2020-08-10T16:10:25-05:00 2019-03-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2018-04-01 381368347 ELLA E M BROWN CHARITABLE CIRCLE ELLA 2697814271 200 N MADISON STREET MARSHALL MI 49068 ANDREW POOLE III CFO 2697814271 2020-08-10 1 DAVID LOWENTHAL P00378651 2695674500 2020-08-10 23.122.254.12 2020-08-10 16:00:56 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 58F74DC53CB874483B207ADF23CD6921384352E9 2018 2020-09-23 17:36:50Z OAKLAWN HOSPITAL GREGG BEEG 200 N MADISON STREET MARSHALL MI 49068 173610588 0 X WWW.OAKLAWNHOSPITAL.ORG X 1925 MI WE WILL PROVIDE PERSONAL, ACCESSIBLE AND HIGH QUALITY CARE TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 10 10 1320 200 0 0 255344 1356073 147759275 157815610 1280387 2061181 5071302 5402989 154366308 166635853 0 0 0 0 75219298 82047768 0 0 0 78166415 76997280 153385713 159045048 980595 7590805 175085648 181647727 94598808 93473761 80486840 88173966 X WE WILL PROVIDE PERSONAL, ACCESSIBLE AND HIGH QUALITY CARE TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. 0 0 53103784 84226676 NURSING - PATIENT CARE ON AN ACUTE LEVEL TO IN/OUT PATIENTS INCLUDING INTENSIVE CARE, OBSTETRICAL, EMERGENCY, SURGICAL AND PSYCHIATRIC. IN FISCAL YEAR 2019, THERE WERE 13,826 DAYS OF CARE, 4,245 ADMISSIONS, 819 BIRTHS, AND 5,740 SURGICAL PROCEDURES. 37264862 33107618 PHYSICIANS - PROVIDING CARE FOR INPATIENTS AND OUTPATIENTS. 10610828 10114521 PHARMACY - PROVIDING FULL PHARMACEUTICAL SERVICES TO INPATIENT AND OUTPATIENTS. 22087619 30366795 ANCILLARY DEPARTMENTS 22087619 30366795 123067093 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 179 0 1 1320 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 X ANDREW POOLE III 2697893936 200 N MADISON ST MARSHALL MI 49068 JACK W TOWNSEND CHAIR, BOARD OF DIRECTORS 1.00 0.00 X X 0 0 0 REV TIMOTHY MARVIL VICE CHAIR 1.00 0.00 X X 0 0 0 CATHERINE YATES SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 RANDALL DAVIS DIRECTOR 1.00 0.00 X 0 0 0 DEREK KING DIRECTOR 1.00 0.00 X 0 0 0 HEATHER LUCIANI DIRECTOR 1.00 0.00 X 0 0 0 THOMAS NEIDLINGER MD DIRECTOR 1.00 0.00 X 0 0 0 MARK P O'CONNELL DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH P PALCHAK DIRECTOR 1.00 0.00 X 0 0 0 BRUCE RASHER DIRECTOR 1.00 0.00 X 0 0 0 E MICHAEL BECK DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 EILEEN WICKLAND DIRECTOR - PART YEAR 1.00 0.00 X 0 0 0 GREGG BEEG PRESIDENT & CEO 40.00 0.00 X 398178 0 14026 ANDREW POOLE III INTERIM CHIEF FINANCIAL OFFICER 40.00 0.00 X 193983 0 3900 SHARON THOMAS-BOYD CHIEF SUPPORT & ANCILLARY SVC OFFICER 40.00 0.00 X 267185 0 18277 SUMMER LISTON-CRANDALL CHIEF OF STAFF 40.00 0.00 X 290158 0 25745 GINGER WILLIAMS MD FACEP FACHE PRESIDENT & CEO - PART YEAR 40.00 0.00 X 1496303 0 8190 THERESA DAWSON CHIEF NURSING OFFICER 40.00 0.00 X 245832 0 18608 MILTON MCCLURKAN CHIEF STRATEGY OFFICER - PART YEAR 40.00 0.00 X 230590 0 5008 URVISH SHAH MD 40.00 0.00 X 1165677 0 26394 SUBHASH THAKUR MD 40.00 0.00 X 885688 0 26394 MICHAEL STERRETT MD 40.00 0.00 X 709598 0 8940 WILLIAM COMAI MD 40.00 0.00 X 647795 0 14325 AAJAY SHAH MD 40.00 0.00 X 625052 0 26394 MARTIN GOINS III MD FORMER CHIEF OF STAFF 0.00 0.00 X 370834 0 20443 7526873 0 216644 103 1 1 0 GORDON MARTIN BUILDERS INC PO BOX 717 ALBION MI 49224 CONSTRUCTION 2898823 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD 600 SCOTTSDALE AZ 85254 HOSPITALIST STAFFING 1512117 AMERICAN HEALTHCARE SERVICES ASSOCIATION PO BOX 945 TRAVERSE CITY MI 49685 TEMPORARY LABOR 1055331 BLUFISH