HILLSDALE COMMUNITY HEALTH CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: HILLSDALE COMMUNITY HEALTH CENTER (EIN 38-6005550)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-04
IRS object ID: 202631249349301428
Schema version: 2024v5.1
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 C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-04T09:53:03+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 E Wayne Street Suite 600	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	2024-07-01	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)
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	JEREMIAH J HODSHIRE	PersonNm
Person Title	OFFICER	PersonTitleTxt
Signature	2026-05-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren Denton	PreparerPersonNm
PTIN	P01571860	PTIN
Phone	2604604000	PhoneNum
Preparation	2026-05-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEREMIAH J HODSHIRE	BusinessNameLine1Txt

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	$121,432,498	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	HILLSDALE HOSPITAL IS A GUARDIAN OF EXCEPTIONAL HEALTH SERVICES FOR OUR COMMUNITY, ENSURING THAT FAMILIES HAVE ACCESS TO HIGH-QUALITY CARE WHEN AND WHERE THEY NEED IT.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	696	TotalEmployeeCnt
Total Volunteers	34	TotalVolunteersCnt
Total Gross UBI	$86,126	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$75,813	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$995,772	PYContributionsGrantsAmt
CY Contributions Grants	$1,448,451	CYContributionsGrantsAmt
PY Program Service Revenue	$90,139,783	PYProgramServiceRevenueAmt
CY Program Service Revenue	$101,474,975	CYProgramServiceRevenueAmt
PY Investment Income	$2,654,741	PYInvestmentIncomeAmt
CY Investment Income	$1,722,319	CYInvestmentIncomeAmt
PY Other Revenue	$8,993	PYOtherRevenueAmt
CY Other Revenue	$13,524	CYOtherRevenueAmt
PY Total Revenue	$93,799,289	PYTotalRevenueAmt
CY Total Revenue	$104,659,269	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	$38,302,066	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$41,031,563	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,000	CYTotalFundraisingExpenseAmt
PY Other Expenses	$52,413,908	PYOtherExpensesAmt
CY Other Expenses	$58,580,508	CYOtherExpensesAmt
PY Total Expenses	$90,715,974	PYTotalExpensesAmt
CY Total Expenses	$99,612,071	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,083,315	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,047,198	CYRevenuesLessExpensesAmt
Total Assets BOY	$63,579,298	TotalAssetsBOYAmt
Total Assets EOY	$64,785,872	TotalAssetsEOYAmt
Total Liabilities BOY	$23,928,676	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$19,090,464	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$39,650,622	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$45,695,408	NetAssetsOrFundBalancesEOYAmt
Mission	HILLSDALE HOSPITAL IS A GUARDIAN OF EXCEPTIONAL HEALTH SERVICES FOR OUR COMMUNITY, ENSURING THAT FAMILIES HAVE ACCESS TO HIGH-QUALITY CARE WHEN AND WHERE THEY NEED IT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$85,458,171	ExpenseAmt
Revenue	$101,474,975	RevenueAmt
Desc	HILLSDALE HOSPITAL IS A SHORT-TERM, ACUTE CARE HOSPITAL FACILITY INCLUDING A SKILLED NURSING UNIT, A PSYCHIATRIC UNIT, AND A HOME HEALTH CARE DEPARTMENT, WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE HILLSDALE COUNTY, MICHIGAN AREA. THE HOSPITAL ALSO SUPPORTS UNPROFITABLE/SUBSIDIZED HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH, OBSTETRICS, AND EMERGENCY SERVICES. HILLSDALE HOSPITAL SAW 2,151 INPATIENT ADMISSIONS IN FY 2025, 105,329 OUTPATIENT VISITS, AND 19,240 EMERGENCY DEPARTMENT VISITS. DURING FY 2025 APPROXIMATELY 48.3% OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, APPROXIMATELY 19.5% OF SERVICES PROVIDED WERE TO PATIENTS DEEMED INDIGENT UNDER STATE GUIDELINES AND APPROXIMATELY 3.1% 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 2025 PROVIDED APPROXIMATELY $1,500,000 IN CHARITY CARE AND RECORDED A PROVISION FOR BAD DEBT OF $6.8 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 HIGHER EDUCATION LOANS FOR ALLIED HEALTH PROFESSIONS.	Desc
Total Program Service Expenses	$85,458,171	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	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
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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 With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	70	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	696	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
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
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5174375232	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 (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
David Gossage
Vice Chair	1.5	Yes (X)	Yes (X)	$0	$0	$0
Gregory Bailey
Chair	1.5	Yes (X)	Yes (X)	$0	$0	$0
Richard Moore
Treasurer	1.5	Yes (X)	Yes (X)	$0	$0	$0
Robert Henthorne
SECRETARY	10.0	Yes (X)	Yes (X)	$0	$0	$0
Craig Connor
Board Member	1.5	Yes (X)		$0	$0	$0
Diane Philipp
Board Member	1.5	Yes (X)		$0	$0	$0
Karlye Horton
Board Member	1.5	Yes (X)		$0	$0	$0
Kimberly Blythe
Board Member	1.5	Yes (X)		$0	$0	$0
Shea Dow
Board Member	1.5	Yes (X)		$0	$0	$0
Susan Smith
Board Member	1.5	Yes (X)		$0	$0	$0
Jeremiah J Hodshire
President/CEO	40.0		Yes (X)	$726,737	$0	$55,896
Mark Gross
Vice President/CFO	40.0		Yes (X)	$626,227	$0	$59,496
Nichole Ellis
Chief of Staff (Ex Oficio)	1.5		Yes (X)	$5,000	$0	$0
Brian Sinischo
OBGYN	40.0			$405,701	$0	$18,690	Yes (X)
Norris March
General Suregon	40.0			$545,914	$0	$16,261	Yes (X)
Parthiv Patel
Orthopedic Surgeon (LEFT 10/2024)	40.0			$684,783	$0	$19,035	Yes (X)
Sarah Spencer
OBGYN	40.0			$381,015	$0	$15,261	Yes (X)
William Morgan
