2019-07-03T13:46:18-05:00 2018-09-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2017-10-01 383180997 MICHIGAN CENTER FOR RURAL HEALTH MICH 5174329216 MSU B-218 FEE HALL EAST LANSING MI 488241316 JOHN BARNAS EXECUTIVE DIRECTOR 5173557979 2019-04-22 1 JAMES R DEDYNE CPA P00010219 5173237500 2019-04-23 216.163.63.50 2019-04-22 14:46:56 ED P 74C3A4D401A4F08B2FC93B27D5CEF8AFC2A0DAB8 E48C13925EA8FA98FCB1E68033C89751E4DE1AC3 2017 2020-03-31 21:24:44Z JOHN BARNAS MSU B-218 FEE HALL EAST LANSING MI 488241316 3147680 0 X WWW.MCRH.MSU.EDU X 1994 MI TO COORDINATE, PLAN, & ADVOCATE FOR IMPROVED HEALTH FOR MICHIGAN'S RURAL RESIDENTS & COMMUNITIES. 12 12 12 13 0 0 1666357 2834430 303897 309856 3317 3394 0 0 1973571 3147680 931467 1582197 0 0 504503 594238 0 0 0 464539 852847 1900509 3029282 73062 118398 565535 686178 158066 160311 407469 525867 X THE PURPOSE OF THE CORPORATION IS TO DEVELOP A COORDINATED RURAL HEALTH PROGRAM, TO CONDUCT RESEARCH REGARDING RURAL HEALTH ISSUES, TO ASSIST RURAL COMMUNITIES IN HEALTH RELATED AREAS, AND SUCH OTHER PURPOSES AS THE BOARD SHALL DETERMINE FROM TIME TO TIME, IN GENERAL CONFORMANCE WITH THE STATUTE AUTHORIZING THE CREATION OF THE CORPORATION. 1 0 865304 30000 38676 RH FLEXIBILITY PROGRAM: CREATES A SERIES OF RURAL NETWORKS THROUGH WHICH THE CRITICAL ACCESS HOSPITALS WILL BE ABLE TO IMPROVE HEALTH SERVICES WITHIN MICHIGAN RURAL COMMUNITIES. 596000 596000 PRIMARY CARE CONTRACT: PROGRAM TO INCREASE ACCESS TO PRIMARY CARE SERVICES ON MICHIGAN'S INHABITED ISLANDS. 500000 499003 RURAL HEALTH CLINIC OPIOID ADDICTION TREATMENT: PROVIDES FUNDING TO RURAL HEALTH CLINICS TO EQUIP THEM TO IDENTIFY, TREAT, PREVENT AND SUPPORT PATIENTS WITH OPIOID ADDICTIONS. 432000 413694 SMALL HOSPITAL IMPROVEMENT PROGRAM: PROGRAM TO IMPLEMENT ACTIVITIES AND PROVIDE SERVICES FOR IMPROVING SMALL HOSPITALS IN RURAL AREAS OF MICHIGAN. 584223 43500 271180 OTHER PROGRAM SERVICES: INCLUDES THE TRANSFORMING CLINICAL PRACTICE INITIATIVE AND SAFER OPIOID PRESCRIBING PRACTICES AND DATA COLLECTION. 1016223 457194 271180 2977527 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 12 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MI X JOHN BARNAS 5174329216 MSU B-218 FEE HALL EAST LANSING MI 48824 WILLIAM D STRAMPEL DIRECTOR (ENDED MARCH 2018) 1.00 X 0 0 0 ANDREA AMALFITANODO DIRECTOR (BEGAN MARCH 2018) 1.00 X 0 0 0 THOMAS J VERYSER DIRECTOR 1.00 X 0 0 0 NANCY L SPENCER DIRECTOR 1.00 X 0 0 0 JODY HANSEN DIRECTOR 1.00 X 0 0 0 NICHOLAS DERUSHA DIRECTOR 1.00 X 0 0 0 SUE ALLOR DIRECTOR 1.00 X 0 0 0 KATHY WAHL DIRECTOR 1.00 X 0 0 0 EDWARD CANFIELD DO DIRECTOR 1.00 X 0 0 0 GEOFF HANSEN DIRECTOR 1.00 X 0 0 0 BETH NAGEL SECRETARY/TREASURER 1.00 X X 0 0 0 DAVID B