CONSULTING LLC 115 W MICHIGAN AVE MARSHALL MI 49068 MARKETING CONSULTING 598186 ASCENSION HEALTH RESOURCE PO BOX 505302 ST LOUIS MO 63150 CHANGE MANAGEMENT CONSULTING 453100 20 62353 950000 343720 8104 1356073 NET PATIENT SERVICE REVENUE 621110 157815610 157815610 157815610 1129599 1129599 376212 0 376212 376212 376212 7317266 526626 6695788 216522 621478 310104 931582 931582 108229 62353 62425 45804 45804 PHARMACY SERVICES 900099 799489 799489 CAFETERIA REVENUE 722210 466876 466876 INCENTIVE BONUSES 900099 320602 320602 3394006 3394006 4980973 166635853 157815610 0 7464170 2951124 315597 2635527 65356484 57003018 8353466 1160382 960892 199490 8320228 6642989 1677239 4259550 3572012 687538 613928 613928 128180 28780 99400 131250 131250 13016707 8575911 4440796 770160 12902 757258 591176 238602 352574 1888326 538312 1350014 256394 252084 4310 299512 91365 208147 3163546 2137428 1026118 9066929 4587775 4479154 743258 157722 585536 SUPPLIES 28490789 26961389 1529400 BAD DEBT 8875941 8875941 CERTIFICATIONS 7920768 2420281 5500487 EQUIPMENT 1001091 207992 793099 39325 -513899 553224 159045048 123067093 35977955 0 6054515 8721478 14866862 15818149 1188633 758051 2498407 2220784 1666492 2658633 199657019 103255707 95058296 96401312 47498730 50547089 1909478 2271237 526013 526013 3818222 1724981 175085648 181647727 21640616 21991202 70268993 69099103 1011923 946602 1677276 1436854 94598808 93473761 X 80486840 88173966 80486840 88173966 175085648 181647727 7590805 96321 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6469394 6469394 112418217 45561885 66856332 2743332 1871280 872052 74724497 55822542 18901955 3301579 3301579 96401312 OTHER LIABILITIES 1436854 1436854 157790258 96321 2850 -8875941 -8776770 166567028 131250 -62425 68825 166635853 150103132 2850 62425 65275 150037857 131250 8875941 9007191 159045048 PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -8,875,941. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE -62,425. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSE 62,425. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 8,875,941. ANNUAL BENEFIT AUCTION 109444 30738 78706 12259 12656 GOLF OUTING 31015 16265 14750 1623 8469 523 2 30123 15350 14773 2080 1217 7147 200 16251 170582 62353 108229 3703 9686 19406 200 29430 62425 45804 1 1 X 1 X 1 X 1 1 0 0 585210 585210 0.00390 23673997 16250411 7423586 0.04940 24259207 16250411 8008796 0.05330 24259207 16250411 8008796 0.05330 1 8875941 1331391 28993136 34988354 -5995218 X 1 1 1 ALBION DIALYSIS REAL ESTATE LLC REAL ESTATE 0.70000 0.00000 0.30000 2 OAKLAWN DIALYSIS CENTER OF ALBION LLC HEALTHCARE 0.55000 0.00000 0.30000 1 1 ELLA E M BROWN CHARITABLE CIRCLE 200 N MADISON STREET MARSHALL MI 49068 WWW.OAKLAWNHOSPITAL.ORG 864-281 X X X OAKLAWN HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X HTTP://OAKLAWNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/03/OAKLAWN_2020_CHNA_FIN X 1 18 0 1 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://OAKLAWNHOSPITAL.