2016-05-16T09:45:58-05:00 2015-06-30 990 2014-07-01 381415623 PAUL OLIVER MEMORIAL HOSPITAL PAUL 2313529621 224 PARK AVE FRANKFORT MI 496359658 MARK A HEPLER CHIEF FINANCIAL OFFICER 2313529621 2016-05-12 2014 2016-08-17 19:52:53Z PETER MARINOFF 224 PARK AVE FRANKFORT MI 49635 19308215 false X WWW.MUNSONHEALTHCARE.ORG X 1944 MI PAUL OLIVER MEMORIAL HOSPITAL DELIVERS QUALITY HEALTHCARE FOR THE PEOPLE OF THE BENZIE REGION TO IMPROVE THE HEALTH OF THE COMMUNITY IN PARTNERSHIP WITH MUNSON HEALTHCARE. PAUL OLIVER MEMORIAL HOSPITAL'S EXEMPT PURPOSE IS TO OPERATE A HOSPITAL, LONG-TERM CARE FACILITY AND OTHER ANCILLARY FACILITIES TO PROMOTE AND IMPROVE THE HEALTH OF THE RESIDENTS OF THE BENZIE, MICHIGAN AREA. PAUL OLIVER MEMORIAL HOSPITAL IS PART OF THE MUNSON HEALTHCARE SYSTEM. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE SYSTEM DELIVERS A BROAD ARRAY OF HEALTH CARE SERVICES TO 24 COUNTIES IN MICHIGAN'S NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. CONSISTENT WITH ITS MISSION, THE MUNSON HEALTHCARE SYSTEM PROVIDED 38.5 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS, INCLUDING BAD DEBT AND THE SYSTEM MEDICARE FUNDS SHORTFALL FOR RESIDENTS OF NORTHERN MICHIGAN IN THE 2013 TAX YEAR. 11 7 203 42 0 340936 997767 17227493 17883614 413860 323499 83093 103335 18065382 19308215 0 0 6987653 7827718 0 77688 9153944 8789314 16141597 16617032 1923785 2691183 23267900 21370589 2117745 2472783 21150155 18897806 X PAUL OLIVER MEMORIAL HOSPITAL DELIVERS QUALITY HEALTHCARE FOR THE PEOPLE OF THE BENZIE REGION TO IMPROVE THE HEALTH OF THE COMMUNITY IN PARTNERSHIP WITH MUNSON HEALTHCARE. PAUL OLIVER MEMORIAL HOSPITAL'S EXEMPT PURPOSE IS TO OPERATE A HOSPITAL, LONG-TERM CARE FACILITY AND OTHER ANCILLARY FACILITIES TO PROMOTE AND IMPROVE THE HEALTH OF THE RESIDENTS OF THE BENZIE, MICHIGAN AREA. PAUL OLIVER MEMORIAL HOSPITAL IS PART OF THE MUNSON HEALTHCARE SYSTEM. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE SYSTEM DELIVERS A BROAD ARRAY OF HEALTH CARE SERVICES TO 24 COUNTIES IN MICHIGAN'S NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. CONSISTENT WITH ITS MISSION, THE MUNSON HEALTHCARE SYSTEM PROVIDED 38.5 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS, INCLUDING BAD DEBT AND THE SYSTEM MEDICARE FUNDS SHORTFALL FOR RESIDENTS OF NORTHERN MICHIGAN IN THE 2013 TAX YEAR. false false 15027611 17659408 PROVIDING HOSPITAL AND LONG-TERM CARE SERVICES TO THE RESIDENTS OF THE BENZIE, MICHIGAN REGION. 15027611 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 39 0 true 203 true false false false false false true true false false false false X 11 7 false false false false true true true true true false false true true true true true true true true false X NICOLE SULAK MUNSON HEALTHCARE 2319357777 4230 COPPER RIDGE DR TRAVERSE CITY MI 49684 PAUL M SHIRILLA DIRECTOR 2.00 40.00 X 0 328287 48017 PETER MARINOFF PRESIDENT 40.00 X X 0 168020 32377 GERARD MAHONEY DO DIRECTOR 2.00 X 9430 0 0 GEORGE RYCKMAN DO DIRECTOR 2.00 X 2800 0 0 BRENDA SUE WEBBER DIRECTOR 2.00 X 0 0 0 CHARLES TULL DIRECTOR 2.00 X 0 0 0 HON PAUL J CLULO CHAIR 2.00 X X 0 0 0 IRENE A NUGENT DIRECTOR 2.00 X 0 0 0 JOETTA RILEY PARRIS SEC/TREASURE 2.00 X X 0 0 0 BETSY EVANS DIRECTOR 2.00 X 0 0 0 ROGER PERRY VICE CHAIR 2.00 X X 0 0 0 SUSAN BAYNARD DIRECOR 2.00 X 0 0 0 WILLIAM J MCMILLAN MD DIRECTOR 2.00 X 0 0 0 MARK A HEPLER CFO 2.00 40.00 X 0 353242 66354 12230 849549 146748 1 false true false CRYSTAL LAKE EMERGE 6227 FRANKFORT HWY BENZONIA MI 496169654 EMERGENCY SERVI 1069163 UNIMED MOBILE MRI LLC 17000 WEST PARK DR WESTBOROUGH MA 01581 221000 SODEXO INC AND AFFILIATES 4880 PAYSHERE CIRCLE CHICAGO IL 60674 FOOD SERVICE 183330 3 977954 19813 997767 MEDICARE AND MEDICAID PMTS 621990 10721429 10721429 PATIENT SERVICE REVENUE 621990 6587663 6587663 IN HOUSE CHILD CARE 713940 304986 304986 COMMUNITY FITNESS CENTER 624410 203303 203303 RENT FROM RELATED ORGS 531120 66233 66233 17883614 75936 75936 2350 2350 2350 2350 234663 12900 234663 12900 247563 12900 234663 MISCELLANEOUS REVENUE 722210 38314 38314 CAFETERIA SALES 621990 33105 33105 GIFT SHOP SALES 446199 29566 29566 100985 19308215 17659408 651040 X 5797313 5645099 152214 405968 395309 10659 1201453 1169908 31545 422984 411878 11106 11609 11609 33500 33500 4094520 3021895 994937 77688 45634 30019 15615 680437 598384 82053 90036 83691 6345 643502 643502 74008 43691 30317 2551 2551 948627 857891 90736 100844 79676 21168 MEDICAL SUPPLIES 1183818 1183818 BAD DEBT 799446 799446 BUILDING REPAIRS 24788 24788 HOSPITAL SUPPORT 24142 12947 11195 31852 23118 8734 16617032 15027611 1511733 77688 1050 1050 6766425 7890582 2033073 1933444 141240 180202 197363 21994098 16459870 5933814 5534228 4137630 4312609 3984137 231569 1360073 23267900 21370589 891134 1122603 4000 3000 1222611 1347180 2117745 2472783 X 17166017 18897806 3984138 21150155 18897806 23267900 21370589 2691183 -132355 -4811177 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5390 5390 false SCHEDULE C, PART II-B, LINE 1 OTHER GRASSROOTS LOBBYING INCLUDES THE PORTION OF DUES ALLOCATED TO LOBBYING. 