JAHN VICE PRESIDENT 2.00 X X 0 0 0 AFONSO C FERREIRA MD PRESIDENT 2.00 X X 0 0 0 JOHN BARNAS EXECUTIVE DIRECTOR 40.00 X 93884 0 28025 93884 0 28025 0 0 0 0 0 2834430 2834430 CONSULTING 541900 207495 207495 CONFERENCE REGISTRATIO 611710 102361 102361 309856 3394 3394 3147680 309856 0 3394 1582197 1582197 121909 118428 3481 378468 367661 10807 18205 17685 520 38355 29412 8943 37301 32438 4863 73078 61921 11157 18643 18643 25759 23315 2444 80812 75017 5795 84277 84277 4586 3404 1182 CAH EXPENSES 478912 478912 EMS SERVICE 66015 66015 DUES AND MEMBERSHIPS 20765 18202 2563 3029282 2977527 51755 0 51012 139696 424790 486770 89733 59712 1500 1500 0 0 565535 686178 2602 3047 155464 157264 158066 160311 X 407469 525867 407469 525867 565535 686178 118398 0 X 0 1 X 1 1 1 X 1827857 1806293 1853353 1666357 2834430 9988290 1827857 1806293 1853353 1666357 2834430 9988290 9988290 858 785 2370 3317 3394 10724 9999014 1455026 0.99890 0.99890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1500 1500 0 0 X 3161380 13700 13700 3147680 0 3147680 3042982 13700 13700 3029282 0 3029282 PART X, LINE 2: IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. 1 ALCONA HEALTH CENTER 177 N BARLOW ROAD LINCOLN MI 48472 382170985 501(C)(3) 50000 SEE STATEMENT 5. ALLEGAN GENERAL HOSPITAL 555 LINN ST ALLEGAN MI 49010 381359180 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. ASPIRUS GRAND VIEW HOSPITAL 10561 N GRAND VIEW LN IRONWOOD MI 49938 232330671 501(C)(3) 35419 SEE STATEMENTS 1, 4 AND 5. ASPIRUS IRON RIVER 1400 W ICE LAKE RD IRON RIVER MI 49935 383236977 501(C)(3) 9819 SEE STATEMENTS 1 AND 4. ASPIRUS KEWEENAW 205 OSCEOLA ST LAURIUM MI 499132199 381443361 501(C)(3) 40419 SEE STATEMENTS 1, 2 AND 4. ASPIRUS ONTONAGON HOSPITAL 601 S SEVENTH ST ONTONAGON MI 499531496 382860882 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. BARAGA COUNTY MEMORIAL HOSPITAL 770 N MAIN ST LANSE MI 49946 382892565 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. BEAVER ISLAND RHC 3730 KINGS HIGHWAY BEAVER ISLAND MI 49782 383299988 501(C)(3) 200000 SEE STATEMENT 3. BOIS BLANC MEDICAL CLINIC 431 SIOUX AVE POINTE AUX PINS MI 49775 208756459 501(C)(3) 25000 SEE STATEMENT 3. BORGESS-LEE MEMORIAL HOSPITAL 420 W HIGH ST DOWAGIAC MI 49047 381490190 501(C)(3) 8619 SEE STATEMENT 1. BRONSON LAKEVIEW HOSPITAL 408 HAZEN ST PAWPAW MI 490790209 381359218 501(C)(3) 8619 SEE STATEMENT 1. BRONSON SOUTH HAVEN HOSPITAL 601 JOHN STREET BOX 26 KALAMAZOO MI 49007 381676780 501(C)(3) 8619 SEE STATEMENT 1. CARO COMMUNITY HOSPITAL 401 N HOOPER PO BOX 435 CARO MI 487230435 383426063 501(C)(3) 9819 SEE STATEMENTS 1 AND 4. CHIPPEWA CNTY WAR MEMORIAL HOSPITAL INC 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 