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-PROGRAM-FAP/ X HTTP://OAKLAWNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2016/06/APPLICATION_REVISED_0 X HTTP://OAKLAWNHOSPITAL.ORG/WP-CONTENT/UPLOADS/2016/03/ABOUT-YOUR-BILL-BROCH X X X X X X 1 X 0 X X X X 1 X 0 0 OAKLAWN HOSPITAL PART V, SECTION B, LINE 5: OAKLAWN HOSPITAL CONDUCTED THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO FURTHER ITS COMMITMENT TO THE COMMUNITY AND TO FULFILL THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. FOR THE PURPOSES OF THIS CHNA, THE DEFINITION OF COMMUNITY IS ALL RESIDENTS OF CALHOUN COUNTY, MICHIGAN. THIS CHNA BEGAN IN OCTOBER 2018 AND WAS COMPLETED AND APPROVED BY OAKLAWN'S BOARD OF DIRECTORS IN MARCH 2019. DATA ON HEALTH NEEDS WERE DERIVED USING THE FOLLOWING METHODS:1. DATA GATHERED AND ANALYZED FROM SECONDARY SOURCES SUCH AS US CENSUS, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, AND THE CENTER FOR DISEASE CONTROL (CDC)2. A COMMUNITY WIDE SURVEY3. GEOGRAPHIC AND DEMOGRAPHIC BASED FOCUS GROUPS (ALBION COMMUNITY, MARSHALL COMMUNITY, SENIORS, AND INDIVIDUALS CURRENTLY STRUGGLING WITH HOMELESSNESS AND SUBSTANCE ABUSE RECOVERY)4. KEY INFORMANT INTERVIEWS WITH REPRESENTATIVES KNOWLEDGEABLE IN THE COMMUNITY, SERVICE PROVIDERS, HEALTH CARE PROVIDERS, MEDICALLY UNDERSERVED POPULATIONS, MINORITY POPULATIONS, RURAL POPULATIONS, AND BUSINESSESTHIS DATA WAS ANALYZED TO IDENTIFY THE TOP HEALTH NEEDS OF RESIDENT'S OF CALHOUN COUNTY:1. ACCESS TO HEALTHCARE2. CHRONIC DISEASE MANAGEMENT3. HEALTHY LIFESTYLE EDUCATION & SUPPORT4. HEALTH DISPARITIES5. MENTAL HEALTH6. MATERNAL & INFANT HEALTH7. OBESITY & WEIGHT REDUCTION8. OLDER ADULT & SENIOR HEALTH9. SEXUAL HEALTH & STI'S OAKLAWN HOSPITAL PART V, SECTION B, LINE 6A: IN 2018, OAKLAWN ELECTED TO JOIN WITH SEVERAL COMMUNITY PARTNERS COMING TOGETHER TO CARRY OUT A COUNTYWIDE CHNA, INCLUDING THE IDENTIFICATION OF PRIORITY HEALTH ISSUES AND STRATEGIES TO ADDRESS THOSE ISSUES. THE HOSPITAL FACILITY PARTNER INVOLVED IN THIS EFFORT INCLUDED BRONSON HEALTHCARE GROUP. OAKLAWN HOSPITAL PART V, SECTION B, LINE 6B: IN 2018, OAKLAWN ELECTED TO JOIN WITH SEVERAL COMMUNITY PARTNERS COMING TOGETHER TO CARRY OUT A COUNTYWIDE CHNA, INCLUDING THE IDENTIFICATION OF PRIORITY HEALTH ISSUES AND STRATEGIES TO ADDRESS THOSE ISSUES. THE PARTNERS INVOLVED IN THIS EFFORT INCLUDED ALBION HEALTH ALLIANCE, BATTLE CREEK COMMUNITY FOUNDATION, CALHOUN COUNTY PUBLIC HEALTH DEPARTMENT, COMMUNITY HEALTHCARE CONNECTIONS, FOUNTAIN CLINIC OF MARSHALL, GRACE HEALTH, INTEGRATED HEALTH PARTNERS, NOTTAWASEPPI HURON BAND OF THE POTAWATOMI HEALTH DEPARTMENT, SENIOR HEALTH PARTNERS, SHARE CENTER, SUMMIT POINTE, AND THE UNITED WAY OF BATTLE CREEK AND KALAMAZOO REGION. OAKLAWN HOSPITAL PART V, SECTION B, LINE 11: OAKLAWN ELECTED TO JOIN WITH SEVERAL COMMUNITY PARTNERS COMING TOGETHER TO CARRY OUT A COUNTYWIDE CHNA, INCLUDING THE IDENTIFICATION OF TWO PRIORITY HEALTH ISSUES AND STRATEGIES TO ADDRESS THOSE ISSUES. THE COMMITTEE DEVELOPED A FRAMEWORK FOR COLLECTIVE ACTION THAT INCLUDES BROAD GOALS, POPULATION-BASED MEASURES, AND OVERACHING STRATEGIES FOR EACH OF THE TWO ISSUES IDENTIFIED. INCLUDED BELOW IS ONE STRATEGY EXAMPLE FOR THE GOAL FOR EACH HEALTH ISSUE:PRIORITY AREA 1: BEHAVIORAL HEALTHGOAL: IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES.OBJECTIVE STRATEGIES AND ACTIVITIES: MINIMIZE GAPS IN MENTAL HEALTH SERVICES, ESPECIALLY AMONG ADOLESCENTS. EXPLORE THE IMPLEMENTATION OF A PARTIAL PROGRAM TO PROVIDE GAP SERVICES BETWEEN IN-PATIENT AND OUT-PATIENT MENTAL HEALTH TREATMENT. EXPLORE INCREASED ACCESS TO PSYCHOLOGICAL CARE FOR ADOLESCENT PATIENTS. ASSESS THE VIABILITY OF UTILIZING TELEHEALTH TO PROVIDE MENTAL HEALTH SERVICES.PRIORITY AREA 2: CHRONIC DISEASEGOAL: CREATE A COMPREHENSIVE APPROACH TO CHRONIC DISEASE MANAGEMENT.OBJECTIVE STRATEGIES AND ACTIVITIES: REDUCE THE NUMBER OF FREQUENT USE EMERGENCY DEPARTMENT VISITS BY THOSE WITH CHRONIC DISEASE. ASSESS THE VIABILITY OF REINSTATING CARE MANAGERS