General Surgeon	40.0			$484,399	$0	$10,576	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,859,776	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$195,215	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	43	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
PO Box 69268	Baltimore	MD	212649268	Therapy Services	$1,909,545
MI Emergency Physicians LLP
PO Box 677979	Dallas	TX	752677979	Emergency Physicians	$1,885,842
Challenge Anesthesia Staffing
5800 Willis Rd	Ypsilanti	MI	48197	CRNA/Anesthesiologist Services	$1,230,468
Sparrow Laboratory
1322 E Michigan Ave	Lansing	MI	48912	Laboratory Management Services	$1,188,354
Forvis Mazars LLP
PO Box 200870	Dallas	TX	753200870	Auditing & Consulting Services	$1,086,186

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Government Grants	$516,649	GovernmentGrantsAmt
All Other Contributions	$931,802	AllOtherContributionsAmt
Total Contributions	$1,448,451	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621110	$100,756,894	$100,756,894
CAFETERIA SALES	621110	$139,845	$139,845
EMPLOYEE PRESCRIPTIONS	621110	$75,941	$75,941
OTHER INCOME	621110	$502,295	$502,295

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$101,474,975	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,079,310	TotalRevenueColumnAmt
Unrelated Business Revenue	$86,126	UnrelatedBusinessRevenueAmt
Exclusion	$993,184	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$30,516	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$16,992	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$13,524	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,524	TotalRevenueColumnAmt
Exclusion	$13,524	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,268,592	SecuritiesAmt
Other	$130,654	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$16,572,499	SecuritiesAmt
Other	$183,738	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$696,093	SecuritiesAmt
Other	-$53,084	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$643,009	TotalRevenueColumnAmt
Exclusion	$643,009	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$104,659,269	TotalRevenueColumnAmt
Related Or Exempt Func Income	$101,474,975	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$86,126	UnrelatedBusinessRevenueAmt
Exclusion	$1,649,717	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,575,876	TotalAmt
Program Services	$1,292,218	ProgramServicesAmt
Management And General	$283,658	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$31,397,723	TotalAmt
Program Services	$25,746,133	ProgramServicesAmt
Management And General	$5,651,590	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$585,546	TotalAmt
Program Services	$480,148	ProgramServicesAmt
Management And General	$105,398	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,231,768	TotalAmt
Program Services	$4,290,050	ProgramServicesAmt
Management And General	$941,718	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,240,650	TotalAmt
Program Services	$1,837,333	ProgramServicesAmt
Management And General	$403,317	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$157,598	TotalAmt
Management And General	$157,598	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$110,606	TotalAmt
Management And General	$110,606	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,000	TotalAmt
Fundraising	$3,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$155,706	TotalAmt
Management And General	$155,706	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$25,627,177	TotalAmt
Program Services	$21,013,743	ProgramServicesAmt
Management And General	$4,613,434	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$240,245	TotalAmt
Program Services	$197,001	ProgramServicesAmt
Management And General	$43,244	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$626,669	TotalAmt
Program Services	$513,869	ProgramServicesAmt
Management And General	$112,800	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$702,527	TotalAmt
Program Services	$576,072	ProgramServicesAmt
Management And General	$126,455	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,180,349	TotalAmt
Program Services	$1,787,886	ProgramServicesAmt
Management And General	$392,463	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$142,574	TotalAmt
Program Services	$116,911	ProgramServicesAmt
Management And General	$25,663	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,656	TotalAmt
Program Services	$3,818	ProgramServicesAmt
Management And General	$838	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,920,890	TotalAmt
Program Services	$1,575,130	ProgramServicesAmt
Management And General	$345,760	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$845,094	TotalAmt
Program Services	$692,977	ProgramServicesAmt
Management And General	$152,117	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,318,903	$16,318,903
PROVISION FOR DOUBTFUL ACCOUNTS	$6,608,203	$6,608,203
RENT TO HHF	$1,370,624	$1,123,912	$246,712
REPAIR & MAINTENANCE	$1,291,997	$1,059,438	$232,559

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$273,690	TotalAmt
Program Services	$224,426	ProgramServicesAmt
Management And General	$49,264	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$99,612,071	TotalAmt
Program Services	$85,458,171	ProgramServicesAmt
Management And General	$14,150,900	ManagementAndGeneralAmt
Fundraising	$3,000	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$171,786	BOYAmt
EOY	$583,493	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,486,165	BOYAmt
EOY	$7,246,207	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	$13,851,149	BOYAmt
EOY	$14,009,052	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	$566,442	BOYAmt
EOY	$260,755	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,599,472	BOYAmt
EOY	$1,702,462	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,053,186	BOYAmt
