.04980	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,077,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,793,583	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,283,575	NetCommunityBenefitExpnsAmt
Total Expense	0.05250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Persons Served	1230	PersonsServedCnt
Total Community Benefit Expns	$17,848	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,848	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$212,276	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$343,396	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$131,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,105,586	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,342,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,762,722	NetCommunityBenefitExpnsAmt
Total Expense	0.02810	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,725	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,725	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	1265	PersonsServedCnt
Total Community Benefit Expns	$8,361,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,686,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,675,174	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Persons Served	1265	PersonsServedCnt
Total Community Benefit Expns	$22,438,593	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,479,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,958,749	NetCommunityBenefitExpnsAmt
Total Expense	0.07920	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,975,369	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,615,837	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$16,864,328	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$19,618,164	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,753,836	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HILLSDALE COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	168 S HOWELL STREET	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	INPATIENT PSYCH UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HILLSDALE COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.HILLSDALEHOSPITAL.COM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.HILLSDALEHOSPITAL.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.HILLSDALEHOSPITAL.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.HILLSDALEHOSPITAL.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.HILLSDALEHOSPITAL.COM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE PRIMARY DATA FOR THE ASSESSMENT CONSISTED OF A HEALTH SURVEY OF THE GENERAL COUNTY POPULATION AND AN OPEN FORUM OF HUMAN SERVICES NETWORK MEMBERS. THE HEALTH SURVEY QUESTIONNAIRE WAS DESIGNED TO CREATE A PROFILE OF THE RESPONDENTS, THEIR HEALTH NEEDS, AND VIEWS ON COMMUNITY HEALTH-RELATED ISSUES. ALL RESIDENTS OF THE COUNTY WERE INVITED TO PARTICIPATE IN THE SURVEY THROUGH A WIDE-REACHING INFORMATION CAMPAIGN THAT CONSISTED OF INFORMATIONAL ADS IN THE LOCAL NEWSPAPER, THE LOCAL RADIO STATION, PAPER MAILINGS, THE HOSPITAL WEBSITE, AND PERSONAL REQUESTS BY HOSPITAL VOLUNTEERS. AS A RESULT OF THE CAMPAIGN, 1,110 INDIVIDUALS COMPLETED THE HEALTH SURVEY QUESTIONNAIRE (983 IN 2013). SECONDARY DATA WAS COLLECTED FROM A VARIETY OF COUNTY, STATE, AND FEDERAL SOURCES SUCH AS THE US CENSUS BUREAU, MICHIGAN LABOR AND EDUCATION DEPARTMENTS, MICHIGAN DEPARTMENT OF VITAL STATISTICS, MICHIGAN BEHAVIOR RISK FACTOR SURVEY, AND KIDS COUNT IN MICHIGAN. SCHEDULE H, PART V, SECTION B, LINE 6B HILLSDALE HOSPITAL PARTNERED WITH THE HILLSDALE COUNTY HUMAN SERVICES NETWORK TO CREATE A COMPREHENSIVE COMMUNITY BASED HEALTH NEEDS ASSESSMENT. THE HUMAN SERVICES NETWORK HIRED AN INDEPENDENT CONTRACTOR TO HELP DESIGN THE SURVEY, ANALYZE THE DATA, FACILITATE DISCUSSIONS, AND CREATE THE FINAL REPORT.