IN THE EMERGENCY DEPARTMENT. INCREASE PATIENT AND CAREGIVER CLARITY AS TO OVERALL PLAN OF CARE. ASSESS ADT (ADMIT, DISCHARGE, TRANSFER) PROTOCOLS TO IMPROVE WRAPAROUND CARE. ENSURE THAT PATIENTS WHO ARE TRANSFERRED TO OTHER HOSPITALS ARE AWARE OF POST-DISCHARGE SUPPORTS AVAILABLE TO THEM THROUGH OAKLAWN (I.E., HOME CARE SERVICES). REDUCE GAPS IN THE CONTINUUM OF CARE BY 15%. INCREASE USAGE OF EXISTING CLINICS IN ALBION AND COLDWATER. PROVIDE ACCESS MODES THAT MEET PATIENT REQUIREMENTS. SUPPORT, AND EXPAND AS NEEDED, SCHOOL NURSE PROGRAM TO MEET THE HEALTH NEEDS OF YOUTH AND ADOLESCENTS IN RURAL AREAS OF CALHOUN COUNTY. ASSESS VIABILITY OF TELEHEALTH OR VIRTUAL HEALTH SERVICES, PARTICULARLY FOR RURALCHANGE SINCE OAKLAWN HOSPITAL HAS ISSUED A NEW CHNA REPORT THIS PAST FISCAL YEAR.OAKLAWN HOSPITAL INTENDS TO ADDRESS ALL ISSUES IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA TO SOME LEVEL. 25 1 - WRIGHT MEDICAL OFFICE BUILDING 215 E MANSION MARSHALL MI 49068 PHYSICIAN CLINICS, ONCOLOGY/CHEMO CLINIC, PHYSICIAN-OWNED CONDOMINIUMS, OFFI 2 - OAKLAWN LIFE IMPROVEMENT CENTER 13697 15 MILE ROAD MARSHALL MI 49068 FITNESS CENTER, PT & WOUND CLINICS 3 - OMG SPECIALTY CLINIC 203 WINSTON DRIVE MARSHALL MI 49068 PHYSICIAN CLINICS 4 - PRESTON BUILDING 13444 PRESTON DRIVE MARSHALL MI 49068 CBO/HOMECARE/HOSPICE/CALL CENTER/SR. CENTER 5 - OMG BEADLE LAKE 14231 BEADLE LAKE ROAD BATTLE CREEK MI 49014 PHYSICIAN & PT CLINIC 6 - OMG MIFM 720 OLD US-27 N MARSHALL MI 49068 PHYSICIAN CLINIC 7 - OMG TEKONSHA 2218 OLD US 27 N TEKONSHA MI 49092 PHYSICIAN CLINIC 8 - OAKLAWN SLEEP CENTER 401 E MICHIGAN MARSHALL MI 49068 PHYSICIAN CLINIC 9 - OAKLAWN PSYCHOLOGICAL SERVICES 15209 W MICHIGAN MARSHALL MI 49068 PSYCHOLOGICAL CLINIC 10 - OMG OLIVET 202 NORTH MAIN OLIVET MI 49076 PHYSICIAN & PT CLINIC 11 - OMG AFTER HOURS EXPRESS 111 S HAMILTON MARSHALL MI 49068 PHYSICIAN CLINIC 12 - OAKLAWN DIALYSIS ALBION 3550 B DRIVE N ALBION MI 49224 DIALYSIS CLINIC 13 - OMG ALBION 300 B DRIVE N ALBION MI 49224 PHYSICIAN & PT CLINIC 14 - RICKETSON BUILDING 103 E MANSION MARSHALL MI 49068 PHYSICIAN CLINIC, HIM OFFICE, WOMEN'S DIAGNOSTIC SERVICES, CARDIAC & PULMONA 15 - OMG COLDWATER 375 N WILLOWBROOK RD COLDWATER MI 49036 PHYSICIAN & PT CLINIC 16 - OMG PLASTIC SURGERY 15217 W MICHIGAN MARSHALL MI 49068 PHYSICIAN CLINIC 17 - OMG HOMER 420 S HILLSDALE HOMER MI 49245 PHYSICIAN CLINIC 18 - MARKETINGDEVELOPMENT OFFICES 116 E PROSPECT MARSHALL MI 49068 HOSPITAL OFFICE 19 - DRAW STATION 115 MARKET PLACE ALBION MI 49224 LABORATORY DRAW STATION - LEASED SPACE 20 - GOLDEN RULE BUILDING 820 MANN ROAD MARSHALL MI 49068 OAKLAWN PRINT SHOP & DME STORAGE 21 - MEDICAL OFFICE BUILDING 1174 WEST MICHIGAN MARSHALL MI 49068 MEDICAL OFFICE BUILDING 22 - OMG BELLEVUE 205 NORTH MAIN BELLEVUE MI 49021 PHYSICIAN CLINIC 23 - BROOKS BUILDING 310 E MICHIGAN AVE MARSHALL MI 49068 DIALYSIS CLINIC, PFS & SCHEDULING 24 - STAFF LODGING HOUSE 215 HIGH MARSHALL MI 49068 ON-CALL STAFF LODGING 25 - OAKLAWN PRINT CENTER 413 E MICHIGAN MARSHALL MI 49068 DURABLE MEDICAL EQUIPMENT PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,875,941. PART II, COMMUNITY BUILDING ACTIVITIES: THE COMMUNITY BUILDING ACTIVITIES THAT OAKLAWN PARTICIPATES IN INCLUDE SERVING ON COMMITTEES AND BOARDS WITHIN THE COMMUNITY AND SURROUNDING AREAS. THESE INCLUDE BUT ARE NOT LIMITED TO, REGIONAL HEALTH ALLIANCE, FOUNTAIN CLINIC BOARD, MARSHALL SCHOOL BOARD, CISD SCHOOL WELLNESS PROGRAM AND HABITAT FOR HUMANITY. THESE AND OTHER ORGANIZATIONS