EOY	$859,997	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$16,709,790	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$7,612,084	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,072,905	BOYAmt
EOY	$9,097,706	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$21,887,045	BOYAmt
EOY	$24,023,228	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

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	$5,891,148	BOYAmt
EOY	$7,002,972	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$63,579,298	BOYAmt
EOY	$64,785,872	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,226,236	BOYAmt
EOY	$15,170,343	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	$10,702,440	BOYAmt
EOY	$3,920,121	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,928,676	BOYAmt
EOY	$19,090,464	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$39,299,495	BOYAmt
EOY	$45,383,016	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$351,127	BOYAmt
EOY	$312,392	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$39,650,622	BOYAmt
EOY	$45,695,408	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$63,579,298	BOYAmt
EOY	$64,785,872	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,047,198	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$997,588	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$3,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$3,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	HILLSDALE COMMUNITY HEALTH CENTER PAID MEMBERSHIP DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, WHICH INCLUDED A PERCENTAGE THAT WAS ATTRIBUTED TO LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,500	OtherCostOrOtherBasisAmt
Book Value	$55,500	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,967,274	OtherCostOrOtherBasisAmt
Depreciation	$491,994	DepreciationAmt
Book Value	$5,475,280	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,790	OtherCostOrOtherBasisAmt
Book Value	$19,790	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,993,523	OtherCostOrOtherBasisAmt
Depreciation	$7,120,090	DepreciationAmt
Book Value	$2,873,433	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$673,703	OtherCostOrOtherBasisAmt
Book Value	$673,703	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,097,706	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER	$2,721,607
ASSETS LIMITED AS TO USE	$3,847,319
DUE FROM THIRD PARTY PAYER	$37,884
RIGHT OF USE ASSETS	$396,162

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,002,972	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Federal Income Taxes
COST REPORT SETTLEMENTS	$3,920,121

Field	Value	IRS element (for citing)
Total Liability	$3,920,121	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$98,909,940	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$997,588	NetUnrealizedGainsInvstAmt
Other Revenue	$16,992	OtherRevenueAmt
Revenue Not Reported	$1,014,580	RevenueNotReportedAmt
Revenue Subtotal	$97,895,360	RevenueSubtotalAmt
Investment Expenses Not Incld	$155,706	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$6,608,203	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$6,763,909	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$104,659,269	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$92,865,154	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$16,992	OtherExpensesIncludedAmt
Expenses Not Reported	$16,992	ExpensesNotReportedAmt
Expenses Subtotal	$92,848,162	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$155,706	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$6,608,203	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$6,763,909	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$99,612,071	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (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.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	RENTAL EXPENSES - 16992
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 6608203
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSES - 16992
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 6608203

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$542,302	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$542,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00583	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,569,800	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,113,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,883,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,513,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,370,446	NetCommunityBenefitExpnsAmt
Total Expense	0.05769	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,995,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,626,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,912,748	NetCommunityBenefitExpnsAmt
Total Expense	0.06352	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	160	PersonsServedCnt
Total Community Benefit Expns	$4,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$90,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,434	NetCommunityBenefitExpnsAmt
Total Expense	0.00082	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	19	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$51,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,162	NetCommunityBenefitExpnsAmt
Total Expense	0.00049	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	190	PersonsServedCnt
Total Community Benefit Expns	$146,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,541	NetCommunityBenefitExpnsAmt
Total Expense	0.00136	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	190	PersonsServedCnt
Total Community Benefit Expns	$35,142,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,647,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,039,289	NetCommunityBenefitExpnsAmt