SCHEDULE H, PART V, SECTION B, LINE 11	Issue 1: Smoking while pregnant. Background and Action Plan This has been a longstanding problem/issue with pregnant mothers in Hillsdale County. Hillsdale County has historically had a higher rate of overall population who smoke, and a much higher of women who report smoking while pregnant. Hillsdale County reports 27.6% of pregnant women report smoking while pregnant in the latest 3 year data set, compared to 16.2% of women in Michigan. This is a huge disparity and a risk factor that cannot be ignored. Smoking during pregnancy increases the risk of health problems for developing babies, including preterm birth, low birth weight, and birth defects of the mouth and lip. Smoking during and after pregnancy also increases the risk of sudden infant death syndrome (SIDS), all associated with higher rates or mortality and increased cost to patients and the overall health system within the county. There are several evidence based interventions that can be explored for possible implementation with patients, with the assistance of local providers; they include: The Baby & Me-Tobacco Free ProgramTM is an evidenced-based program used by many clinicians to help pregnant women stop smoking. The program is set up to provide education and resources for women to quit smoking. Follow-up visits consist of exhaled carbon monoxide measurements to ensure quit. The positive reinforcement is diaper vouchers that can be used post-partum. Another evidence-based program is Smoking Cessation and Reduction in Pregnancy TreatmentTM (SCRIPT). This program provides a comprehensive guide for purchase in English and Spanish, as well as video format. Some states provide quit-lines specific for pregnant smokers and other states link pregnant smokers to the regular quit-line. This is a resource currently available in Michigan,. The quit-line tobacco cessation program uses clinically proven methods to achieve some of the highest quit rates in the country. We help nearly 450 people a day in their journey to quit tobacco. What the Program Offers Participants: - Participants enroll online or by telephone. They then have access to these program offerings: - Coaching by phone and additional support via email, text, or instant message. Participants work with a coach to prepare a quit plan, set a quit date, understand tobacco triggers, manage cravings and address relapses. Coaches are available 24/7. - A robust pharmacotherapy program that varies by client is offered. - Planning and educational materials to help participants map out their road to quitting tobacco. - Membership in an online community of others who are working to become tobacco free. Recommendation: Hillsdale Hospital will investigate potential implementation of all 4 of these opportunities. The Hospital will work with members of the local OB/GYN community as well as appropriate local providers to assure these evidence based opportunities are readily available to pregnant mothers within the County. A goal of reducing smoking while pregnant in Hillsdale by 10% over the next 3 years will be established and tracked over time. Issue 2: Inadequate Prenatal Care Background and Action Plan Stemming from a request by the US Congress, the Government Accounting Office (GAO) investigated the extent to which Medicaid beneficiaries and uninsured women experience difficulties in obtaining access to prenatal care to determine the: (1) timing and number of their prenatal care visits; and (2) barriers they perceived as preventing them from obtaining care earlier or more often. The GAO found some of the following barriers exist throughout the system of care: Women less likely to obtain prenatal care are more likely to be poorly educated, uninsured, lack of money to pay for care, lack of transportation and unawareness of services available. Many of these same issues were identified within this report (less educated than the general populace, poor, lack of transportation) were all either identified within the secondary data or during the discussion with the Human Services Network who acted as a proxy for the Community. Given that a large number of women of childbearing age within Hillsdale County are on Medicaid as their primary source of insurance, this data speaks directly to action plans that need to be put in place to address this issue. Inadequate prenatal care (PNC) is defined as when no care was received or if care began during the third trimester. It is also inadequate if care began during the first or second trimester but less than five visits occurred. Inadequate PNC data for Hillsdale County shows a dramatic lack of adequate care for pregnant mothers within the county. Data for 2017 shows adequate PNC for Hillsdale pregnant mothers at 64.9%, and the rate for the State of Michigan at 72.2%. Clearly, given these data, this is a significant need to be addressed within the county. Discussion at the Human Services Network designated this as an issue that the Hospital could have a significant impact, as one of the OB/GYN practices within the county is owned by the Hospital and the other has a provider who is a Board member of the Hospital. The major issue identified by the group was transportation. A significant number of these pregnant moms are either working poor or young moms with little or no means. Transportation is a barrier for many of these women, but some solutions have been identified that can assist in this area. This will require coordination between the Department of Human Services (of which we co-employ one of their staff), the hospital and the OB/GYN offices in the county. In speaking with our partners in the Department of Health and Human Services (DHHS), there are many opportunities to better educate patients and caregivers about the services available. Not only are there accelerated Medicaid approvals available for pregnant moms, there is also travel assistance programs offering travel to and from appointments. There are also materials that can be made available to better educate our county on the importance of early prenatal care. All of these opportunities will be investigated and implemented as appropriate over the next three year cycle. Recommendation: The Hospital will work with our in-house DHHS representative, as well as our partners at the Branch-Hillsdale-St. Joseph Community Health Agency to make as many of these resources available to both our hospital OB/GYNs as well as the non-hospital OB/GYN office. We will establish a 3 year goal of increasing the number of women in Hillsdale County with adequate PNC to 70%. We will strive to meet this goal by 6/30 of 2022. Issue 3: Opioid Use / Abuse Background and Action Plan Prescription drug misuse is a serious problem in Michigan and Hillsdale County is not exempt from this issue. Drug overdose deaths are on the rise across the state. Two types of prescription drugs are the leading cause of misuse - painkillers (opioids) and tranquilizers (benzodiazepines). Opioids include both illegal drugs, such as heroin, and prescription pain medicine. Common opioids used to treat pain include oxycodone, hydrocodone, morphine, methadone, and codeine. Synthetic opioids are contributing to the crisis, too. Synthetic opioids that are appearing across Michigan include Fentanyl and Carfentanil. These drugs are far more powerful and deadly than other opioids and are frequently mixed with heroin, often times without the user knowing. Hillsdale Hospital can be on the forefront of this issue in the county as nearly all surgical procedures, chronic pain prescriptions and ER visits fall under the purview of the hospital. Researchers found that among the 7 surgeries studied - TKA, THA, rotator cuff surgery, hysterectomy, hernia surgery, colectomy, and sleeve gastrectomy - the average number of opioid pills prescribed dropped, but only slightly, from 85 pills per patient to 82. Authors of the report speculate that the slow progress could be due in part to the level of pressure surgeons feel to prescribe more opioids then they feel are necessary - a pressure reported by 66% of surgeons surveyed. Hillsdale hospital currently participates in the Michigan Surgical Quality Collaborative and a major emphasis has been placed on reducing the over use of opioids being used, and better restricting to newly established best practice dosing guidelines. This requires both a change in historic practice patterns and better patient education. Both of these issues will be addressed as we moved quickly to curb this growing problem in our industry. Emergency Departments too, are not exempt from this epidemic. Non-opioid therapies should be used as first line therapy and educating our ED providers on current best practice prescribing guidelines will be first and foremost in the strategies we employ. New guidance is available and needs to be explored and implemented within our facility. The list below are many of the current recommendations that will be reviewed. - Lost or stolen prescriptions sho
do not have, but that there are still some shortages that they wish	could be addressed. OB/GYN continues to be an issue as there are only 2 offices with 3 providers and a Nurse Midwife. The hospital recently constructed a new OB wing for the hospital and providing sufficient OB coverage continues to be a top priority. Utilizing some of the Federal incentives available as a result of Hillsdale Countys designation may be critical in obtaining additional funding as well as additional health provider resources. The hospital will continue to use any and all of these opportunities to fill gaps in care and service within our service area. To start the next 3 year cycle, we have developed the following tentative list; secure in the knowledge that once we make it, it will be subject to change due to need or unforeseen circumstances. Organization wide current top targeted needs for healthcare professionals at this time (5/10/2019) 1) OB/GYN Advanced Practice Provider 2) Advanced Practice Provider 3) Chief Nursing Officer 4) Director of Home Care 5) Medical Records Manager or Revenue Cycle Director 6) Director of Marketing 7) Scrub Tech 8) RNs for Emergency 9) RNs for OB 10) Medical Assistants for Clinics Recommendation: Hillsdale Hospital will continue to work to recruit as well as retain high quality professionals in these areas of service. The hospital is also recruiting (and has tentatively secured) an OB/GYN as well as a Urologist. Item 5: Transportation for medical services Background and Action Plan Transportation is an important social determinant of health in rural communities. The availability of reliable transportation impacts a persons ability to access appropriate and well-coordinated healthcare, purchase nutritious food, and otherwise care for him or herself. Rural populations most likely to need transportation services to maintain their health and well-being include: - The elderly - People with disabilities - Low-income individuals and families - Veterans and people with special healthcare needs, who often must travel long distances to access care Accessible transportation options can make the difference between healthcare access and no access for many people in rural areas. Often elderly individuals and individuals with disabilities have greater healthcare needs than other rural residents, and living in rural areas isolated from healthcare