8121766 196128 3984138 21148 4312608 6995019 607637 540861 21751 8121766 7148049 420511 348070 906358 15253 6995019 5253482 1819941 91515 16889 7148049 4052095 757959 458819 15390 5253483 1.00000 false true true 193750 193750 12960018 9607137 3352881 178134 42002 136132 8537053 6701508 1835545 125143 109223 15920 5534228 CONSTRUCTION IN PROGRESS 1297544 A/R OTHER 62529 1360073 ESTIMATED THIRD PARTY PAYMENTS 1293803 CAREPAYMENT LIABILITY 53377 1347180 X SCHEDULE D, PAGE 2, PART V, LINE 4 THE FUNDS ARE INTENDED FOR THE OPERATIONS AND CAPITAL NEEDS OF THE PAUL OLIVER MEMORIAL HOSPITAL. A SIGNIFICANT PORTION OF THE TEMPORARILY RESTRICTED FUNDS ARE FOR THE CAPITAL NEEDS OF THE HOSPITAL. SCHEDULE D, PAGE 3, PART X ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2011. true true X true X true X true true false true true 50265 50265 0.00320 5239970 3717580 1522390 0.09620 5290235 3717580 1572655 0.09940 96855 280 96575 0.00610 7209 7209 0.00050 47328 47328 0.00300 151392 280 151112 0.00960 5441627 3717860 1723767 0.10900 3419 3419 0.00020 1099 1099 0.00010 1702 1702 0.00010 5470 5470 0.00030 1368 1368 0.00010 13058 13058 0.00080 true 799446 4557 5121389 5121389 X true true 1 1 PAUL OLIVER MEMORIAL HOSPITAL 224 PARK AVE FRANKFORT MI 49635 WWW.MUNSONHEALTHCARE.ORG 1060000108 X X X X PAUL OLIVER MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 12 true true true true X WWW.MUNSONHEALTHCARE.ORG true 12 true WWW.MUNSONHEALTHCARE.ORG/CHNA false false true X 200.000000000000 400.000000000000 X X X true true X X true X HTTPWWWMUNSONHEALTHCAREORGID31 X HTTPWWWMUNSONHEALTHCAREORGID31 X X X X X true X true X X X true X false false FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 5 A COLLABORATIVE 12-MEMBER STEERING COMMITTEE GUIDED THE CHNA PROCESS. THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS. AS THE CHNA PROCESS PROGRESSED, 129 INDIVIDUALS FROM MULTIPLE AREA ORGANIZATIONS WERE INVOLVED TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY. FURTHER, A GROUP OF KEY PHYSICIAN LEADERS FROM THE REGION ALSO WAS CONSULTED FOR INPUT. INDIVIDUALS POSSESSING BROAD KNOWLEDGE OF ALL SEGMENTS OF THE FIVE-COUNTY AREA PARTICIPATED IN 10 FOCUS GROUPS TO HELP ASSESS HEALTH CARE NEEDS. SESSIONS WERE CONDUCTED WITH FIVE AREA COUNTY COLLABORATIVES, AS WELL AS PEOPLE LIVING IN POVERTY, YOUTH, THOSE WHO PROVIDE SERVICES TO SENIORS, AND BEHAVIORAL HEALTH PROVIDERS. THESE GROUPS WERE SELECTED BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. BEHAVIORAL HEALTH PROVIDERS WERE AN IMPORTANT INITIAL FOCUS GROUP BECAUSE THERE IS ALMOST NO SECONDARY MENTAL HEALTH DATA AVAILABLE. FOCUS GROUPS SERVING A SPECIFIC POPULATION (I.E. SENIORS, BEHAVIORAL HEALTH) WERE ASKED ABOUT HEALTH NEEDS SPECIFIC TO THE GROUP'S AREA OF EXPERTISE. EACH FOCUS GROUP DETERMINED A COMPREHENSIVE LIST OF HEALTH NEEDS; THEN PRIORITIZED ITS TOP FOUR TO SIX HEALTH NEEDS. IN ADDITION, SIXTEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2012 TO JULY 2012 WITH INDIVIDUALS FROM THE COURTS, AREA FOUNDATIONS, FREE AND FEDERALLY QUALIFIED HEALTH CENTER CLINICS, THE MIGRANT CLINIC, THE TRIBAL CLINIC, ORGANIZATIONS WHO SERVE SENIORS, AND ADOLESCENT HEALTH CLINIC PROVIDERS TO ASSESS THE GREATEST HEALTH NEEDS THEY OBSERVE. KEY INFORMANTS WERE ASKED THE SAME FOUR QUESTIONS AS THE FOCUS GROUPS, FOCUSING ON THEIR SPECIFIC POPULATION AREA OF EXPERTISE. KEY INFORMANTS WERE CHOSEN BECAUSE OF THEIR KNOWLEDGE OF PEOPLE AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 6A MUNSON MEDICAL CENTER FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 6B A COLLABORATIVE 12-MEMBER STEERING COMMITTEE GUIDED THE CHNA PROCESS. THIS STEERING COMMITTEE WAS COMPRISED OF HOSPITAL LEADERS AND PUBLIC HEALTH OFFICIALS, AS LISTED IN APPENDIX A OF THE CHNA. AS THE CHNA PROCESS PROGRESSED, 129 INDIVIDUALS FROM MULTIPLE AREA ORGANIZATIONS WERE INVOLVED TO ENSURE INPUT FROM THOSE WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY. SEE APPENDIX B OF THE CHNA FOR A LIST OF AGENCIES AND THEIR REPRESENTATIVES PARTICIPATING IN FOCUS GROUPS. A GROUP OF KEY PHYSICIAN LEADERS FROM THE REGION ALSO WAS CONSULTED FOR INPUT. SEE APPENDIX C IN THE CHNA FOR A LIST OF PHYSICIANS WHO PARTICIPATED. FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 11 WITH THE SUPPORT OF THE MUNSON HEALTHCARE'S COMMUNITY HEALTH COMMITTEE, PAUL OLIVER HOSPITAL (POMH) THOUGHTFULLY PARTICIPATES IN THE CONTINUAL EVALUATION OF THE HEALTH PROGRAMS DESIGNED TO MEET THE NEEDS OF THE COMMUNITIES IN THE POMH'S SERVICE AREA. AS OUTLINED IN THE LAST COMMUNITY HEALTH IMPLEMENTATION STRATEGY, THE CONTINUATION OF SUCCESSFUL PROGRAMS, COMBINED WITH OPPORTUNITIES TO INITIATE NEW PROGRAMS AT THE HOSPITAL OR AS A PARTNER IN MORE BROAD-BASED EFFORTS, FORM THE STRATEGIC BASIS TO IMPROVE ISSUES SURROUNDING HEALTH AND HEALTHCARE DELIVERY. LARGE HEALTH NEEDS NOT ADDRESSED BY POMH AT THIS TIME ARE MENTAL HEALTH AND SUBSTANCE ABUSE. POMH DOES NOT HAVE THE RESOURCES FOR MENTAL HEALTH OUTREACH OR AN IN-PATIENT PSYCHIATRIC UNIT. REFERRALS FOR MENTAL HEALTH AND SUBSTANCE ABUSE CARE THAT CANNOT BE TREATED IN THE PRIMARY CARE SETTING ARE SENT TO MUNSON MEDICAL CENTER IN TRAVERSE CITY OR PINE REST IN GRAND RAPIDS. POMH'S GOAL IS TO WORK WITH PRIMARY CARE GROUPS TO IDENTIFY OPPORTUNITIES FOR ESTABLISHMENT OF GREAT ACCESS TO OUTPATIENT MENTAL HEALTH SERVICES IN THE REGION AND A PAIN CLINIC FOR IMPROVED MANAGEMENT. IN ADDITION POMH DOES NOT HAVE THE ABILITY TO ADDRESS DENTAL NEEDS AT THIS TIME. ACCESS TO DENTAL HEALTH PROVIDERS IS AN ISSUE IN MANY RURAL REGIONS. ALTHOUGH OPTIONS ARE LIMITED IN THIS AREA WE WILL CONTINUE TO EXPLORE WAYS TO DEVELOP