WORK TO PROMOTE AWARENESS OF HEALTHY LIVING ALONG WITH ECONOMIC DEVELOPMENT. WHEN AN ECONOMY IS HEALTHY THE RESIDENTS ARE HEALTHIER. PART III, LINE 2: 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 BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS 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 BAD DEBTS 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 DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD IT IS DETERMINED TO BE UNCOLLECTIBLE. PART III, LINE 3: MANAGEMENT BELIEVES THAT APPROXIMATELY 15% OF THE TOTAL BAD DEBT EXPENSE SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: THE MEDICARE SURPLUS (SHORTFALL), TAKEN FROM THE MEDICARE COST REPORT, WAS CALCULATED USING A COST-TO-CHARGE RATIO METHODOLOGY. THE MARCH 31, 2019 MEDICARE COST REPORT WAS UTILIZED FOR THIS TAX RETURN. ALL OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE SERVICES WERE PROVIDED AT LESS THAN OUR COSTS. PART III, LINE 9B: IF THE PATIENT QUALIFIES FOR CHARITY, THE CHARITY WRITE-OFF IS TAKEN REGARDLESS OF THE PAYMENT OF THE BALANCE, WHICH WILL FOLLOW THE NORMAL BILLING CYCLE. EVERY ATTEMPT SHOULD BE MADE TO SECURE PAYMENT ARRANGEMENTS FOR THE BALANCE OWING AT THE TIME THE CHARITY CARE IS APPROVED. PROMPT PAY DISCOUNTS DO NOT APPLY SINCE THE ACCOUNT HAS ALREADY BEEN DISCOUNTED. PART VI, LINE 2: DURING ANNUAL BUDGET REVIEW AND PLANNING CYCLES, OAKLAWN ASSESSES THE HEALTHCARE NEEDS OF THE PEOPLE IN COMMUNITIES IT SERVES THROUGH PUBLIC HEALTH DATA PROVIDED AT THE COUNTY LEVEL BY CALHOUN DEPARTMENT OF PUBLIC HEALTH AND THE COORDINATING COUNCIL. THESE RESOURCES ARE COMPLEMENTED BY THE HOSPITAL'S PROPRIETARY SERVICE UTILIZATION DATA, ALONG WITH MARKET DATA FROM THE MICHIGAN INPATIENT AND OUTPATIENT DATABASES (MIDB/MODB) AND SYNDICATED PUBLIC HEALTH/USAGE DATA TO WHICH IT SUBSCRIBES. OAKLAWN FURTHER REQUIRES THAT COMMUNITY/PATIENT HEALTH NEED BE ESTABLISHED AS PART OF JUSTIFYING NEW OR EXPANDED SERVICES, AND CAPITAL EXPENDITURES.ULTIMATELY, A COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PROCESS OF GATHERING INFORMATION AND FEEDBACK ABOUT THE HEALTH STATUS OF A COMMUNITY TO IDENTIFY PROGRAMS AND INITIATIVES THAT WILL CONTRIBUTE TO IMPROVED HEALTH STATUS. DURING FISCAL YEAR ENDED 3/31/16, OAKLAWN CONDUCTED A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE 22 ZIP CODES IN ITS SERVICE AREA. CONSISTENT WITH THE MARCH 2010 PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, OAKLAWN'S INITIATIVE HAS FOUR KEY FEATURES:A. INFORMATION AND FEEDBACK OBTAINED FROM A VARIETY OF SOURCES.B. COMMUNITY LEADERS, HEALTH CARE PROVIDERS, RESIDENTS AND OTHER KEY AUDIENCES FULLY PARTICIPATE IN THE PROCESS.C. PROCESS SERVES TO IDENTIFY, THEN PRIORITIZE, UNMET OR UNDER-MET HEALTH NEEDS.D. RESULTS UTILIZED TO DEVELOP AND IMPLEMENT PROGRAMS AND INITIATIVES THAT CONTRIBUTE TO IMPROVED HEALTH STATUS IN OAKLAWN'S SERVICE AREA. PART VI, LINE 3: OAKLAWN HOSPITAL MAKES BROCHURES CALLED "ABOUT YOUR HOSPITAL BILL" WHICH ARE AVAILABLE TO OUR PATIENTS BY HANDING THEM OUT AND HAVING THEM IN WAITING ROOMS ETC. OAKLAWN HOSPITAL CALLS PATIENTS THAT HAVE LARGE BALANCES ($5,000 AND OVER) AND MAKE THEM AWARE OF THE ASSISTANCE THAT IS AVAILABLE. OAKLAWN HOSPITAL INCLUDES A STANDARD MESSAGE ON OUR STATEMENTS MAKING PATIENTS AWARE THAT ASSISTANCE MAY BE AVAILABLE. PATIENTS ARE ALSO EDUCATED ABOUT ASSISTANCE AVAILABLE WHEN HARDSHIP IS MENTIONED (INCLUDING INABILITY TO PAY TIMELY AND/OR NEEDING LONG TERM PAYOFFS) DURING PHONE CALLS WITH PATIENT FINANCIAL