providers causes them additional difficulties. Distance to healthcare can have a significant impact on their quality of life, their health, and their safety. Distance and available transportation go hand in hand when it comes to preventing the elderly and people with disabilities from receiving the healthcare that they need. According to a 2010 study from the Upper Great Plains Transportation Institute, some of the negative impacts due to distance and lack of transportation include: - Increase in delayed or missed trips to receive healthcare services - Disruption in ongoing treatments and services for chronically ill patients - Travel distance to health services and the related costs affect patients healthcare decisions - Travel time spent to access healthcare can affect patients physically and cause stress - Use of some medications, like insulin, declines as patients live farther from their source of care Studies have shown that providing transportation for medical treatment to low-income, elderly and the disabled patients is cost-effective and improves the quality of life. A study by the Transit Cooperative Research Program, Cost Benefit Analysis of Providing Non-Emergency Medical Transportation, showed the differences between the cost of poorly-managed and well-managed care, as well as the differences in quality of life. They found that reduction in healthcare costs and improvement in quality of life would more than offset the costs required to provide non-emergency medical transportation. Missing a routine or preventive care service because of transportation can lead to poorly managed care, a need for emergency care, and preventable hospitalizations. Providing effective transportation options to healthcare services for low-income, elderly, and disabled residents keeps them out of hospitals and nursing homes, allowing them to remain contributing members of the community and lead healthier lives while keeping health costs down. Currently, Hillsdale Hospital has a transportation program set up by the Hospital with Key Opportunities and the DOT supplemented by grant funds. Drivers are available for transportation for patients in need, but limited to 1 driver for all hospital services. The driver does service all hospital units (SNF, BHU, ED, Inpatient). This funding is scheduled to end in 2019 and does not appear to be renewable. Other opportunities such as this will be explored moving forward. While this transportation issue is not a problem that can be solved for our population at large, there are segments of our consumer base who could be helped if they were aware of transportation services that are available through many insurers (Medicaid, BCBS-M, AETNA, HMOs). Some ever provide transportation for prescription pickup if you do not have a working car or a drivers license While Medicare does NOT provide transportation services, there are a growing percentage of Medicare eligible citizens who also have Medicaid. Currently, Medicaid is the payer of 23% of our total patient population. In addition, some private insurance carriers also offer this service to their covered lives, and as a results, we could impact upwards of 50% to 55% of our patients with this type of assistance. Recommendation: Hillsdale Hospital will work with local providers as well as our own Case Management staff to assure that patients are aware of the benefits and services that are available to them to assure the opportunity for the best healthcare possible. The goal is to provide information regarding resources, to all patients served within the Hillsdale Hospital service market, including physician offices within the hospital family. This includes advertising, brochures, and discharge education and coordination of services with our partners at DHHS. In addition, we will continue to seek additional grant opportunities as they become available. We will also keep an eye on Uber, Lift and other similar service providers for their potential penetration into our service market. Item 6: Increase low/no cost screenings for low income patients Background and Action Plan The health of people with low incomes often suffers because they cant afford adequate housing, food, or child care. Such living conditions, and the stress they cause, can lead to higher rates of tobacco and alcohol use and increase the risk of health problems developing or worsening over time. In addition, partly because they are more likely to be unable to afford care, people with low-incomes use fewer preventive care services. As a result, there are fewer opportunities for practitioners to assess and educate these patients about their health risks. Even when low-income people do see health care providers, the social needs like poor housing that may affect their health and complicate treatment are rarely addressed. If health plans and providers can better meet the needs of these patients, such improvement might spur higher quality improvements throughout the system. Compared to their higher-income counterparts, relatively healthy low-income people are more likely to: Have poorer self-reported health and greater health risks. One-fifth of low-income adults report their health as fair or poor, compared to only 5 percent of higher-income adults. Rates of obesity are also higher among low-income adults (36%) compared to higher-income adults (28%). Low-income adults are also much more likely to be smokers (25%). Have more mental health problems. Based on a widely used screening tool for identifying symptoms of depression and anxiety (the K6 distress scale), low-income people are much more likely to be in serious psychological distress (7%) compared to higher-income people (1%). Low-income