COLLABORATIVE OPPORTUNITIES WITH DENTAL CLINICS NORTH TO EXPAND FROM GRAND TRAVERSE COUNTY INTO BENZIE COUNTY. POMH COORDINATION WITH MUNSON HEALTHCARE ON HOW TO EXPAND PERINATAL SERVICES FOR GREATER ACCESS IN THE REGION IS ONGOING. POMH DOES NOT VIEW THIS AS DIRECTLY ADDRESSING THE NEEDS OF PERINATAL AND OBSTETRICAL SERVICES. FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 13H PATIENTS WHOSE FAMILY INCOME EXCEEDS 400% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES (I.E. HIGH DEBT-TO-INCOME RATIO), AT THE SOLE DISCRETION OF MUNSON HEALTHCARE. FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 16I IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE TO THE PATIENTS AND TO THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY. THIS WILL BE ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: INFORMATION BROCHURES AVAILABLE AT THE REGISTRATION DESKS, INFORMATION POSTED ON THE WEBSITE, STATEMENT ON BILLS, AND/OR SIGNS IN THE REGISTRATION AREAS. FACILITY 1, PAUL OLIVER MEMORIAL HOSPITAL - PART V, LINE 22D SELF-PAY/NO INSURANCE PATIENTS ARE GIVEN A DISCOUNT EQUAL TO 15% OFF THEIR TOTAL BILL FOR ALL MEDICALLY NECESSARY AND EMERGENCY SERVICES. THIS RATE WAS DETERMINED BY TAKING THE AVERAGE OF COMMERCIAL RATES, NOT INCLUDING BLUE CROSS. 5 PAUL OLIVER MEMORIAL HOSPITAL SNF 224 PARK AVE FRANKFORT MI 49635 LONG TERM CARE PHYSICAL THERAPY 9975 W OTTAWA AVE EMPIRE MI 49630 PT, LAB, RADIOLOGY FITNESS CENTER 102 AIRPORT RD FRANKFORT MI 49635 PHYSICAL THERAPY, CARDIAC REHAB AND EDU PHYSICAL THERAPY 6227 FRANKFORT HIGHWAY BENZONIA MI 49616 PT, LAB, RADIOLOGY PHYSICAL THERAPY 1975 STIRLING DR INTERLOCHEN MI 49643 PT, LAB, RADIOLOGY PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE INCOME UP TO 200% OF THE FPG = 100% DISCOUNT ON CHARGES INCOME BETWEEN 201% AND 300% FPG = 75% DISCOUNT ON CHARGES INCOME BETWEEN 301% AND 400% FPG = 50% DISCOUNT ON CHARGES FAMILY INCOME MAY INCLUDE ALL INCOME ATTRIBUTABLE TO ALL MEMBERS OF THE FAMILY IN THE RESIDENCE, OTHER THAN MINIMAL AMOUNTS EARNED BY MINORS. FAMILY INCOME INCLUDES THE FOLLOWING WHEN COMPUTING FPG: INCLUDES EARNINGS, UNEMPLOYMENT COMPENSATION, WORKER'S COMPENSATION, SOCIAL SECURITY, SUPPLEMENTAL SECURITY INCOME, PUBLIC ASSISTANCE, VETERANS' PAYMENTS, SURVIVOR BENEFITS, PENSION OR RETIREMENT INCOME, INTEREST, DIVIDENDS, RENTS, ROYALTIES, INCOME FROM ESTATES, EDUCATIONAL ASSISTANCE, ALIMONY, CHILD SUPPORT, ASSISTANCE FROM OUTSIDE THE HOUSEHOLD, AND OTHER MISCELLANEOUS SOURCES; CASH, CHECKING AND SAVINGS BALANCES, MONEY MARKET ACCOUNTS, CERTIFICATES OF DEPOSIT, IRAS TRUSTS, INHERITANCES, ANNUITIES, SAVINGS BONDS, STOCKS, MUTUAL FUNDS, AND/OR CASH VALUE OF LIFE INSURANCE. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION MUNSON MEDICAL CENTER, BROTHER CORPORATION PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THERE ARE NO PHYSICIAN CLINICS IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, ARE 16,617,032. THE BAD DEBT EXPENSE INCLUDED IN THIS AMOUNT WAS 799.446. THE NET EXPENSE OF 15,817,586 WAS USED FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F). PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION COST VALUES FOR LINE 7 ARE BASED ON THE COST TO CHARGE RATIO COMPUTATION AND ACTUAL CASH PAID. PART II - COMMUNITY BUILDING ACTIVITIES POMH PROVIDED 13,058 TO COMMUNITY-BUILDING ACTIVITIES DURING THE 2015 FISCAL YEAR. WHILE POMH BELIEVES THESE ACTIVITIES PROMOTE COMMUNITY HEALTH BY SUPPORTING THE UNDERLYING STRUCTURE OF COMMUNITY HEALTH, THESE ACTIVITIES ARE NOT INCLUDED ELSEWHERE ON THE SCHEDULE H. COMMUNITY BUILDING ACTIVITIES INCLUDE: ADMINISTRATIVE AND CASH SUPPORT FOR COALITION BUILDING ACTIVITIES IN BENZIE COUNTY, MEETING THE BASIC NEEDS OF PEOPLE IN POVERTY ON A LOCAL LEVEL BY MULTIPLE COLLABORATIVE ACTIVITIES, PARTICIPATION IN THE BENZIE COUNTY CHAMBER OF COMMERCE TO PROMOTE WORKFORCE DEVELOPMENT, AND SEVERAL ENVIRONMENTAL IMPROVEMENTS RELATED TO COMMUNITY GARDENING AND HEALTHY SCHOOL LUNCHES. ALSO BECAUSE BENZIE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA POMH INVESTS DOLLARS INTO THE RECRUITMENT OF CRITICALLY NEEDED PHYSICIANS TO THE AREA TO PROMOTE PATIENT ACCESS TO CARE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX OF 799,446. DIRECT WRITE-OFF FROM UNPAID ACCOUNTS WHICH ARE DEEMED NO LONGER COLLECTIBLE ARE RECORDED AGAINST THE ALLOWANCE FOR BAD DEBT. AN ESTIMATE OF BAD DEBT EXPENSE IS RECORDED BASED ON 1) AN ANALYSIS OF THE DIRECT WRITE-OFFS AND 2) AN ESTIMATE OF THE AMOUNT OF BAD DEBT, NET OF DISCOUNTS, IN THE ACCOUNTS RECEIVABLE BALANCE, CONSIDERING THE PAST EXPERIENCE AND CURRENT TRENDS OF PAYMENTS ON PATIENT ACCOUNTS FOR EACH OF THE MAJOR PAYOR SOURCES OF REVENUE. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE PAUL OLIVER HOSPITAL UTILIZES A HINDSIGHT ANALYSIS IN THEIR DATA EVALUATION. THE ESTIMATE OF THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS MADE USING AN ANALYSIS OF PATIENTS WITH SPECIFIED FINANCIAL CLASSES THAT WERE TURNED OVER TO BAD DEBT STATUS. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE ACCOUNTS RECEIVABLE FOOTNOTE TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MUNSON HEALTHCARE AND SUBSIDIARIES STATES: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. AFTER AMOUNTS DUE FROM THIRD-PARTY PAYORS ARE SATISFIED AND REASONABLE EFFORTS TO COLLECT FROM THE PATIENT HAVE BEEN EXHAUSTED, THE ORGANIZATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION MUNSON HEALTHCARE'S INTERNAL AND EXTERNAL COLLECTION PRACTICES (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTIONS ACTIONS AND REPORTING TO COLLECTION AGENCIES) SHALL TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR A GOVERNMENTAL PROGRAM OR FOR CHARITY FROM MUNSON HEALTHCARE, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS/HER PAYMENT AGREEMENTS WITH MUNSON HEALTHCARE. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MUNSON HEALTHCARE MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS ON ANY UNPAID BALANCES ON ACCOUNTS THAT WERE OPENED WITHIN ONE YEAR OF THE DATE THAT THE PATIENT QUALIFIED FOR CHARITY UNDER THIS POLICY. PART VI, LINE 2 - NEEDS ASSESSMENT THE MUNSON HEALTHCARE BOARD OF DIRECTORS MAINTAINS A STANDING COMMUNITY HEALTH COMMITTEE (CHC) TO SERVE THE MUNSON HEALTHCARE SYSTEM. THE CHC CONSISTS OF MUNSON HEALTHCARE BOARD MEMBERS FROM MUNSON HEALTHCARE HOSPITALS AND OTHER INTERESTED AREA PHYSICIANS AND COMMUNITY MEMBERS APPOINTED BY THE MUNSON HEALTHCARE BOARD CHAIRPERSON. THE CHC MEETS AT LEAST QUARTERLY TO REVIEW EXISTING PROGRAMS AND SERVICES RELATED TO CURRENT COMMUNITY HEALTH NEEDS, CONSIDER THE MHC RESPONSE TO ANY EMERGING HEALTH TRENDS AS IDENTIFIED BY COMMUNITY HEALTH NEEDS ASSESSMENT, AND REVIEW ANY NEW COMMUNITY HEALTH BASED COLLABORATION OR PROGRAM. THE CHC IS RESPONSIBLE FOR COMMUNICATING INTERNALLY AND EXTERNALLY THE SIGNIFICANCE OF MHC COMMUNITY BENEFIT PROGRAMS AND SERVICES. THIS COMMITTEE IS SUPPORTED BY A COMMUNITY HEALTH DEPARTMENT OF MUNSON MEDICAL CENTER, A BROTHER CORPORATION. PAUL OLIVER MEMORIAL HOSPITAL (POMH), A MEMBER OF THE MUNSON HEALTHCARE SYSTEM, IS A CONTRIBUTOR TO REGIONAL EFFORTS THAT ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN MUNSON HEALTHCARE'S EXTENSIVE GEOGRAPHICAL AREA. COMMUNITY HEALTH ASSESSMENT IS AN IMPORTANT COMPONENT OF A COMMUNITY HEALTH IMPROVEMENT STRATEGY AS IT PROVIDES GUIDANCE AS TO WHERE EFFORTS SHOULD BE CONCENTRATED, AS WELL AS WHERE PROGRESS HAS BEEN MADE. THE DATA DOCUMENTED THROUGH AN ASSESSMENT SERVES AS A USEFUL REFERENCE FOR PROGRAM AND RESOURCE DEVELOPMENT EFFORTS COMMUNITY-WIDE. MUNSON MEDICAL CENTER (MMC) IS A SIGNIFICANT CONTRIBUTOR TO REGIONAL EFFORTS THAT ASSESS THE HEALTH STATUS OF THE TOTAL POPULATION WITHIN THE MUNSON SYSTEM'S EXTENSIVE GEOGRAPHICAL AREA. MUNSON MEDICAL CENTER, IN CONJUNCTION WITH PAUL OLIVER MEMORIAL HOSPITAL PREPARED A COMMUNITY NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO MEET THE REQUIREMENTS OF IRC SEC 501(R) DURING FISCAL 2013 IN ACCORDANCE WITH THE PLANS OF THE COMMUNITY HEALTH COMMITTEE OF THE BOARD. POMH REGULARLY SEEKS INFORMATION FROM AND PARTICIPATES IN: THE BENZIE COUNTY COLLABORATIVE; THE LOCAL UNITED WAY; AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY HEALTH NEEDS. POMH, IN CONJUNCTION WITH MUNSON HEALTHCARE, SEEKS TO COLLABORATE WITH REGIONAL PARTNERS, ASSESSING FOR EXISTING PROGRAMS AND STRATEGIES THAT ARE ALREADY WORKING WELL AND THEN PARTNERING, NOT REINVENTING. IF A NEW PROGRAMMING NEED IS IDENTIFIED, POMH SEEKS TO POOL ASSETS WITH 4 MULTI-COUNTY HEALTH DEPARTMENTS, OTHER NON-PROFITS, AND LOCAL GOVERNMENTAL SERVICES FOR THE MOST EFFECTIVE USAGE OF RESOURCES. ADDITIONALLY, MUNSON HEALTHCARE WORKS IN CONJUNCTION WITH EFFORTS BY THE FIVE-COUNTY COLLABORATIVES OF ANTRIM, BENZIE, GRAND TRAVERSE, LEELANAU, AND KALKASKA COUNTIES; THE TRAVERSE CITY CHAMBER OF COMMERCE; THE LOCAL UNITED WAY; AND OTHER REGIONAL ASSOCIATIONS TO MAINTAIN CURRENT UNDERSTANDING OF COMMUNITY NEED. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IT IS THE GOAL OF MUNSON HEALTHCARE TO COMMUNICATE AND EDUCATE PATIENTS AND THE PUBLIC REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS IS ACHIEVED THROUGH ONE OR MORE OF THE FOLLOWING METHODS: STATEMENT ON BILLS: STATEMENTS INCLUDE VERBIAGE THAT INSTRUCTS THE PATIENT TO CALL PATIENT FINANCIAL ASSISTANCE IF THEY NEED HELP WITH THEIR BILL. SIGNS IN THE ER REGISTRATION AREA: ADVISES THE PATIENTS THAT THEIR CARE IS NOT WITHHELD IF THEY HAVE NO INSURANCE OR MEANS TO PAY. REFERRAL BY REGISTRATION STAFF: AT THE TIME OF REGISTRATION, SELF-PAY PATIENTS OR ANY PATIENT THAT MAY HAVE CONCERNS REGARDING THEIR UPCOMING ADMISSION IS REFERRED TO THE FINANCIAL COUNSELING STAFF. PAUL OLIVER MEMORIAL HOSPITAL FINANCIAL COUNSELORS ARE AVAILABLE TO TALK WITH PATIENTS ABOUT THEIR FINANCIAL CONCERNS. IF THE PATIENT WOULD LIKE HELP, THE COUNSELORS GATHER INCOME INFORMATION AND SCREEN THE PATIENT FOR MEDICAID. ONCE THE COUNSELOR DETERMINES WHAT THE PATIENT MAY QUALIFY FOR, THE COUNSELOR EDUCATES THE PATIENT ON THE AVAILABLE PROGRAMS AND ASSISTS THEM WITH COMPLETING THE APPROPRIATE APPLICATIONS. AVAILABLE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MEDICAID (AND ALL OF ITS SUBSETS), SOCIAL SECURITY DISABILITY, TRAVERSE HEALTH CLINIC, CHARITY CARE, CATASTROPHIC CARE COVERAGE, AND CAREPAYMENT. PART VI, LINE 4 - COMMUNITY INFORMATION PAUL OLIVER MEMORIAL HOSPITAL (POMH) IS LOCATED IN FRANKFORT, MICHIGAN. ONE OF EIGHT HOSPITALS IN THE MUNSON HEALTHCARE SYSTEM, POMH OFFERS QUALITY, PERSONALIZED CARE FOR PRIMARY AND URGENT MEDICAL NEEDS. DUE TO ITS RURAL, GEOGRAPHIC LOCATION, POMH IS DESIGNATED AS A MICHIGAN CRITICAL ACCESS HOSPITAL. LABORATORY, RADIOLOGY, AND REHABILITATION SERVICES AT POMH ARE NETWORKED