Total Expense	0.06488	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,608,203	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,399,092	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,355,151	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$32,095,150	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,739,999	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 St	AddressLine1Txt
City	Hillsdale	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.hillsdalehospital.com	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Inpatient Psych Unit; Skilled Nursing Facility	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	25	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
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	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	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	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 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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Hillsdale Community Health Center. 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, 1,079 INDIVIDUALS COMPLETED THE HEALTH SURVEY QUESTIONNAIRE (723 IN 2022). 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 Facility , 1	Facility , 1 - Hillsdale Community Health Center. HILLSDALE HOSPITAL PARTNERED WITH THE HILLSDALE COUNTY HUMAN SERVICES NETWORK TO CREATE A COMPREHENSIVE COMMUNITY BASED HEALTH NEEDS ASSESSMENT. HILLSDALE HOSPITAL 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 Facility , 1	Facility , 1 - HILLSDALE COMMUNITY HEALTH CENTER. 1. Recommendation from Human Services Network (HSN): Decrease the number of women who receive inadequate prenatal care from 11.1 to 8.0 for the next 3-year period (2025-2028) Background: Among the 1,482 births to county residents between 2020-2022: 61.5% of mothers received adequate prenatal care compared to 68.9% in Michigan; 27.2% of mothers received intermediate care compared to 23.0% in Michigan; and 11.4% had inadequate care compared to 8.1% in Michigan. An analysis of prenatal care indicates that about 60% of Hillsdale mothers receive adequate pre-natal care, while 10% did not. Lack of adequate pre-natal care contributes to several poor outcomes for infants, including low birthweight. The percent of low and very low birthweights was higher in Hillsdale than in Michigan compared to previous years. Action Plan - 1. Strengthen Outreach & Education a. Launch a community prenatal care awareness campaign b. Provide educational materials in clinics, schools, libraries, and online c. Develop targeted messaging for young and low-education-level mothers 2. Collaborate with Great Start Collaborative a. Integrate hospital efforts with existing community programs b. Refer patients between systems for wraparound support c. Share data and best practices to identify service gaps 3. Provide Support Services for At-Risk Moms a. Offer GED program referrals and childcare resources b. Create prenatal care "starter kits" (nutrition guides, appointment calendars, transportation info) c. Assign case managers to help schedule and follow-up 4. Reduce Transportation and Scheduling Barriers a. Provide information about transportation assistance for appointments b. Offer flexible scheduling, including evenings/weekends where possible
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HILLSDALE COMMUNITY HEALTH CENTER. 2. Recommendation from HSN: Develop a Vaping Educational Campaign to provide information on the effects and dangers associated with Vaping. Background: A slightly higher percentage of Hillsdale County residents smoke compared to Michiganders. 18.2% of Branch-Hillsdale-St. Joseph County adult residents said they smoked on the Michigan Behavioral Risk Factor Survey, 2020-22 average, compared to 16.9% in Michigan. Despite anti-smoking programs, the percentage of smokers has remained relatively constant over the years. Smoking is a significant problem among pregnant women. Smoking during pregnancy is linked to a lower birth weight for babies as well as higher infant mortality. The Michigan Resident Birth Files reveal a larger percent of Hillsdale mothers used tobacco before or during pregnancy compared to Michigan mothers. Smoking prevention programs have had little impact on mothers at the county level over the previous decade. Some young adults have turned to vapor cigarettes instead of traditional tobacco use. Education on the long-term negative effects of vaping is often lacking. Action Plan: 1. Expand Education to Include Vaping Risks a. Update existing smoking cessation materials to include vaping content b. Train staff to discuss vaping risks during clinical visits c. Distribute vaping-specific educational brochures in schools and clinics 2. Launch Youth-Focused Prevention Campaigns a. Develop social media and school-based campaigns targeting middle and high school students b. Host assemblies or peer-led forums discussing vaping dangers c. Use real testimonials from former users or health professionals 3. Track and Share Local Data Trends a. Monitor local vaping trends through surveys and provider reports b. Share results with schools, clinics, and media to raise awareness 4. Promote Cessation Programs for Youth and Adults a. Offer vaping-specific cessation support groups or referrals b. Promote state/national quit line resources tailored to e-cigarette users c. Integrate support into primary care visits