SERVICES. REGISTRARS ARE ALSO TRAINED TO DIRECT PATIENT TO PFS IF THEY EXPRESS ANY CONCERN WITH PAYING THEIR BILL.OAKLAWN HOSPITAL'S PATIENT CARE RESPONSIBILITY COVERS HEALTH CARE NEEDS FOR UNDERINSURED AND UNINSURED AREA RESIDENTS SEEKING TREATMENT THROUGH OUR EMERGENCY AND URGENT CARE FACILITIES, AND AT THE HOSPITAL. OAKLAWN WORKS PROACTIVELY TO ENROLL QUALIFIED AREA RESIDENTS IN OUR CHARITY CARE PROGRAM, AND TO ASSIST THEM WITH MEDICAID APPLICATIONS IF APPROPRIATE. THIS SUPPORTS THE ACTUAL CARE PROCESS NOT ONLY FOR PATIENTS BUT FOR PROVIDERS AS WELL. IT SAVES THE HOSPITAL TIME AND EFFORT, AND KEEPS PEOPLE FROM HAVING MORE SUBSTANTIAL PROBLEMS WITH CREDIT AGENCIES. OAKLAWN'S PATIENT CARE SUBSIDIES TO ASSIST THE AREA'S UNINSURED AND UNDERINSURED RESIDENTS HAVE INCREASED STEADILY SINCE 2000, AND MORE MARKEDLY IN THE PAST THREE YEARS DUE TO THE ECONOMY. OAKLAWN IS SIMILAR TO ALL NONPROFIT HOSPITALS AND WILL WRITE OFF LARGE AMOUNTS OF MONEY EACH YEAR AS THE NUMBER OF PEOPLE WHO SIMPLY CANNOT PAY FOR THEIR HEALTHCARE SERVICES PERSISTS AT A HIGH LEVEL. THESE PEOPLE INCLUDE THOSE WHO:- HAVE ABSOLUTELY NO INSURANCE;- ARE "UNDERINSURED AND CANNOT AFFORD TO MAKE UP THE DIFFERENCE OF WHAT THEIR INSURANCE PAYS FOR THE ACTUAL COSTS INCURRED FOR THEIR CARE;- ARE PART OF THE UNDER-REIMBURSED MEDICARE OR MEDICAID PROGRAMS.OAKLAWN HOSPITAL PROVIDES PATIENT CARE WITHOUT DISCRIMINATION ON THE BASIS OF RACE, SEX, OR RELIGIOUS AFFILIATION. CHARITY CARE NEEDS ARE DETERMINED IN ACCORDANCE WITH ESTABLISHED GUIDELINES THAT ARE UPDATED ANNUALLY BY THE FEDERAL CENTER FOR MEDICARE AND MEDICAID SERVICES (FORMERLY THE DEPARTMENT OF HEALTH & HUMAN SERVICES). THOSE RECEIVING COMPENSATED PATIENT CARE INCLUDE ALL AGES AND BOTH GENDERS, AND MAY BE ASSISTED FOR MENTAL HEALTH AS WELL AS MEDICINE AND MEDICAL CARE. OAKLAWN DOES NOT RECORD AND TRACK RACIAL/ETHNIC GROUPS OF OUR PATIENTS IN PROVISION OF CHARITY CARE. PART VI, LINE 4: OAKLAWN HOSPITAL'S SERVICE AREA INCLUDES CALHOUN COUNTY, MICHIGAN, AND PARTS OF BRANCH AND EATON COUNTIES. OVERALL, THE HOSPITAL SERVES AN ESTIMATED MARKET POPULATION OF 178,840 FROM THE 22 ZIP CODES COMPRISING ITS SERVICE AREA. ACCORDING TO THE US CENSUS FINDINGS, CALHOUN COUNTY'S POPULATION (CLOSEST PROXY TO THE SERVICE AREA) SKEWS SIGNIFICANTLY OLDER THAN NATIONAL AND STATE AVERAGES, AT A MEDIAN AGE OF 39.2 YEARS COMPARED TO 37.6 AND 37.2 YEARS RESPECTIVELY. BY RACE AND ETHNICITY, 96.9% OF THE COUNTY'S POPULATION SELF-REPORTS AS ONE RACE, VERSUS 97.7% (MICHIGAN) AND 97.3% (US). IT IS 82.2% WHITE; 10.9% BLACK/AFRICAN AMERICAN; 0.6% AMERICAN INDIAN/ALASKA NATIVE; AND 1.6% ASIAN. THE COUNTY'S CENSUS SHOWED 4.5% CLAIM HISPANIC/LATINO OF ANY RACE. OAKLAWN WAS FOUNDED IN 1925 AS A 12-BED HOSPITAL IN A RESIDENTIAL HOME IN MARSHALL, MICHIGAN, AND HAS SINCE EVOLVED INTO A HIGHLY-REGARDED REGIONAL HEALTH CARE ORGANIZATION, LICENSED FOR 77 ACUTE CARE BEDS AND A 17-BED INPATIENT PSYCHIATRIC UNIT. ITS ACTIVE, COURTESY, AND CONSULTING MEDICAL STAFF CONSISTS OF MORE THAN 150 PHYSICIANS REPRESENTING 34 SPECIALTIES. THE HOSPITAL HAS CONTINUED TO BE AN INDEPENDENTLY OWNED NON-PROFIT HOSPITAL, WITH ITS MAIN CAMPUS RESIDING ON THE SAME SITE AS THE ORIGINAL HOSPITAL. PART VI, LINE 5: HOSPITALS ARE ALREADY KNOWN AS LOCAL CAREGIVERS AND MAJOR EMPLOYERS, BUT THEY MUST ALSO BECOME MORE RECOGNIZED AS COMMUNITY STEWARDS, AFFIRMING THEIR PURPOSE AS TAX-EXEMPT ENTITIES. THE MICHIGAN HOSPITAL & HEALTH ASSOCIATION'S ANNUAL COMMUNITY BENEFITS SURVEY IS OAKLAWN