382602147 501(C)(3) 150000 SEE STATEMENT 5. DECKERVILLE COMMUNITY HOSPITAL 3559 PINE ST PO BOX 126 DECKERVILLE MI 48427 381415390 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. DRUMMOND ISLAND MEDICAL CENTER PO BOX 98 DRUMMOND ISLAND MI 49726 383503863 501(C)(3) 122451 SEE STATEMENT 3. EATON RAPIDS MEDICAL CENTER 1500 S MAIN ST EATON RAPIDS MI 48827 381559180 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. HARBOR BEACH COMMUNITY HOSPITAL 210 S FIRST ST HARBOR BEACH MI 484410040 381565380 501(C)(3) 11619 SEE STATEMENTS 1 AND 4. HAYES GREEN BEACH HOSPITAL 321 E HARRIS ST CHARLOTTE MI 48813 382007629 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. HELEN NEWBERRY JOY HOSPITAL 502 W HARRIE ST NEWBERRY MI 49868 382873485 501(C)(3) 110119 SEE STATEMENTS 1, 4 AND 5. HILLS & DALES HOSPITAL 4675 HILL ST CASS CITY MI 487261099 381619577 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. HILLSDALE HOSPITAL 168 SOUTH HOWELL STREET HILLSDALE MI 49242 386005550 501(C)(3) 8619 SEE STATEMENT 1. HURON MEDICAL CENTER 1100 S VAN DYKE RD BAD AXE MI 48413 381474929 501(C)(3) 8619 SEE STATEMENT 1. KALKASKA HOSPITAL 419 S CORAL ST PO BOX 249 KALKASKA MI 496469348 386032904 501(C)(3) 8619 SEE STATEMENT 1. LAKE SUPERIOR STATE UNIVERSITY 650 WEST EASTERDAY AVENUE SAULT STE MARIE MI 49783 382576021 501(C)(3) 9935 SEE STATEMENT 3. MACKINAC ISLAND MEDICAL CENTER 7474 MARKET STREET MACKINAC ISLAND MI 49757 382218858 501(C)(3) 200000 SEE STATEMENT 3. MACKINAC STRAITS HEALTH SYSTEM 1140 N STATE STREET ST IGNACE MI 49781 208756459 501(C)(3) 34219 SEE STATEMENTS 1, 4 AND 5. MARLETTE COMMUNITY HOSPITAL 2770 MAIN ST PO BOX 307 MARLETTE MI 484530307 381507302 501(C)(3) 9819 SEE STATEMENTS 1 AND 4. MCKENZIE HEALTH SYSTEM 120 DELAWARE ST SANDUSKY MI 484711087 381738615 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. MERCY HEALTH PARTNERS LAKESHORE 720 S STATE STREET SHELBY MI 49455 382549295 501(C)(3) 8619 SEE STATEMENT 1. MICHIGAN STATE UNIVERSITY 535 CHESTNUT RD ROOM 300 EAST LANSING MI 48824 386005984 501(C)(3) 7500 SEE STATEMENT 4. MIDMICHIGAN MEDICAL CENTER-CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 501(C)(3) 8619 SEE STATEMENT 1. MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 S QUARTER ST GLADWIN MI 48624 386020434 501(C)(3) 8619 SEE STATEMENT 1. MUNISING MEMORIAL HOSPITAL 1500 SAND POINT RD MUNISING MI 49862 381507046 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. MUNSON HEALTHCARE 1105 SIXTH ST TRAVERSE CITY MI 49684 382640544 501(C)(3) 25002 SEE STATEMENT 5. MUNSON HEALTHCARE CHARLEVOIX 14700 LAKE SHORE DRIVE CHARLEVOIX MI 49720 381459366 501(C)(3) 8619 SEE STATEMENT 1. MUNSON HEALTHCARE GRAYLING 1100 E MICHIGAN AVENUE GRAYLING