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - HILLSDALE COMMUNITY HEALTH CENTER. 3. Recommendation from HSN: Expansion of the use of Telehealth services Background: The rise of technology has given rise to many improvements in the health care system. In previous years, the HSN suggested that the development of a telemedicine system would benefit the community. A telehealth service became available in early 2021 in the Hillsdale County area through nearly all of the health clinics. Respondents in the 2022 CHNA survey were asked about it. The survey asked respondents if they had tried telehealth. Of the 816 who answered this question, only 18.6% said they used telehealth services, while 81.4% said they did not use telehealth services. Respondents were asked if they were aware Hillsdale Hospital offered telehealth services and of the 816 who answered the question 48% said they were aware, while 52% said they were not aware. Of the 525 respondents who answered why they had not tried telehealth services, 53.7% said it was because they did not know it was an option. Action Plan: 1. Launch Community Telehealth Awareness Campaign a. Create flyers, social media posts, and website updates explaining telehealth services b. Highlight common telehealth visit types (e.g., follow-ups, mental health, urgent care) c. Include information in discharge packets and clinic visits 2. Improve Telehealth Literacy a. Offer free "How to Use Telehealth" workshops at libraries, clinics, and senior centers b. Develop easy-to-follow guides and video tutorials c. Provide 1-on-1 tech coaching during clinic visits
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - HILLSDALE COMMUNITY HEALTH CENTER. 4. Recommendation from HSN: Increase the number of residents that get a mammogram from 70.1 to 73 on The Michigan Behavioral Risk Factor Survey for the period 2025-2028. Background: The United States Preventive Services Task Force (2016) recommends women aged 40 to 74 should have a mammogram every two years. Women aged 40 to 49 and those at higher risk of breast cancer due to family history or another reason should follow the recommendations of their physicians. Females were asked in the 2024 CHNA survey if they had a mammogram in the past year. 332 answered this question though the survey only had 234 women. * 234 said yes. This would represent 35% of the women who took the survey. * 98 said no, probably including some men who answered the question. The Michigan Behavior Risk Factor Survey asked female residents if they had a mammogram in the last two years. The percent of Branch-Hillsdale-St. Joseph residents who said they did was much less in 2018-20 than in 2022-20. Action Plan: 1. Increase Community Awareness a. Launch a women's health awareness campaign (flyers, local media, social media) b. Promote National Cervical Cancer Awareness Month (January) c. Include Pap test reminders in patient portal messages 2. Host Accessible Screening Events a. Organize free or low-cost Pap test days in collaboration with community centers b. Offer mobile screening clinics in rural areas c. Partner with employers for workplace health screening events 3. Reduce Barriers to Access a. Provide transportation information/resources for screening appointments b. Offer extended hours and weekend availability for working women c. Provide care navigation for uninsured or underinsured women 4. Educate Providers to Encourage Screenings a. Implement provider scripts for discussing women's preventive care b. Integrate automatic Pap test reminders into electronic health records c. Encourage OB/GYNs and PCPs to flag overdue patients d. Provide educational Materials to all hospital clinics as well as the St. Peters Free Clinic in Hillsdale.
Schedule H, Part V, Section B, Line 11 Facility , 5	Facility , 5 - HILLSDALE COMMUNITY HEALTH CENTER. 5. Recommendation from HSN: Increase availability of specialty care in Hillsdale; including Oncology, Neurology, Podiatry, and Infertility Specialists. Background: Hillsdale County is served by: * One hospital, the Hillsdale Hospital. * Three primary care health clinics owned and operated by Hillsdale Hospital: o Hillsdale Health and Wellness located at 240 W. Carleton Road, Hillsdale and is open seven days a week from 10 AM to 6 PM. o Reading Health Clinic, a Rural Clinic in Reading, Hospital located at 143 South Main Street, Reading, MI 49274. This clinic operates Monday, Wednesday, Thursday and Friday from 8 AM to 4 PM and Tuesday from 8 AM to 6 PM. o Hillsdale Medical Associates has two locations, one on located at 32 S. Broad St, Hillsdale and is open 4 days a week from 8 am to 6pm. The other Hillsdale Medical Associates is located at 1456 Hudson Rd, Hillsdale open five days a week from 9am to 5pm. * Hillsdale Hospital also owns and manages several other facilities in the county including: o Hillsdale Orthopedics. o Hillsdale Home Care o Hillsdale Home Oxygen & Medical Equipment o Three Meadows Medical Building * Neurology * Pulmonary. * Surgical Group. * Urology * Vascular Care * Weigh loss Surgery * Physical Therapy * Occupation Therapy * Laboratory * Speech Therapy * Hidden Meadows OB/GYN * Cancer Care * Primary Care One free clinic, St. Peter's, open only two nights a week. The hospital donates lab services and medical supplies in support of this clinic. Many hospital staff members also donate their time to serve clinic clients. Hillsdale County currently has no round-the-clock urgent care facility. All health clinics have limited hours. However, the hospital has opened a Walk in Clinic at Hillsdale Health and Wellness, open 6 days a week from 10am to 6pm. Action Plan: 1. Recruit Needed Specialists a. Launch a targeted recruitment campaign for neurologists and other high-demand specialists b. Offer competitive incentives (loan repayment, relocation packages) c. Attend national and regional specialty job fairs 2. Expand Tele- Specialty Services a. Implement or expand telehealth partnerships for neurology and other underserved specialties b. Train staff to assist patients with tele-specialty consults c. Promote tele-specialist access through marketing and referral networks.