HOSPITAL'S PRIMARY OPPORTUNITY TO PRESENT THE ENTIRETY OF ITS COMMUNITY BENEFIT PROGRAMS AND SERVICES AND TO PROMOTE THE SUCCESS AND IMPACT OF THESE PROGRAMS AND SERVICES. OAKLAWN'S "COMMUNITY BENEFITS" REACHED $17,774,209 IN 2010, THE MOST RECENT REPORTING YEAR AVAILABLE. THE HOSPITAL CONTRIBUTED FINANCIAL OR IN-KIND BENEFITS OF $635,699 TOWARD IMPROVED HEALTH SERVICES, $1,765,000 IN MEDICAL EDUCATION AND RESEARCH, AND $293,246 TO COMMUNITY-BUILDING EFFORTS. OAKLAWN PROVIDED $15.08 MILLION IN UNCOMPENSATED MEDICAL CARE IN 2010, INCLUDING $672,702 IN CHARITY CARE, $2,216,000 IN BAD DEBTS, AND $12,191,672 IN "BELOW COST" REIMBURSEMENTS FROM MEDICAID, MEDICARE, AND OTHER GOVERNMENT-AUTHORIZED PROGRAMS.A MONTHLY "WHAT'S HAPPENING AT OAKLAWN" SCHEDULE IS PUBLISHED IN AREA NEWSPAPERS AND ONLINE AT OAKLAWN'S WEB SITE TO SHOWCASE THE MONTH'S COMMUNITY PROGRAM OFFERINGS AND EVENTS. FURTHER, OAKLAWN ALIGNS WITH AREA SCHOOLS, COMMUNITY AGENCIES, HEALTH CLINICS, AND HEALTHCARE COLLABORATIONS TO PROVIDE EXPERTISE, SERVICES AND PUBLIC HEALTH EVENT SUPPORT ONGOING. PART VI, LINE 7, REPORTS FILED WITH STATES MI X 1 1 X X X 1 1 0 0 0 0 0 1 0 GREGG BEEG PRESIDENT & CEO 329949 0 51095 0 17134 0 5400 0 8626 0 412204 0 0 0 ANDREW POOLE III INTERIM CHIEF FINANCIAL OFFICER 193983 0 0 0 0 0 2951 0 949 0 197883 0 0 0 SHARON THOMAS-BOYD CHIEF SUPPORT & ANCILLARY SVC OFFICE 218421 0 37160 0 11604 0 4749 0 13528 0 285462 0 0 0 SUMMER LISTON-CRANDALL CHIEF OF STAFF 274407 0 15751 0 0 0 5400 0 20345 0 315903 0 0 0 GINGER WILLIAMS MD FACEP FACHE PRESIDENT & CEO - PART YEAR 325190 0 137023 0 1034090 0 5400 0 2790 0 1504493 0 0 0 THERESA DAWSON CHIEF NURSING OFFICER 213462 0 32370 0 0 0 4524 0 14084 0 264440 0 0 0 MILTON MCCLURKAN CHIEF STRATEGY OFFICER - PART YEAR 118364 0 39947 0 72279 0 5008 0 0 0 235598 0 0 0 URVISH SHAH MD 603564 0 562113 0 0 0 5400 0 20994 0 1192071 0 0 0 SUBHASH THAKUR MD 647160 0 231316 0 7212 0 5400 0 20994 0 912082 0 0 0 MICHAEL STERRETT MD 536858 0 172740 0 0 0 5400 0 3540 0 718538 0 0 0 WILLIAM COMAI MD 647795 0 0 0 0 0 0 0 14325 0 662120 0 0 0 AAJAY SHAH MD 625052 0 0 0 0 0 5400 0 20994 0 651446 0 0 0 MARTIN GOINS III MD FORMER CHIEF OF STAFF 357346 0 0 0 13488 0 5400 0 15043 0 391277 0 0 0 PART I, LINE 1A ALL EMPLOYEES, INCLUDING EXECUTIVES ARE PROVIDED A MEMBERSHIP TO THE ORGANIZATION'S FITNESS CENTER. PART I, LINES 4A-B GINGER WILLIAMS RECEIVED $223,310 AND MILTON MCCLURKAN RECEIVED $62,600 IN SEVERANCE PAYMENTS. GINGER WILLIAMS, SHARON BOYD-THOMAS, THERESA DAWSON, AND GREGG BEEG ALL PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE PLAN DURING THE YEAR: SHARON BOYD-THOMAS: $11,604; AND GINGER WILLIAMS: $758,082; AND GREGG BEEG: $17,134 PART I, LINE 7 ORGANIZATION HAS A BONUS PLAN IN PLACE, IT IS BASED ON THE INDIVIDUAL ACHIEVEMENT OF PRESET OAKLAWN HOSPITAL GOALS. THESE GOALS ARE A COMBINATION OF FINANCIAL, CLINICAL, DEVELOPMENT AND INDIVIDUAL SPECIFIC OBJECTIVES. THE DETERMINATION OF THE ACHIEVEMENT OF THESE GOALS IS MADE BY THE PRESIDENT/CEO AND FOR THE PRESIDENT/CEO BY THE BOARD OF DIRECTORS. A COUNTY OF CALHOUN HOSPITAL FINANCE AUTHORITY 386004358 NONEAVAIL 2008-11-05 8000000 CURRENT REFUND OF PRIOR BOND ISSUE 0 0 0 B COUNTY OF CALHOUN HOSPITAL FINANCE AUTHORITY 386004358 12964UAK8 2016-11-01 68516856 CURRENT REFUND OF PRIOR BOND ISSUE 0 0 0 A 5760000 8000000 2008 1 0 1 1 B 68517080 1358549 67158531 2019 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART I, LINE A, COLUMN (F): DATE OF ISSUANCE OF PRIOR BOND ISSUE