WITH MUNSON MEDICAL CENTER (MMC), ENSURING PROMPT AND CONVENIENT DIAGNOSIS AND TREATMENT. POMH HAS 8 ACUTE CARE BEDS AS WELL AS THE 39-BED PAUL OLIVER LIVING AND REHABILITATION CENTER, AN EXTENDED CARE UNIT WHERE RESIDENTS ENJOY A SAFE, WARM, AND COMFORTABLE HOME-LIKE SETTING FOUNDED ON PRINCIPLES OF QUALITY AND PERSONAL CARE. BECAUSE THE CENTER IS HOSPITAL-BASED, PHYSICIANS AND EMERGENCY MEDICAL CARE ARE AVAILABLE 24 HOURS A DAY. HOSPITAL SERVICES POMH PROVIDES 24-HOUR EMERGENCY CARE, ACUTE CARE, LONG-TERM CARE, OUTPATIENT SURGICAL SERVICES, AND RESPITE CARE. MMC SPECIALISTS REGULARLY HOLD CLINICS AT POMH, MAKING IT EASY TO RECEIVE SPECIALIZED CARE. POPULATION SERVED BY PAUL OLIVER MEMORIAL HOSPITAL IN THE POMH MAIN SERVICE AREA OF BENZIE COUNTY: 2010 CENSUS FOR BENZIE COUNTY IS 15,644 2015 POPULATION ESTIMATE IS 15,500 (DECREASE OF -0.9%) 21.8% OF THE POPULATION IS 65 YEARS OR OLDER (2010) UNEMPLOYMENT IS 6.6% (2015) 16 PERCENT OF PEOPLE UNDER AGE 65 ARE UNINSURED (2014) 18.8 PERCENT OF ADULTS 18-64 LACK HEALTH INSURANCE (2013) 12.0% LIVE BELOW THE FEDERAL POVERTY LEVEL (2010-2014) QUALITY PAUL OLIVER MEMORIAL HOSPITAL HAS RECEIVED THE FOLLOWING AWARDS: AHA/HOSPITALS & HEALTH NETWORKS, HEALTH CARE'S MOST WIRED, 2014 PRESS GANEY ASSOCIATES GUARDIAN OF EXCELLENCE AWARD (FORMERLY SUMMIT AWARD) IN MULTIPLE CATEGORIES FOR RANKING IN THE TOP FIVE PERCENT IN THE NATION FOR PATIENT SATISFACTION FOR 12 CONSECUTIVE QUARTERS. EMERGENCY CARE: 2009, 2010, 2011, 2012, 2013, 2014, 2015 OUTPATIENT CARE: 2011, 2013, 2014, 2015 PATIENT EXPERIENCE: 2014 MICHIGAN CENTER FOR RURAL HEALTH, RURAL HEALTH SPIRIT AWARD FOR SEPSIS IMPROVEMENT INITIATIVE, 2012 MICHIGAN GOVERNOR'S AWARD OF EXCELLENCE FOR IMPROVING PATIENT SAFETY AND QUALITY OF CARE IN THE CRITICAL ACCESS SETTING. THE AWARD HONORS MICHIGAN HOSPITALS THAT PERFORM QUALITY INITIATIVES AIMED AT IMPROVING PATIENT CARE. THE HOSPITAL HAS REPEATEDLY RECEIVED THIS AWARD, MOST RECENTLY IN 2014. MICHIGAN RURAL HEALTH QUALITY IMPROVEMENT AWARD EXCELLENCE FOR ITS COMMITMENT TO QUALITY CARE AND EVIDENCE-BASED MEDICINE IN THE AREA OF EMERGENCY ROOM TRANSFERS: 2009, 2010, 2011 EXCELLENCE FOR ITS COMMITMENT TO OUTPATIENT CARE: 2010, 2011 PAUL OLIVER LIVING AND REHABILITATION CENTER HAS RECEIVED THE FOLLOWING AWARDS: 5-STAR RATING BY CENTERS FOR MEDICARE & MEDICAID SERVICES, 2014 PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE POMH BOARD OF DIRECTORS IS MADE UP OF MEDICAL AND BUSINESS PROFESSIONALS, THE MAJORITY OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE VOLUNTEERS GIVE NUMEROUS HOURS OF SERVICE TO THE HOSPITAL IN THEIR OVERSIGHT ROLE. THEY ARE INVOLVED IN THE COMMUNITY NEEDS ASSESSMENT PROCESS, IN FUNDRAISING, AND IN GENERAL STEWARDSHIP. ALL BOARD MEMBERS SUPPORT THE HOSPITAL FINANCIALLY. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY SUBJECT TO CREDENTIALING REVIEW AND REQUIREMENTS OF THE MEDICAL STAFF AND THE BOARD OF DIRECTORS. POMH UTILIZES SURPLUS FUNDS TO MAINTAIN ACCESS TO PATIENT SERVICES AND IMPROVE CARE TO PATIENTS THROUGHOUT ITS SERVICE AREA. A DESCRIPTION OF SEVERAL SIGNIFICANT PROGRAMS INITIATED BY THE HOSPITAL FOLLOWS: HEALTHY FUTURES- A PARTNERSHIP OF AREA HEALTH CARE PROVIDERS, HEALTH DEPARTMENTS AND MUNSON HEALTHCARE (MUNSON HEALTHCARE SYSTEM PARENT AND SOLE MEMBER) CREATED TO IMPROVE THE HEALTH OF PREGNANT WOMEN AND CHILDREN UNDER AGE TWO. THE HEALTHY FUTURES MODEL OF RN CARE COORDINATION CONSISTS OF AN OUTCOMES-BASED APPROACH TO INTERVENTION IN THE AREAS OF BREASTFEEDING LONGEVITY, ACCESS TO HEALTH CARE AND IMMUNIZATIONS. BECAUSE OF THE RURAL NATURE OF THE COMMUNITY, TRAVEL TIME TO THE NEAREST MATERNAL CHILD HEALTHCARE SPECIALIST MAY BE GREATER THAN 30 MINUTES. COST AND AVAILABILITY OF TRANSPORTATION CAN BE A DIFFICULT BARRIER TO ACCESS HEALTHCARE FOR YOUNG FAMILIES. POMH PARTNERS WITH MUNSON MEDICAL CENTER TO BRING MATERNAL CHILD HEALTHCARE SPECIALISTS TO PAUL OLIVER, MAKING IT EASY AND CONVINENT TO RECEIVE THE SPECIALIZED CARE NEEDED. TRANSPORTATION- AS PART OF MUNSON HEALTHCARE, POMH SUBSIDIZES FUNDING FOR COUNTY TRANSPORTATION AUTHORITIES WHICH PROVIDES ACCESS TO HEALTHCARE SERVICES FOR DISADVANTAGED PERSONS SUCH AS THE ELDERLY, PERSONS WITH DISABILITIES, AND PERSONS OF LOW INCOME WHO HAVE DIFFICULTY PROVIDING THEIR OWN TRANSPORTATION. BETSIE HOSICK HEALTH AND FITNESS CENTER - THE BETSIE HOSICK HEALTH AND FITNESS CENTER IS OPEN TO PEOPLE OF ALL AGES, ABILITIES, AND FITNESS LEVELS TO ACHIEVE BETTER HEALTH. THE FITNESS CENTER OFFERS A FULL RANGE OF FITNESS EQUIPMENT AND CLASSES. MEDICALLY CREDENTIALED FITNESS PROFESSIONALS ARE ON STAFF TO ASSIST MEMBERS. THROUGH THE BETSIE HOSICK HEALTH AND FITNESS CENTER SENIOR MOVEMENT AND BALANCE CLASSES ARE HELD AT SENIOR SITES AROUND THE COUNTY FREE OF CHARGE TO PROMOTE WELLNESS. PAUL OLIVER HOLDS NUTRITIONAL EDUCATION CLASSES FOR COMMUNITY MEMBERS AT THE HOSPITAL. CAREGIVER LIBRARY- A LIBRARY, INCLUDING COMPUTERS, TO ASSIST THE PUBLIC TO OBTAIN HEALTHCARE INFORMATION. SUPPORT GROUPS AND ASSISTANT ACTIVITIES FOR CHRONIC DISEASES SUCH AS: ALZHEIMER'S DISEASE, PARKINSON'S, AND CANCER. SCREENING SERVICES SUCH AS: BLOOD PRESSURE CHECKS, MAMMOGRAMS, AND LABORATORY TESTS TO THOSE IN NEED. NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- NORTHERN MICHIGAN DIABETES INITIATIVE (NMDI)- A GROUP OF STAKEHOLDERS AND STEERING COMMITTEE MEMBERS