Schedule H, Part V, Section B, Line 11 Facility , 6	Facility , 6 - HILLSDALE COMMUNITY HEALTH CENTER. 6. Recommendation from HSN: Increase the utilization of electronic messaging system with patient portals to advertise Community and Evidence-based Programs for the period 2025-2028. Strategies: 1. Patient Portal Messaging a. Send monthly electronic messages about upcoming screenings and programs b. Target messages based on age and gender (e.g., Pap test reminders for women 21-65) c. Include info about local events and wellness tips 2. Promote Women's Health Through Multi Channel Outreach a. Create women's health info packets (Pap, mammograms, menopause, etc.) b. Share information through flyers, social media, and waiting room screens c. Highlight patient stories or testimonials to personalize the message 3. Educate About Transportation Assistance a. Add transportation FAQs to appointment reminder texts/emails b. Train front desk staff to mention transportation options when scheduling 4. Highlight Evidence-Based Community Programs a. Advertise programs like diabetes prevention, parenting classes, and wellness workshops b. Feature events in the hospital newsletter, community boards, and church bulletins c. Collaborate with local organizations for cross-promotion d. Create/ Use social media platforms to promote programs (ie: information and how to sign up)
Schedule H, Part V, Section B, Line 11 Facility , 7	Facility , 7 - HILLSDALE COMMUNITY HEALTH CENTER. 7. Recommendation from HSN: Expand mental health offerings by 15% - increasing access to telehealth, as appropriate, for the period 2025-2028. Background: Mental health impacts not just the individual but the community. Feelings of wellbeing even have a positive impact on the management and progress of some diseases. When respondents in the 2024 CHNA survey were asked about their mental health in the past year: 181 (20.4%) of the 887 respondents to this question said they had been depressed for more than a week; 13 (1.5%) of the 887 respondents to this question had been suicidal. The Michigan Behavioral Risk Factor Survey asked respondents how many felt their mental health was not good for 14 or more days out of the previous 30 days including stress, depression and problems with emotions. 15.4% of Branch- Hillsdale-St. Joseph residents said their mental health was not good compared to 16.0% of Michigan residents but both groups showed a marked increase in poor mental health than in the past. Hillsdale Hospital has a 10-bed psychiatric unit; this is the only inpatient Psych unit in the county. Examination of the hospital psychiatric patient discharge data shows a fairly consistent pattern of use. Action Plan: 1. Expand Outpatient Mental Health Capacity a. Expand clinic hours to include evenings/weekends 2. Scale Tele- Mental Health Services a. Launch or expand virtual therapy and psychiatry appointments b. Train staff and patients on how to access and use tele-mental health c. Ensure HIPAA-compliant platforms are user-friendly and mobile-accessible 3. Outreach & Mental Health Awareness a. Run a "Mental Health is Health" public education campaign b. Host community events and webinars during Mental Health Awareness Month (May) 4. Connect Patients to Services Through Referrals a. Integrate behavioral health screenings in primary care b. Train providers to recognize and refer patients to in-house or partnered services c. Create a mental health services referral guide for staff and patients.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - Hillsdale Community Health Center. 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.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HILLSDALE HOME CARE
1711 S HILLSDALE RD	HILLSDALE	MI	49242	HOME CARE
HILLSDALE HOME OXYGEN
49 E CARLETON RD	HILLSDALE	MI	49242	DME
READING HEALTH CLINIC
143 S MAIN ST	READING	MI	49274	RURAL HEALTH CLINIC
HILLSDALE HEALTH & WELLNESS
240 W CARLETON RD	HILLSDALE	MI	49242	RURAL HEALTH CLINIC
HILLSDALE MEDICAL ASSOCIATES
1456 Hudson Rd	Hillsdale	MI	49242	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 21 Policy Relating to Emergency Medical Care	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.