MI 49738 471161992 501(C)(3) 8619 SEE STATEMENT 1. MUNSON HEALTHCARE MANISTEE 1465 E PARKDALE AVE MANISTEE MI 49660 380350304 501(C)(3) 8619 SEE STATEMENT 1. OSF ST FRANCIS 3401 LUDINGTON ESCANABA MI 49829 381359528 501(C)(3) 82920 SEE STATEMENTS 1 AND 5. OTSEGO MEMORIAL HOSPITAL 825 N CENTER ST GAYLORD MI 49735 381303843 501(C)(3) 8619 SEE STATEMENT 1. PAUL OLIVER MEMORIAL HOSPITAL 224 PARK AVE FRANKFORT MI 496359348 381415623 501(C)(3) 8619 SEE STATEMENT 1. PORTAGE HEALTH SYSTEM 500 CAMPUS DR HANCOCK MI 499301576 381381288 501(C)(3) 8619 SEE STATEMENT 1. SCHEURER HOSPITAL 170 N CASEVILLE RD PIGEON MI 48755 381456056 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. SCHOOLCRAFT MEMORIAL HOSPITAL 500 MAIN ST MANISTIQUE MI 49854 742517055 501(C)(3) 60419 SEE STATEMENTS 1, 4 AND 5. SHERIDAN COMMUNITY HOSPITAL 301 N MAIN ST SHERIDAN MI 488849775 381369796 501(C)(3) 10419 SEE STATEMENTS 1 AND 4. SPARROW CARSON CITY 406 E ELM STREET PO BOX 879 CARSON CITY MI 48811 381490180 501(C)(3) 8619 SEE STATEMENT 1. SPARROW CLINTON HOSPITAL 805 S OAKLAND/PO BOX 260 ST JOHNS MI 488792253 381358172 501(C)(3) 8619 SEE STATEMENT 1. SPARROW IONIA 479 LAFAYETTE ST IONIA MI 48846 383218134 501(C)(3) 8619 SEE STATEMENT 1. SPECTRUM HEALTH SYSTEM 100 MICHIGAN ST NE GRAND RAPIDS MI 49503 381360529 501(C)(3) 43092 SEE STATEMENT 1. ST JOSEPH HEALTH SYSTEM 200 HEMLOCK ST TAWAS CITY MI 48764 384443395 501(C)(3) 8617 SEE STATEMENT 1. ST MARY'S STANDISH HOSPITAL 805 W CEDAR ST STANDISH MI 48658 381671120 501(C)(3) 8619 SEE STATEMENT 1. STURGIS HOSPITAL 916 MYRTLE ST STURGIS MI 49091 352362438 501(C)(3) 8619 SEE STATEMENT 1. THREE RIVERS HEALTH 1111 W BROADWAY THREE RIVERS MI 49093 382317300 501(C)(3) 8617 SEE STATEMENT 1. TOWNSHIP OF BURT ALGER COUNTY PO BOX 430 GRAND MARAIS MI 49839 386006889 501(C)(3) 7713 SEE STATEMENT 3. WEST MACKINAC HEALTH ASSOCIATION PO BOX 182 ENGADINE MI 49827 382784832 501(C)(3) 25901 SEE STATEMENT 3. 55 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS FOR GRANT FUNDS INCLUDED WITH STATEMENT 1 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE OBSERVING THE DETAIL OF EXPENDITURES PROVIDED BY THE HOSPITALS IN THE APPLICATION FOR FUNDS IN THE UPCOMING YEAR. FOR GRANT FUNDS INCLUDED WITH STATEMENT 2 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE THE COLLECTION OF DATA SUBMITTED BY THE GRANT RECIPIENTS WITH REGARD TO THE USAGE OF GRANT FUND EQUIPMENT. THE GRANT RECIPIENT IS ALSO REQUIRED TO SIGN A MAINTENANCE AGREEMENT FOR THE EQUIPMENT AND PROVIDE AN ANNUAL INSPECTION FORM TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 3 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE GATHERING INFORMATION REGARDING HOW THE FUNDS WERE USED