people also report more difficulty sleeping (18%) than higher-income people (14%). Have more limited access to care. Although research has shown that the Affordable Care Act significantly narrowed income disparities in insurance coverage and access to care, such disparities persist. Lower-income people are still much more likely to be uninsured (26%) compared to higher-income people (4%). In addition, almost one-quarter (23%) of low-income adults lack a usual source of care. They are also much more likely to report delaying care, not being able to afford prescription medications, and experiencing problems paying medical bills relative to higher-income people. Recommendation: Provide half priced Bone Mineral Density Scan (DEXA), Osteoporosis/fracture risk - normally $228.60 for select months over the next three year cycle. This will benefit patients, as DEXA helps evaluate if they have poor bone density which puts them at risk for osteoporosis an
SCHEDULE H, PART V, SECTION B, LINE 20E	AFTER INSURANCE PAYMENTS, THE SELF PAY PORTION IS BILLED TO THE PATIENT ON A MONTHLY STATEMENT. THE STATEMENT INCLUDES INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. THE GUARANTOR RECEIVES FOUR STATEMENTS. IF THE AMOUNT IS STILL NOT PAID, THE GUARANTOR CONTINUES TO RECEIVE LETTERS UNTIL THE ACCOUNT IS WRITTEN OFF TO THE COLLECTION AGENCY. DURING THE TIME THE GUARANTOR IS RECEIVING THE STATEMENTS AND LETTERS, SEVERAL TELEPHONE CALLS ARE PLACED TO THE GUARANTOR TO TRY TO DISCUSS THE PAYMENT OR OTHER OPTIONS AVAILABLE TO THE GUARANTOR SUCH AS A PAYMENT PLAN OR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 21 ALL PATIENTS ARE BILLED THE SAME AMOUNT REGARDLESS OF TYPE OF INSURANCE OR LACK OF INSURANCE. DISCOUNTS OFF BILLED CHARGES ARE PROVIDED THROUGH THE CHARITY APPLICATION PROCESS OR PROMPT PAYMENT DISCOUNTS.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HILLSDALE HOME CARE
451 HIDDEN MEADOWS DRIVE	HILLSDALE	MI	49242	HOME CARE
READING HEALTH CLINIC
143 S MAIN STREET	READING	MI	49274	RURAL HEALTH CLINIC
HILLSDALE HOME OXYGEN
451 HIDDEN MEADOWS DRIVE	HILLSDALE	MI	49242	OXYGEN DME

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,975,369. SCHEDULE H, PART II, COMMUNITY BUILDING ACTIVITIES: HILLSDALE COMMUNITY HEALTH CENTER PROVIDES NUMEROUS COMMUNITY ACTIVITIES IN SUPPORT OF THE RESIDENTS OF HILLSDALE COUNTY, INCLUDING SENIOR SUNDAY WHERE LUNCH IS SERVED TO THE SENIOR COMMUNITY MEMBERS AND A SPEAKER DISCUSSES HEALTH ISSUES AND OTHER TOPICS RELATING TO THIS AGE GROUP. IN ADDITION, THERE ARE SEVERAL SUPPORT GROUPS AND CLASSES, INCLUDING THE BREAST CANCER SUPPORT GROUP, BREAST FEEDING CLASSES, BIRTHING CLASSES, NUTRITION EDUCATION AND DIABETES EDUCATION CLASSES. THERE ARE PERIODIC HEALTH SCREENINGS SUCH AS VARICOSE VEIN, FOOT PAIN, CHOLESTEROL, AND COPD SCREENINGS. HILLSDALE COMMUNITY HEALTH CENTER ALSO PROVIDES FREE SUPPORT TO ST. PETER'S FREE CLINIC AND PARTICIPATES IN THE LOCAL ALLIED HEALTH STUDENT PROGRAM. NUMEROUS HIGH SCHOOL AND COMMUNITY LOANS HAVE BEEN GRANTED FOR FULL TUITION FOR ALLIED HEALTH DEGREES. REPAYMENT OF LOANS IS FULFILLED THROUGH A TIME COMMITMENT TO THE HILLSDALE COMMUNITY HEALTH CENTER. SCHEDULE H, PART III, SECTION A, LINE 2 ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS STRATIFIED BY PAYOR AND NUMBER OF DAYS THE ACCOUNTS ARE OUTSTANDING. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
SCHEDULE H, PART III, SECTION A, LINE 3	HILLSDALE HOSPITAL SAW $2,615,837 OF ACCOUNTS WRITTEN OFF TO BAD DEBT THAT WERE ATTRIBUTED TO PATIENTS WITH NO INSURANCE COVERAGE. THE AVERAGE DISCOUNT APPLIED TO ACCOUNTS THROUGH OUR FINANCIAL ASSISTANCE PROGRAM WAS 73.33%. WE APPLIED THAT PERCENTAGE TO THOSE ACCOUNTS WRITTEN OFF WITH NO INSURANCE. SCHEDULE H, PART III, SECTION A, LINE 4 THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT net realizable amounts from third-party payers, patients and others. The Hillsdale Community Health Center provides an allowance for doubtful accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. As a service to the patient, the Hillsdale Community Health Center bills third-party payers directly and bills the patient when the patients liability is determined. Patient accounts receivable are due in full when billed. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for uncollectible accounts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for uncollectible accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payer has not yet paid or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). 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 Hospital records a significant provision for uncollectible accounts 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. The difference between the standard rates (or the discounted rates if negotiated or provided by policy) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Hospitals allowance for doubtful accounts for self-pay patients remained at 74 percent of selfpay accounts receivable at June 30, 2019. In addition, the Hospitals write-offs increased approximately $860,000 from approximately $4,052,000 for the year ended June 30, 2018, to approximately $4,912,000 for the year ended June 30, 2019. These changes were caused by shifts toward non-private pay patients in the current year, as well as slightly lower volumes in 2019. SCHEDULE H, PART III, SECTION B, LINE 8 THE COST TO CHARGE RATIO IS USED TO DETERMINE MEDICARE SURPLUS AT COST. THE MEDICARE ALLOWABLE COSTS REPORTED DO NOT INCLUDE ALL MEDICARE CHARGES. HAD ALL CHARGES BEEN INCLUDABLE THE RESULT WOULD BE A SHORTFALL. THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THIS IS THE EXTENT TO WHICH COSTS RELATED TO MEDICARE SERVICES GO UNPAID.