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 I LINE 7, COL (F) - BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	6,608,203
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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, Line 3 Bad Debt Expense Methodology	HILLSDALE HOSPITAL SAW $2,146,307 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 94.8%. WE APPLIED THAT PERCENTAGE TO THOSE ACCOUNTS WRITTEN OFF WITH NO INSURANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	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 PATIENT'S 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 HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS IS AT 63 PERCENT OF TOTAL ACCOUNTS RECEIVABLE AT JUNE 30, 2024. IN ADDITION, THE HOSPITAL'S BAD DEBT WRITE-OFFS DECREASED FROM APPROXIMATELY $4,530,000 FOR THE YEAR ENDED JUNE 30, 2024, TO APPROXIMATELY $4,360,000 FOR THE YEAR ENDED JUNE 30, 2025.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COST TO CHARGE RATIO IS USED TO DETERMINE MEDICARE SURPLUS OR SHORTFALL AT COST. 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, Line 9b Collection practices for patients eligible for financial assistance	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 16a FAP website	- Hillsdale Community Health Center: Line 16a URL: www.hillsdalehospital.com;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Hillsdale Community Health Center: Line 16b URL: www.hillsdalehospital.com;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Hillsdale Community Health Center: Line 16c URL: www.hillsdalehospital.com;
Schedule H, Part VI, Line 2 Needs assessment	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 Patient education of eligibility for assistance	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 Community information	HILLSDALE, MICHIGAN IS THE COUNTY SEAT OF HILLSDALE COUNTY. ITS POPULATION IS 7,998 (AS OF 2025) WITH A HOUSEHOLD MEDIAN INCOME OF $47,817 (AS OF 2023). AS OF DECEMBER 2025, THE CURRENT UNEMPLOYMENT RATE IS 4.6% 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 BRANCH 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 Promotion of community health	HCHC FACILITATES SEVERAL EDUCATIONAL CLASSES INCLUDING BREAST FEEDING, BIRTHING, AND NUTRITION COUNSELING, 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 AND COVID-19 VACCINES TO THE MEMBERS OF THE COMMUNITY. HCHC OWNS AND OPERATES THREE RURAL HEALTH CLINICS IN READING AND HILLSDALE, MICHIGAN THAT PROVIDE 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 H, Part VI, Line 7 State filing of community benefit report	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
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	Yes (true)	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 (7 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	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeremiah J Hodshire
President/CEO	$456,428	$0	$231,911	$0	$38,398	$0	$47,850	$0	$8,046	$0	$782,633	$0	$38,348	$0
Mark Gross
Vice President/CFO	$351,049	$0	$224,093	$0	$51,085	$0	$47,850	$0	$11,646	$0	$685,723	$0	$38,348	$0
Parthiv Patel
Orthopedic Surgeon (LEFT 10/2024)	$541,933	$0	$142,850	$0	$0	$0	$10,350	$0	$8,685	$0	$703,818	$0	$0	$0
Norris March
General Suregon	$403,991	$0	$141,873	$0	$50	$0	$10,350	$0	$5,911	$0	$562,175	$0	$0	$0
William Morgan
General Surgeon	$484,349	$0	$0	$0	$50	$0	$5,952	$0	$4,624	$0	$494,975	$0	$0	$0
Brian Sinischo
OBGYN	$287,245	$0	$98,656	$0	$19,800	$0	$10,350	$0	$8,340	$0	$424,391	$0	$0	$0
Sarah Spencer
OBGYN	$365,965	$0	$15,000	$0	$50	$0	$10,350	$0	$4,911	$0	$396,276	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	Annually, the spouses of the CEO and CFO accompany them on a business trip. The cost of the spouse's travel is treated as taxable compensation.
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Taxable spouse travel and reimbursement for dues is grossed up.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use	THE CFO RESIDES IN A HOUSE OWNED BY THE HOSPITAL. HOUSING COSTS OF $6,000 ARE INCLUDED IN THE CFO'S TAXABLE INCOME PER YEAR. THIS IS DONE THROUGH PAYROLL AT $500 PER MONTH.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DURING THE YEAR ENDED 6/30/2025, MARK GROSS AND JEREMIAH HODSHIRE PARTICIPATED IN A 457F PLAN. CONTRIBUTIONS TO THE PLAN WERE $37,500 FOR MARK GROSS AND $37,500 FOR JEREMIAH HODSHIRE. THE CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C. DISTRIBUTIONS TO THE PLAN WERE $38,348 FOR MARK GROSS AND $38,348 FOR JEREMIAH HODSHIRE. THESE DISTRIBUTIONS ARE INCLUDED IN TAXABLE WAGES AND ARE REPORTED ON SCHEDULE J, PART II, COLUMN B III.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Pediatric Place Of Hillsdae	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE STATEMENT	RelationshipDescriptionTxt
Transaction	$126,829	TransactionAmt
Transaction	Pediatric Coverage	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	NICHOLE ELLIS, HILLSDALE CHIEF OF STAFF, IS A GREATER THAN 35% OWNER OF THE PEDIATRIC PLACE OF HILLSDALE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15	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 2023.