BY EACH OF THE CLINICS IN ORDER TO SUBMIT A REPORT TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 4 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE DISBURSING SCHOLARSHIP FUNDS DIRECTLY TO THE ACCREDITED UNIVERSITY. FOR GRANT FUNDS INCLUDED WITH STATEMENT 5 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE FOLLOWING UP WITH THE GRANT RECIPIENTS AFTER ONE YEAR TO ENSURE GRANT FUNDS WERE USED FOR INTENDED PURPOSES. FORM 990, SCHEDULE I, PART II, COLUMN H: DESCRIPTION OF GRANT OR ASSISTANCE STATEMENT 1: IMPROVE HOSPITAL INPATIENT CARE- PROGRAM TO IMPLEMENT ACTIVITIES AND PROVIDE SERVICES FOR IMPROVING SMALL HOSPITALS IN RURAL AREAS OF MICHIGAN. STATEMENT 2: RH FLEXIBILITY PROGRAM- CREATES A SERIES OF RURAL NETWORKS THROUGH WHICH THE CRITICAL ACCESS HOSPITALS WILL BE ABLE TO IMPROVE HEALTH SERVICES WITHIN MICHIGAN RURAL COMMUNITIES. STATEMENT 3: INCREASE ACCESS TO PRIMARY CARE SERVICES ON MICHIGAN'S INHABITED ISLANDS AND RURAL CLINICS. STATEMENT 4: SCHOLARSHIPS FOR STUDENTS TO ATTEND RURAL OSTEOCHAMPS. STATEMENT 5: RURAL HEALTH CLINIC OPIOID ADDICTION TREATMENT- TO PROVIDE FUNDING TO RURAL HEALTH CLINICS TO EQUIP THEM TO IDENTIFY, TREAT, PREVENT AND SUPPORT PATIENTS WITH OPIOID ADDICTIONS. FORM 990, PART III, LINE 2 THERE WERE TWO NEW PROGRAMS IN THE CURRENT YEAR: (1) THE RURAL HEALTH CLINIC OPIOID ADDICTION TREATMENT PROGRAM TO PROVIDE FUNDING TO RURAL HEALTH CLINICS TO EQUIP THEM TO IDENTIFY, TREAT, PREVENT AND SUPPORT PATIENTS WITH OPIOID ADDICTIONS. (2) THE SAFER OPIOID PRESCRIBING PRACTICES AND DATA COLLECTION PROGRAM TO PROVIDE LOCAL LEVEL EDUCATION TO PRIMARY CARE PROVIDERS, EMERGENCY DEPARTMENT PERSONNEL, PRACTICE MANAGERS AND HOSPITAL ADMINISTRATORS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS MAY AUTHORIZE ANY OFFICER OR OFFICERS, AGENT OR AGENTS, TO ENTER INTO ANY CONTRACT OR EXECUTE OR DELIVER ANY CONVEYANCE OR OTHER INSTRUMENT IN THE NAME OF THE CORPORATION, AND SUCH AUTHORITY MAY BE GENERAL OR CONFINED TO SPECIFIC INSTANCES. FORM 990, PART VI, SECTION B, LINE 11B THE CPA FIRM PRESENTS THE FORM 990 TO THE EXECUTIVE COMMITTEE FOR REVIEW; ONE WEEK LATER, THE FORM 990 IS PRESENTED BY THE CPA FIRM TO THE FULL BOARD OF DIRECTORS AT THE JANUARY BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED ANNUALLY TO ALL BOARD MEMBERS AND TO EACH NEW BOARD MEMBER AS THEY ARE ADDED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE SECRETARY/TREASURER REVIEWS MICHIGAN NONPROFIT ASSOCIATION COMPENSATION SURVEY DATA AND THE STATE OF MICHIGAN EMPLOYEE DATA AND PRESENTS THE INFORMATION/RECOMMENDATION TO THE EXECUTIVE COMMITTEE FOR APPROVAL; THEN IT IS PRESENTED TO THE FULL BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.