SCHEDULE H, PART III, SECTION C, LINE 9B	AFTER INSURANCE PAYMENTS, THE SELF PAY PORTION IS BILLED TO THE PATIENT ON A MONTHLY STATEMENT. THE STATEMENT INCLUDES INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. THE GUARANTOR RECEIVES FOUR STATEMENTS. IF THE AMOUNT IS STILL NOT PAID, THE GUARANTOR CONTINUES TO RECEIVE LETTERS UNTIL THE ACCOUNT IS WRITTEN OFF TO THE COLLECTION AGENCY. DURING THE TIME THE GUARANTOR IS RECEIVING THE STATEMENTS AND LETTERS, SEVERAL TELEPHONE CALLS ARE PLACED TO THE GUARANTOR TO TRY TO DISCUSS THE PAYMENT OR OTHER OPTIONS AVAILABLE TO THE GUARANTOR SUCH AS A PAYMENT PLAN OR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2	HCHC PARTNERED WITH THE HUMAN SERVICES NETWORK, A COMMUNITY COLLABORATIVE BODY MADE UP OF A MAJORITY OF THE COUNTY'S HUMAN SERVICE, EDUCATIONAL, FAITH BASED, AND NON-PROFIT ORGANIZATIONS WITHIN HILLSDALE COUNTY. THIS GROUP SERVED AS THE STEERING GROUP FOR THE PROJECT, ALONG WITH ITS EXECUTIVE COMMITTEE.
SCHEDULE H, PART VI, LINE 3	IF A PATIENT PRESENTS TO HCHC FOR SERVICES AND INDICATES THEY HAVE NO INSURANCE, THEY ARE PROVIDED A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY ALONG WITH A LISTING OF THOSE ORGANIZATIONS THAT ARE AVAILABLE TO PROVIDE ADDITIONAL HELP AND SERVICES. WE ALSO HAVE A STATE MEDICAID CASE WORKER ON SITE WHO IS AVAILABLE TO WORK WITH THE PATIENTS TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID OR OTHER SERVICES. EACH STATEMENT MAILED TO THE GUARANTOR INCLUDES A STATEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY OR GET ADDITIONAL INFORMATION. AS COLLECTION CALLS ARE MADE TO THE GUARANTOR THEY ALSO INFORM THEM ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THERE ARE INFORMATIONAL POSTERS IN THE PATIENT WAITING ROOMS, AND FINANCIAL ASSISTANCE POLICY INFORMATION IS INCLUDED IN EACH DISCHARGE PACKET PROVIDED TO ADMITTED PATIENTS. THE COMPLETE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS PROVIDED ON THE HOSPITAL WEBSITE.