Form 990, Part VI, Line 6 Classes of members or stockholders	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, Line 7a Members or stockholders electing members of governing body	THE CORPORATION MEMBERS ELECT THE BOARD OF TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	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, Line 11b Review of form 990 by governing body	A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR 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, Line 12c Conflict of interest policy	BOARD MEMBERS ARE REQUIRED TO DISCLOSE 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, Line 19 Required documents available to the public	DOCUMENTS ARE AVAILABLE ON REQUEST.
Form 990, Part IX, Line 11g Other Fees	SPEECH THERAPIST - Total Expense: 26222, Program Service Expense: 21502, Management and General Expenses: 4720, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 131086, Program Service Expense: 107491, Management and General Expenses: 23595, Fundraising Expenses: ; PSYCH - Total Expense: 248086, Program Service Expense: 203431, Management and General Expenses: 44655, Fundraising Expenses: ; E/R - Total Expense: 858076, Program Service Expense: 703622, Management and General Expenses: 154454, Fundraising Expenses: ; MAT MANAGEMENT - Total Expense: 360270, Program Service Expense: 295421, Management and General Expenses: 64849, Fundraising Expenses: ; PHARMACY - Total Expense: 1020834, Program Service Expense: 837084, Management and General Expenses: 183750, Fundraising Expenses: ; ANESTHESIOLOGIST - Total Expense: 1552758, Program Service Expense: 1273262, Management and General Expenses: 279496, Fundraising Expenses: ; PHYSICAL THERAPY - Total Expense: 736318, Program Service Expense: 603781, Management and General Expenses: 132537, Fundraising Expenses: ; OCCUPATIONAL THERAPY - Total Expense: 178069, Program Service Expense: 146017, Management and General Expenses: 32052, Fundraising Expenses: ; SLEEP STUDY - Total Expense: 221084, Program Service Expense: 181289, Management and General Expenses: 39795, Fundraising Expenses: ; HOME CARE - Total Expense: 691118, Program Service Expense: 566717, Management and General Expenses: 124401, Fundraising Expenses: ; HOSPITALIST - Total Expense: 1375006, Program Service Expense: 1127505, Management and General Expenses: 247501, Fundraising Expenses: ; PULM CLINIC - Total Expense: 716291, Program Service Expense: 587359, Management and General Expenses: 128932, Fundraising Expenses: ; QUALITY - Total Expense: 195177, Program Service Expense: 160045, Management and General Expenses: 35132, Fundraising Expenses: ; MED RECS - Total Expense: 25229, Program Service Expense: 20688, Management and General Expenses: 4541, Fundraising Expenses: ; PATHOLOGY - Total Expense: 433473, Program Service Expense: 355448, Management and General Expenses: 78025, Fundraising Expenses: ; ADMINISTRATION - Total Expense: 1106467, Program Service Expense: 907303, Management and General Expenses: 199164, Fundraising Expenses: ; INFORMATIONAL TECHNOLOGY - Total Expense: 702527, Program Service Expense: 576072, Management and General Expenses: 126455, Fundraising Expenses: ; QAAP FEE - Total Expense: 2971309, Program Service Expense: 2436473, Management and General Expenses: 534836, Fundraising Expenses: ; LAB SERVICE - Total Expense: 1229186, Program Service Expense: 1007933, Management and General Expenses: 221253, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 8830517, Program Service Expense: 7240484, Management and General Expenses: 1590033, Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 2018074, Program Service Expense: 1654816, Management and General Expenses: 363258, Fundraising Expenses: ;

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 St	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	Type I	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 Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HALLETT ST PROFESSIONAL DEVELOPMENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	451 HIDDEN MEADOWS DR	AddressLine1Txt
City	HILLSDALE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49242	ZIPCd

Field	Value	IRS element (for citing)
EIN	383497750	EIN
Primary Activities	PROFESSIONAL BUILDING	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$71,852	ShareOfTotalIncomeAmt
Share Of EOY Assets	$956,871	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.5	OwnershipPct

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
Country	CJ	CountryCd
Foreign Postal	KY11102	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 Corporation	EntityTypeTxt
Share Of Total Income	$742,824	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,341,988	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	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	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HALLETT ST PROFESSIONAL DEVELOPMENT
D	$316,393	FMV
HALLETT ST PROFESSIONAL DEVELOPMENT
Q	$232,851	FMV