THAT REPRESENT THE 11 COUNTY SERVICE AREA, WITH A VISION TO IMPROVE THE CHRONIC CARE MANAGEMENT OF DIABETES. NMDI IS COMMITTED TO PROVIDING LOCAL, REGIONAL, AND NATIONAL RESOURCES FOR THE PREVENTION AND MANAGEMENT OF DIABETES. WHILE MOST DIABETES COLLABORATIVES FOCUS ON PROVIDING OPTIMAL EVIDENCE BASED CARE MANAGEMENT TO THE PERSON ALREADY DIAGNOSED WITH DIABETES, NMDI FOCUSES ON CONCURRENT UPSTREAM TARGETED EDUCATION OF THREE SPECIFIC POPULATIONS: THE GENERAL COMMUNITY; THE SOCIOECONOMICALLY CHALLENGED HIGH RISK POPULATION; AND RURAL PRIMARY CARE PROVIDERS (PCP) CARING FOR DIABETIC PATIENTS. COLLABORATION WITH THE TRAVERSE HEALTH CLINIC- THE TRAVERSE HEALTH CLINIC (THC) PROVIDES ACCESS TO AFFORDABLE HEALTH SERVICES THROUGH COMMUNITY COLLABORATION TO PEOPLE IN NEED IN BENZIE, LEELANAU, AND GRAND TRAVERSE COUNTIES. THC SERVES AS A PRIMARY CARE PROVIDER FOR THOSE ADULTS WITH MEDICAID AND RUNS THE COALITION HEALTH ACCESS PROGRAM (CHAP) FOR THOSE ADULTS WITH NO INSURANCE WHO QUALIFY (INCOME <200% OF FPG). POMH DONATES LABS, X-RAYS, AND OTHER SERVICES TO THC PATIENTS LIVING IN THEIR RURAL SERVICE AREA. THE JOURNEY PROGRAM IS A 6 WEEK CLASS OFFERING FOR PEOPLE UNDERGOING CANCER TREATMENT OR PEOPLE THAT HAVE JUST COMPLETED CANCER TREATMENT. WE PROVIDE COUNSELING, EXERCISE, AND NUTRITION TALKS AS A FREE SERVICE FOR PEOPLE WHO HAVE CLEARANCE FROM THEIR PHYSICIAN. THIS HELPS THEM TO BUILD STRENGTH, CONFIDENCE, AND FRIENDSHIP AS THEY RECOVER. THE ACTIVE STEPS PROGRAM IS A 6 WEEK PROGRAM OFFERED FOR INDIVIDUALS THAT HAVE DIABETES OR ARE IN DIALYSIS TREATMENT. WE PROVIDE EXERCISE CLASSES AND NUTRITION TALKS AS A FREE SERVICE FOR PEOPLE WHO HAVE CLEARANCE FROM THEIR PHYSICIAN. IF WE CAN HELP NEWLY DIAGNOSED DIABETICS IN THE FIRST FIVE YEARS TO CONTROL THEIR WEIGHT AND SUGARS THEN THEIR ABILITY TO AVOID SEVERE DAMAGE TO THEIR SYSTEMS IS GREATLY INCREASED. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM PAUL OLIVER MEMORIAL HOSPITAL IS A MEMBER OF THE MUNSON HEALTHCARE SYSTEM, A COMMUNITY-OWNED HEALTH SYSTEM THAT INCLUDES SEVEN ACUTE CARE HOSPITALS, AS WELL AS NUMEROUS OUTPATIENT SERVICES AND CLINICS. ALL THE HOSPITALS IN THE SYSTEM ARE AFFILIATED WITH EACH OTHER AND SERVE AS THE ONLY HOSPITALS IN THEIR RESPECTIVE COMMUNITIES. EACH OF THE AFFILIATED HOSPITALS HAS INDIVIDUAL INITIATIVES AND/OR PROMOTION ACTIVITIES AS WELL AS SHARED INITIATIVES. PAUL OLIVER'S SOLE CORPORATE MEMBER IS MUNSON HEALTHCARE, A 501(C)(3) CORPORATION. AFFILIATES OTHER THAN THE HOSPITALS INCLUDE TWO FOUNDATIONS, HOME HEALTH ORGANIZATIONS, MOBILE IMAGING COMPANIES, AND AN EMERGENCY TRANSPORTATION ORGANIZATION; ALL 501(C) ENTITIES. IN ADDITION TO DIRECTING COMMUNITY BENEFIT ACTIVITIES OF THE SYSTEM, MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFITS PROGRAMS FOR THE SYSTEM THROUGH PLANNING, DEVELOPING, IMPLEMENTING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS. POMH WORKS IN COOPERATION WITH OTHER ENTITIES IN THE MUNSON HEALTHCARE SYSTEM TO PROVIDE A FULL RANGE OF HEALTH SERVICES TO THE COMMUNITIES IN ITS SERVICE AREA. THE HOME HEALTH DIVISION OF MUNSON HEALTHCARE PROVIDES HOME NURSE AND AIDE SERVICES IN ADDITION TO DURABLE MEDICAL EQUIPMENT AND A PALLIATIVE CARE AND HOSPICE PROGRAM ON THE MUNSON CAMPUS. CLOSE TO 109,000 DOLLARS IN COMMUNITY BENEFIT, IN THE FORM OF CHARITY CARE AND UNREIMBURSED MEDICAID ARE PROVIDED THROUGH THIS DIVISION EACH YEAR. NORTH FLIGHT, INC. IS THE CHARITABLE TRANSPORTATION ENTITY IN THE SYSTEM. WITH ITS FIXED WING AND HELICOPTER AIR SERVICES, IN COMBINATION WITH GROUND TRANSPORT, PATIENTS IN THE SYSTEM ARE ABLE TO ACCESS APPROPRIATE CARE. NORTH FLIGHT, INC. PROVIDED 1.5 MILLION IN CHARITY CARE AND UNREIMBURSED MEDICAID IN THE PAST FISCAL YEAR. MUNSON MEDICAL GROUP, THE EMPLOYED PHYSICIAN ORGANIZATION IN THE SYSTEM, PROVIDED APPROXIMATELY 783,000 IN CHARITY CARE AND COMMUNITY BENEFIT IN TAX YEAR 2014. PAUL OLIVER MEMORIAL HOSPITAL PARTICIPATES IN MUNSON HEALTHCARE SYSTEM NEEDS ASSESSMENT PROCESS. UTILIZING THIS NEEDS ASSESSMENT, MUNSON HEALTHCARE COORDINATES COMMUNITY BENEFIT PROGRAMS THROUGH PLANNING, DEVELOPING, IMPLEMENTING, EVALUATING AND FUNDING PROGRAMS THAT ADDRESS COMMUNITY NEEDS. IN TOTAL, THE MUNSON HEALTHCARE SYSTEM PROVIDED 38.5 MILLION IN CHARITY CARE AND COMMUNITY BENEFITS, INCLUDING NUMEROUS UNCOMPENSATED COMMUNITY HEALTH IMPROVEMENT SERVICES AND PROGRAMS, OUTREACH PROGRAMS, BAD DEBT, AND UNREIMBURSED MEDICARE AND MEDICAID SERVICES TO NORTHERN MICHIGAN. false true false false false false false false false PAUL M SHIRILLA DIRECTOR 277110 49357 1820 33417 14600 376304 PETER MARINOFF PRESIDENT 131608 36027 385 14774 17603 200397 MARK A HEPLER CFO 266053 57707 29482 43400 22954 419596 8337 SCHEDULE J, PAGE 1, PART I, LINE 3 THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. THE MUNSON HEALTHCARE CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE ALSO REVIEWS THE SURVEY INFORMATION TO EVALUATE THE REASONABLENESS OF EXECUTIVE COMPENSATION. THAT ANALYSIS OCCURS EACH NOVEMBER. THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PAGE 1, PART I, LINE 4 PAUL M. SHIRILLA 0 16,791 0 PETER MARINOFF 0 8,112 0 MARK A. HEPLER 0 27,437 0 SCHEDULE J, PART III EXECUTIVE SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS: SUBJECT TO REVIEW AND APPROVAL BY THE BOARD COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND MAINTAIN QUALIFIED EXECUTIVES, INCLUDING THE PRESIDENT AND VICE-PRESIDENTS, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON. FORM 990 - ORGANIZATION'S MISSION PAUL OLIVER MEMORIAL HOSPITAL DELIVERS QUALITY HEALTHCARE FOR THE PEOPLE OF THE BENZIE REGION TO IMPROVE THE HEALTH OF THE COMMUNITY IN PARTNERSHIP WITH MUNSON HEALTHCARE. PAUL OLIVER MEMORIAL HOSPITAL'S EXEMPT PURPOSE IS TO OPERATE A HOSPITAL, LONG-TERM CARE FACILITY AND OTHER ANCILLARY FACILITIES TO PROMOTE AND IMPROVE THE HEALTH OF THE RESIDENTS OF THE BENZIE, MICHIGAN AREA. PAUL OLIVER MEMORIAL HOSPITAL IS PART OF THE MUNSON HEALTHCARE SYSTEM. THROUGH ITS HOSPITALS AND OTHER AFFILIATES, THE SYSTEM DELIVERS A BROAD ARRAY OF HEALTH CARE SERVICES TO 24 COUNTIES IN MICHIGAN'S NORTHERN LOWER PENINSULA AND THE EASTERN PORTION OF THE UPPER PENINSULA. CONSISTENT WITH ITS MISSION, THE MUNSON HEALTHCARE SYSTEM PROVIDED 38.5 MILLION IN CHARITY CARE AND OTHER COMMUNITY BENEFITS, INCLUDING BAD DEBT AND THE SYSTEM MEDICARE FUNDS SHORTFALL FOR RESIDENTS OF NORTHERN MICHIGAN IN THE 2013 TAX YEAR. FORM 990, PAGE 6, PART VI, LINE 6 PAUL OLIVER MEMORIAL HOSPITAL IS ORGANIZED ON A NONSTOCK MEMBERSHIP BASIS. THE SOLE MEMBER IS MUNSON HEALTHCARE, AN IRS SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 7A MUNSON HEALTHCARE, AS THE SOLE MEMBER, ELECTS THE TRUSTEES/DIRECTORS, FOR ALL SUBSIDIARY ENTITIES. NOMINATIONS TO MUNSON HEALTHCARE FOR SUBSIDIARY TRUSTEES/DIRECTORS ARE CONSIDERED AND RECOMMENDED BY THE MUNSON HEALTHCARE GOVERNANCE COMMITTEE. FORM 990, PAGE 6, PART VI, LINE 7B CERTAIN DECISIONS OF THE PAUL OLIVER MEMORIAL HOSPITAL DIRECTORS ARE SUBJECT TO APPROVAL BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS INCLUDING THE AMENDMENT OF THE ARTICLES OF INCORPORATION; AMENDMENT OF THE MISSION STATEMENT; ADOPTION OF A PLAN OF DISSOLUTION, MERGER, CONSOLIDATION OR REORGANIZATION; SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL TO THE PROPERTY AND ASSETS; ACQUISITION OF OR THE ESTABLISHMENT OF ANY SUBSIDIARY OR AFFILIATE OF PAUL OLIVER MEMORIAL HOSPITAL; ACCEPTANCE OF THE ANNUAL BUDGET AND ANNUAL FINANCIAL STATEMENTS; INCURRENCE OF EXPENDITURES EXCEEDING BUDGETED AGGREGATES BY MORE THAN FIVE PERCENT; INCURRENCE OF CERTAIN DEBT; CHANGE IN SCOPE OF SERVICES OR PROGRAMS PROVIDED BY PAUL OLIVER MEMORIAL HOSPITAL; AND APPOINTMENT OF THE PRESIDENT. FORM 990, PAGE 6, PART VI, LINE 11B THE PAUL OLIVER MEMORIAL HOSPITAL BOARD IS COMMITTED TO THE ACCURACY AND THOROUGHNESS OF THE FORM 990 REPORTING. PAUL OLIVER MEMORIAL HOSPITAL BELONGS TO THE MUNSON HEALTHCARE SYSTEM. MUNSON HEALTHCARE IS THE PARENT COMPANY IN THE MUNSON HEALTHCARE SYSTEM, WHICH UNDERGOES AN AUDIT BY AN EXTERNAL AUDIT FIRM. AT THE CORPORATE LEVEL, THE RESPONSIBLE INDIVIDUALS FROM THE FINANCE, ADMINISTRATION, PATIENT FINANCIAL SERVICES, LEGAL, HUMAN RESOURCES, PUBLIC RELATIONS, AND FUND DEVELOPMENT DEPARTMENTS PREPARE AND REVIEW PORTIONS OF THE FORM 990. THE COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE REVIEWS THE COMPENSATION INFORMATION CONTAINED IN THE CORE FORM AS WELL AS THE SCHEDULE J INFORMATION. THE CONFLICT, VALUATION AND COMPLIANCE COMMITTEE OVERSEES THE CONFLICT OF INTEREST DISCLOSURE PROCESS FOR BOARD MEMBERS AND KEY EMPLOYEES TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE AUDIT COMMITTEE OVERSEES THE FORM 990 PREPARATION PROCESS BY ENSURING PROPER CONTROLS, POLICIES, PEOPLE AND RESOURCES ARE IN PLACE TO PRODUCE AN ACCURATE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE MUNSON HEALTHCARE BOARD OF DIRECTORS (THE SYSTEM PARENT ORGANIZATION) HAS A STANDING CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE. THE CVC COMMITTEE IS COMPOSED OF INDEPENDENT BOARD AND COMMUNITY MEMBERS. THE CVC COMMITTEE IS DELEGATED AUTHORITY BY THE BOARD TO REVIEW AND APPROVE THE REASONABLENESS/FAIR MARKET VALUE OF FINANCIAL TRANSACTIONS/ARRANGEMENTS WITH DISQUALIFIED PERSONS. ANNUALLY, EACH BOARD MEMBER OF MUNSON HEALTHCARE AND ALL OF ITS SUBSIDIARY/CONTROLLED ENTITIES AND ALL MUNSON EXECUTIVES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE MUNSON LEGAL DEPARTMENT. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THROUGH THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO THE CVC COMMITTEE FOR ITS REVIEW AND DETERMINATION AS TO THE REASONABLENESS/FAIR MARKET VALUE. WHEN AN ACTION ITEM IS CONSIDERED BY A BOARD WHICH INVOLVES A POTENTIAL CONFLICT BY A BOARD MEMBER, THE CONFLICT IS DISCLOSED AND A BOARD MEMBER WILL ABSTAIN FROM A VOTE ON THE ACTION ITEM, AND, IN ADDITION, THE BOARD CHAIR HAS THE DISCRETION/AUTHORITY TO REQUEST THAT THE CONFLICTED BOARD MEMBER BE EXCUSED FROM THE MEETING FOR AN OPPORTUNITY FOR THE BOARD TO DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE CONFLICTED BOARD MEMBER. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOR DETERMINING APPROPRIATE LEVELS OF PAY FOR EXECUTIVE POSITIONS WITHIN MUNSON HEALTHCARE SYSTEM IS CAREFULLY AND THOUGHTFULLY DIRECTED BY THE MUNSON HEALTHCARE BOARD OF DIRECTORS, THROUGH THE COMPENSATION AND EXECUTIVE LEADERSHIP DEVELOPMENT COMMITTEE. THE COMMITTEE UTILIZES "BEST PRACTICES" METHODS OF DETERMINING COMPENSATION AND, AS SUCH, IS COMPOSED OF SEVEN MEMBERS WHOSE VOTING MEMBERS ARE INDEPENDENT. THE COMMITTEE IS CHARGED WITH ENSURING THAT EXECUTIVE COMPENSATION IS DESIGNED TO ATTRACT AND RETAIN HIGH QUALITY, PROFESSIONAL LEADERSHIP WHILE MAINTAINING STRONG STEWARDSHIP FOR THE ORGANIZATION. ANNUALLY, THE COMMITTEE RETAINS A NATIONAL INDEPENDENT CONSULTANT TO ENSURE THAT MUNSON HEALTHCARE'S COMPENSATION PRACTICES AND LEVELS ARE INDEPENDENTLY REVIEWED WHILE BEING COMPETITIVE AND REASONABLE. THE MUNSON HEALTHCARE CONFLICT, VALUATION AND COMPLIANCE ("CVC") COMMITTEE ALSO REVIEWS THE SURVEY INFORMATION TO EVALUATE THE REASONABLENESS OF EXECUTIVE COMPENSATION. THAT ANALYSIS OCCURS EACH NOVEMBER. COMPENSATION LEVELS REFLECT THE SCOPE OF EACH EXECUTIVE'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE, AND INDUSTRY STANDING AS WELL AS INDIVIDUAL AND ORGANIZATIONAL PERFORMANCE. ANNUAL COMPENSATION FOR MUNSON HEALTHCARE SYSTEM EXECUTIVES IS DETERMINED, IN PART, BY MEASURABLE PROGRESS TOWARD THE ORGANIZATION'S GOALS INCLUDING CONTINUED IMPROVEMENT IN CLINICAL QUALITY, COMMUNITY HEALTH, AND OPERATIONAL EFFICIENCIES. MUNSON HEALTHCARE'S INTENT FOR EXECUTIVE BASE COMPENSATION IS TO BE AT THE MEDIAN WHEN COMPARED TO LIKE-SIZE NON-PROFIT HOSPITALS AND HEALTHCARE SYSTEMS. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION OF OTHER OFFICERS IS CONSISTENT WITH THAT OF THE TOP EXECUTIVES OF PAUL OLIVER MEMORIAL HOSPITAL AND MUNSON HEALTHCARE. FORM 990, PAGE 6, PART VI, LINE 19 THE PAUL OLIVER MEMORIAL HOSPITAL ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON THE MICHIGAN DEPARTMENT OF TREASURY WEBSITE. PAUL OLIVER MEMORIAL HOSPITAL DOES NOT MAKE THE BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES 1,996,561 936,947 77,688 PROFESSIONAL FEES 1,025,334 57,990 0 FORM 990, PART XI, LINE 9 TRANSFER FROM AFFILIATE 172,960 TRANSFER TO PARENT CORP -1,000,000 CHANGE IN AFFILIATE EQUITY -3,984,137 MUNSON DIALYSIS CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 383097861 DIALYSIS MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 PARENT MI C3 11B NA false MUNSON HEALTHCARE CADILLAC 1105 SIXTH ST TRAVERSE CITY MI 49684 471156297 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE CADILLAC FOUNDATI 1105 SIXTH ST TRAVERSE CITY MI 49684 472857600 RAISE FUND MI C3 7 MHC CADILL MUNSON HEALTHCARE CADILLAC true MUNSON HEALTHCARE GRAYLING 1105 SIXTH ST TRAVERSE CITY MI 49684 471161992 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON HEALTHCARE REGIONAL FOUNDATI 1105 SIXTH ST TRAVERSE CITY MI 49684 382642724 RAISE FUND MI C3 7 MUNSON HC MUNSON HEALTHCARE true MUNSON HOME CARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382191390 HOME HEALT MI C3 9 MUN HOME H MUNSON HOME HEALTH true MUNSON HOME HEALTH 1105 SIXTH ST TRAVERSE CITY MI 49684 383335362 HOME HEALT MI C3 11B MUNSON HC HEALTHCARE true MUNSON HOME SERVICES 1105 SIXTH ST TRAVERSE CITY MI 49684 382543463 HOME HEALT MI C3 9 MUN HOME H MUNSON HOME HEALTH true MUNSON MEDICAL CENTER 1105 SIXTH ST TRAVERSE CITY MI 49684 381362830 HOSPITAL MI C3 3 MUNSON HC MUNSON HEALTHCARE true MUNSON MEDICAL GROUP 1105 SIXTH ST TRAVERSE CITY MI 49684 273600575 HEALTHCARE MI C3 9 MUNSON MED MUNSON MEDICAL CENTER true NORTH FLIGHT INC 1105 SIXTH ST TRAVERSE CITY MI 49684 382657917 MED TRANSP MI C3 11B MUNSON HC MUNSON HEALTHCARE true PAUL OLIVER MEMORIAL HOSPITAL FOUND 1105 SIXTH ST TRAVERSE CITY MI 49684 237201619 RAISE FUND MI C3 3 PAUL OLIVE PAUL OLIVER MEMORIAL HOSPITAL true MUNSON MEDICAL BUILDING PARTNERS PO BOX 1188 TRAVERSE CITY MI 496851188 382830005 REAL ESTAT MI N/A false false NORTHERN MICHIGAN SUPPLY ALLIANCE 2651 AERO PARK DR TRAVERSE CITY MI 49686 383453378 PURCHASING MI N/A false false MEDICAL OFFICE BUILDING CONDOMINIUM MEDICAL OFFICE BUILDING CONDOMINIUM PO BOX 1188 TRAVERSE CITY MI 496851188 383567278 REAL ESTAT MI N/A true MEDICAL OFFICE CONDOMINIUM MEDICAL OFFICE CONDOMINIUM PO BOX 1188 TRAVERSE CITY MI 496851188 201902620 REAL ESTAT MI N/A true MUNSON MOBILE IMAGING PO BOX 1188 TRAVERSE CITY MI 496851188 382704069 IMAGING MI N/A true MUNSON SERVICES INC PO BOX 1188 TRAVERSE CITY MI 496851188 383144382 PHARMACY MI N/A true MUNSON SUPPORT SERVICES PO BOX 1188 TRAVERSE CITY MI 496851188 382872821 LAUNDRY MI N/A true SIXTH STREET DRUGS INC PO BOX 1188 TRAVERSE CITY MI 496851188 382298290 PHARMACY MI N/A true false true true false false false false false false true false false true false true true true false false MUNSON DIALYSIS CENTER J 65985 LEASE CONTRACT AMOUNT MUNSON HEALTHCARE B 1000000 ACTUAL AMOUNT PAID MUNSON HEALTHCARE M 179616 ACTUAL AMOUNT PAID MUNSON HEALTHCARE O 203232 ACTUAL AMOUNT PAID MUNSON HEALTHCARE P 116092 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER P 6844334 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER O 353705 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER M 1090805 ACTUAL AMOUNT PAID MUNSON MEDICAL CENTER C 172960 AGREEMENT ALLOCATION MUNSON MEDICAL CENTER Q 1397686 ACTUAL AMOUNT PAID MUNSON MEDICAL GROUP P 327044 ACTUAL AMOUNT PAID MUNSON SERVICES INC M 70355 ACTUAL AMOUNT PAID MUNSON SUPPORT SERVICES M 87102 ACTUAL AMOUNT PAID NORTHERN MICHIGAN SUPPLY ALLIANCE P 185771 ACTUAL AMOUNT PAID PAUL OLIVER MEM HOS FOUNDATION M 77688 ACTUAL AMOUNT PAID PAUL OLIVER MEM HOS FOUNDATION C 977954 ACTUAL AMOUNT PAID SCHEDULE R PAUL OLIVER MEMORIAL HOSPITAL USED THE ACCRUAL METHOD OF ACCOUNTING TO VALUE THE TRANSACTIONS WITH RELATED ENTITIES. ALL INTERCOMPANY TRANSACTIONS WITH RELATED ENTITIES WERE REVIEWED, SUMMARIZED, AND RECONCILED TO DETERMINE THE DISCLOSURE AMOUNTS.