SCHEDULE H, PART VI, LINE 4	HILLSDALE MICHIGAN IS THE COUNTY SEAT OF HILLSDALE COUNTY. ITS POPULATION IS 8,200 WITH A HOUSEHOLD MEDIAN INCOME OF $32,022. THE CURRENT UNEMPLOYMENT RATE IS 7.5% FOR THE CITY OF HILLSDALE, AND 4.9% FOR HILLSDALE COUNTY. THE COUNTY IS BOUNDED ON THE NORTH BY CALHOUN AND JACKSON COUNTIES, ON THE EAST BY LENAWEE COUNTY, ON THE WEST BY GRANCH COUNTY, AND ON THE SOUTH BY STEUBEN COUNTY INDIANA AND WILLIAMS COUNTY OHIO. THE EXTREME SOUTHWEST CORNER OF HILLSDALE COUNTY IS WHERE THREE STATES OF MICHIGAN, OHIO AND INDIANA MEET. ON MAPS, THE COUNTY IS SITUATED AT 42 NORTH LATITUDE AND 8430' WEST LONGITUDE, AND COMPRISES ABOUT 617 SQUARE MILES, OR 394,880 ACRES. THE LAND LIES AN AVERAGE OF 630 FEET ABOVE LAKE ERIE AND 616 FEET ABOVE LAKE MICHIGAN.
SCHEDULE H, PART VI, LINE 5	HCHC FACILITATES MANY DIFFERENT SUPPORT GROUPS INCLUDING THE BREAST CANCER SUPPORT GROUP, COPD SUPPORT GROUP, AND THE BARIATRIC SUPPORT GROUP. WE ALSO OFFER SEVERAL EDUCATIONAL CLASSES INCLUDING BREAST FEEDING, BIRTHING, NUTRITION, AND DIABETES EDUCATION, AS WELL AS SEVERAL PERIODIC HEALTH SCREENINGS INCLUDING VARICOSE VEIN, FOOT PAIN, ACID REFLUX, CHOLESTEROL, AND COPD SCREENINGS, AS WELL AS PROVIDES FREE FLU SHOTS TO THE MEMBERS OF THE COMMUNITY. HCHC OWNS AND OPERATES A RURAL HEALTH CLINIC IN READING, MICHIGAN THAT PROVIDES HEALTHCARE SERVICES TO THE MEDICAID AND SELF INSURED POPULATION. HCHC ALSO PROVIDES FREE SUPPORT TO ST. PETER'S FREE CLINIC AND PARTICIPATES IN THE LOCAL ALLIED HEALTH STUDENT PROGRAM.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
DUKE ANDERSON
PRESIDENT/CEO	$401,492	$0	$0	$0	$792	$0	$8,250	$0	$21,991	$0	$432,525	$0
MARK GROSS
CFO (STARTED 4/2018)	$173,924	$0	$0	$0	$318	$0	$0	$0	$17,911	$0	$192,153	$0
DALE MCCRIRIE
EX OFFICIO/PHYSICIAN	$294,042	$0	$0	$0	$792	$0	$8,250	$0	$23,843	$0	$326,927	$0
PARTHIV PATEL
PHYSICIAN	$605,354	$0	$0	$0	$506	$0	$8,250	$0	$21,756	$0	$635,866	$0
CHRISTOPHER HOGG
PHYSICIAN	$521,630	$0	$0	$0	$1,232	$0	$0	$0	$23,684	$0	$546,546	$0
NORRIS MARCH
PHYSICIAN	$349,840	$0	$0	$0	$276	$0	$8,250	$0	$8,433	$0	$366,799	$0
BRIAN SINISCHO
PHYSICIAN	$322,977	$0	$0	$0	$257	$0	$0	$0	$17,374	$0	$340,608	$0
RAVINDER SHARMA
PHYSICIAN	$302,945	$0	$0	$0	$792	$0	$8,250	$0	$23,843	$0	$335,830	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	ANNUALLY, THE CEO'S SPOUSE ACCOMPANIES THE CEO ON A BUSINESS TRIP. THE SPOUSE'S TRAVEL COSTS ARE INCLUDED IN THE CEO'S COMPENSATION. THE CFO LIVES IN A HOSPITAL OWNED HOUSE FOR $500 INCLUDED IN HIS TAXABLE INCOME. GARBAGE, UTILITIES, CLEANING, ETC ARE INCLUDED.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAREN LUPARELLO
WIFE OF DAVID GOSSAGE	$76,655	COMPENSATED EMPLOYEE	false
ARROW SWIFT PRINTING
BOARD MEMBERS PART OWNER	$212,154	PRINTING COMPANY	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	LEANNE RUMLER, HILLSDALE BOARD MEMBER, IS A GREATER THAN 35% OWNER OF ARROW SWIFT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A	AS OF 6/30/2019, DAVID GOSSAGE AND DALE MCCRIRIE ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS BECAUSE THEY ARE PAID EMPLOYEES OF THE FILING ORGANIZATION. ROBERT HENTHORNE RECEIVED COMPENSATION FROM THE ORGANIZATION AND THEREFORE IS CONSIDERED A NON-INDEPENDENT BOARD MEMBER. DAVID GOSSAGE AND LEANNE RUMLER ARE ALSO CONSIDERED NON-INDEPENDENT BOARD MEMBERS DUE TO THE TRANSACTIONS LISTED ON SCHEDULE L. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE CORPORATION SHALL BE APPOINTED FOR A TERM OF THREE (3) YEARS. ALL MEMBERS OF THE CORPORATION SHALL BE NOMINATED PURSUANT TO SECTION 5.1, AND SHALL BE APPOINTED BY THE MEMBERS AT AN ANNUAL OR SPECIAL MEETING OF MEMBERS. EVERY ATTEMPT SHALL BE MADE IN THE SELECTION OF CANDIDATES FOR MEMBERSHIP TO SECURE THE BROADEST DIVERSITY OF REPRESENTATION OF THE COMMUNITY AND ITS INTERESTS AS POSSIBLE, INCLUDING THE CONSIDERATION OF SUCH FACTORS AS AREAS OF EXPERTISE, BACKGROUND AND AREAS OF RESIDENCY. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATION MEMBERS ELECT THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE CORPORATION MEMBERS APPROVE ANY PROPOSED CHANGE IN THE PURPOSE OR PHILOSOPHY OF THE CORPORATION, AND APPROVE A PLAN OF MERGER, CONSOLIDATION, SALE, OR DISSOLUTION OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW. IN ADDITION, THE FORM 990 IS REVIEWED BY THE CFO AND CEO FOR ACCURACY. THE RETURN IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS ARE REQUIRED TO DISCLOSE OF ANY CONFLICTS OF INTEREST ANNUALLY. THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE TRUSTEE OR OFFICER SHALL NOT PARTICIPIATE IN DELIBERATIONS OR DISCUSSIONS REGARDING THE TRANSACTION AND ARE NOT ALLOWED TO VOTE ON THE MATTER AT HAND.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	THERE IS A SEPARATE COMPENSATION COMMITTEE OF THE GOVERNING BODY WHICH CONSULTS WITH THE COMPANY'S LEGAL FIRM FOR COMPARABILITY DATA. THERE IS A WRITTEN EMPLOYMENT CONTRACT THAT IS APPROVED BY THE COMPENSATION COMMITTEE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2019.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER FEES: SPEECH THERAPIST 56,823 COLLECTION SERVICES 193,525 OTHER PURCHASED SERVICES: PSYCH 330,183 E/R 587,695 BACTERIA SERVICES 226,387 MAT MANAGEMENT 88,012 CONTRACT PHYSICIANS 49,233 PHARMACY 928,545 ANESTHESIOLOGIST 422,922 PHYSICAL THERAPY 662,066 OCCUPATIONAL THERAPY 252,186 SLEEP STUDY 197,200 HOME CARE 600,792 HOSPITALIST 1,078,201 PULM CLINIC 255,496 QUALITY 62,941 MED RECS 60,410 PATHOLOGY 337,640 ADMINISTRATION 1,269,845 INFORMATIONAL TECHNOLOGY 483,115 QAAP FEE 2,133,887 LAB SERVICE 155,598 OTHER PURCHASED SERVICES 2,929,024 TOTAL EXPENSES 13,361,726
FORM 990, PART XI, LINE 9	TRANSFER OF ASSETS FROM HEADWATERS HEALTH FOUNDATION 741,786

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HEADWATERS HEALTH FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	168 S HOWELL SREET	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Field	Value	IRS element (for citing)
EIN	811509725	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Exempt Code Section	501 (c) (3)	ExemptCodeSectionTxt
Public Charity Status	12A	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HCHC ASSURANCE CO LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1051	AddressLine1Txt
City	GRAND CAYMAN	CityNm
Province Or State	CAYMAN	ProvinceOrStateNm
Country	CJ	CountryCd
Foreign Postal	KY1-1102	ForeignPostalCd

Field	Value	IRS element (for citing)
EIN	300548721	EIN
Primary Activities	FINANCIAL	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HCHC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$237,679	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,575,671	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HEADWATERS HEALTH FOUNDATION
A	$1,334,628	FMV
HEADWATERS HEALTH FOUNDATION
R	$741,786	FMV