CURRENTLY REFUNDED: 12/22/2005 PART I, LINE B, COLUMN (F): ALSO REFINANCED CONVENTIONAL BANK LOANS AND FINANCED TERMINATION OF THREE QUALIFIED HEDGES RELATING TO REFUNDED BOND ISSUES PART I, LINE B, COLUMN (F): DATES OF ISSUANCE OF PRIOR BOND ISSUES CURRENTLY REFUNDED: 12/22/2009, 12/22/2009, 12/23/2010 PART II, LINE 3, COLUMN (B): DIFFERENCE BETWEEN THIS FIGURE AND THAT IN PART 1, LINE D, COLUMN (E) ATTRIBUTABLE TO INVESTMENT EARNINGS PART II, LINE 11, COLUMN (B): SUM EQUAL TO PROCEEDS SPENT ON CURRENT REFUNDINGS OF PRIOR BOND ISSUES + REFUNDINGS OF CONVENTIONAL BANK LOANS + TERMINATION OF QUALIFIED HEDGES PART IV, LINE 2C, COLUMN (A): DATE OF COMPUTATION WAS OCTOBER 31, 2013; REPORT STATED THAT NO FURTHER COMPUTATIONS WOULD BE NECESSARY PROVIDED THAT CERTAIN CONDITIONS WERE MET. OAKLAWN HOSPITAL CERTIFIED ON JANUARY 11, 2019 THAT THOSE CONDITIONS HAD BEEN MET. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY THE CFO AND PRESIDENT/CEO. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND STAFF WILL SIGN A CONFLICT OF INTEREST POLICY ANNUALLY, AND THESE WILL BE REVIEWED FOR CONFLICTS BY THE PRESIDENT. THE CONFLICT OF INTEREST POLICY IS SUBMITTED TO EACH BOARD MEMBER ANNUALLY AND EACH MEMBER ACKNOWLEDGES RECEIPT IN WRITING SO THAT THE MEMBERS ARE CONTINUOUSLY AWARE OF THE POLICY. IT IS THE DUTY OF THE COMPLIANCE OFFICER TO PERIODICALLY MONITOR COMPLIANCE WITH THE POLICY AND REPORT THE RESULTS OF THIS REVIEW TO THE BOARD OF DIRECTORS. AFTER THE MATERIAL INFORMATION HAS BEEN DISCLOSED AND THE POTENTIAL CONFLICT ANALYZED, IF NO CONFLICT OF INTEREST EXISTS, THE DISCLOSURE, ANALYSIS AND RESOLUTION SHALL BE DOCUMENTED AND SUBMITTED AS DIRECTED IN THE ABOVE PROCEDURE. IF A CONFLICT IS IDENTIFIED, THEN MEASURES SHALL BE INSTITUTED FOR MANAGEMENT OF THE CONFLICT. IN MOST INSTANCES, DISCLOSURE OF THE CONFLICTING OR POTENTIALLY CONFLICTING INTEREST MAY ITSELF SUFFICE TO PROTECT THE INTEGRITY OF THE ACTIVITY. IN OTHER WORDS, ONCE SUCH A CONFLICT IS FULLY DISCLOSED TO THE PERTINENT PARTIES, OFTEN THEY WILL BE ABLE TO TAKE INTO CONSIDERATION THE POSSIBLE INFLUENCE OF DISCLOSED INTEREST. FOR THOSE INSTANCES WHERE DISCLOSURE ALONE WILL NOT PROTECT THE INTEGRITY OF THE ACTIVITY, CONFLICT RESOLUTION STRATEGIES MAY INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - FULL DISCLOSURE OF POTENTIAL CONFLICTS TO THE DECISION-MAKING BODY BEFORE ACTION IS TAKEN THAT MAY BE AFFECTED BY THE POTENTIAL CONFLICT - REMOVAL FROM A PART(S) OF THE DECISION-MAKING PROCESS - REMOVAL FROM FINAL DECISION-MAKING PROCESS - RETENTION OF EQUITY UNTIL DECISION IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 15 A BOARD SUBCOMMITTEE REVIEWS THE COMPENSATION PACKAGE ANNUALLY WITH THE ASSISTANCE OF AN INDEPENDENT CONSULTING FIRM. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR ENDING MARCH 31, 2019. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST ALBION DIALYSIS REAL ESTATE LLC 203 NORTH MADISON MARSHALL MI 49068 811548893 REAL ESTATE MI ELLA E M BROWN CHARITABLE CIRCLE (DBA OAKLAWN HOSPITAL) EXCLUDED 45056 1235108 0 1 0.70000 OAKLAWN PAIN MANAGEMENT CENTER LLC 200 N MADISON AVE MARSHALL MI 49068 474876605 HEALTHCARE MI ELLA E M BROWN CHARITABLE CIRCLE (DBA OAKLAWN HOSPITAL) EXCLUDED 32999 151181 0 1 0.51000 OAKLAWN DIALYSIS CENTER OF ALBION LLC 350 B DRIVE NORTH ALBION MI 49233 474284465 HEALTHCARE MI ELLA E M BROWN CHARITABLE CIRCLE (DBA OAKLAWN HOSPITAL) EXCLUDED -8709 982033 0 1 0.55000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0