2017-11-15T16:21:25-06:00 2016-12-31 381357951 PLANTE & MORAN PLLC 750 Trade Centre Way Ste 300 Portage MI 49002 990 2016-01-01 451257972 THREE RIVERS HEALTH SYSTEM INC THRE 2692781145 701 S HEALTH PARKWAY THREE RIVERS MI 49093 steve andrews CFO 2692781145 2017-11-15 1 Carol LaLonde CPA P00181637 2695674500 2017-11-15 67.59.56.31 2017-11-15 15:25:08 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 737BA0023E8B7B7720E7709DD3402E7D4390A0C6 2016 2017-02-10 21:41:12Z THREE RIVERS HEALTH STEVE ANDREWS 701 S HEALTH PARKWAY THREE RIVERS MI 49093 61559373 0 X WWW.THREERIVERSHEALTH.ORG X 2011 MI SEE SCHEDULE O. 10 8 587 101 0 0 326461 295000 56016354 61013031 2585 15024 196613 206807 56542013 61529862 0 0 0 0 25761744 28472234 0 0 0 30432014 33531306 56193758 62003540 348255 -473678 16925787 16972640 11128495 11649026 5797292 5323614 THREE RIVERS HEALTH IS COMMITTED TO THE SUSTAINED WELL BEING OF OUR PATIENTS, FAMILIES, AND COMMUNITIES THROUGH HIGH QUALITY, LOW COST, DYNAMIC HEALTHCARE. 0 0 51012529 61013031 GENERAL ACUTE SERVICES FOR COMMUNITY INPATIENT AND OUTPATIENT SERVICES. 51012529 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 31 0 1 587 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X STEVEN T ANDREWS 2692739604 701 S HEALTH PARKWAY THREE RIVERS MI 49093 LARRY CLARK BOARD CHAIR 5.00 1.10 X X 0 0 0 LAURIE HINES VICE CHAIR 3.00 0.00 X X 0 0 0 DIANA DEGRAAF SECRETARY 3.00 0.00 X X 0 0 0 RAY BENDURE TREASURER 5.00 1.10 X X 0 0 0 MARY BETH FLEURY BOARD MEMBER 3.00 0.00 X 0 0 0 JANELL HART BOARD MEMBER 3.00 0.00 X 0 0 0 JOHN TOUSE BOARD MEMBER 3.00 0.00 X 0 0 0 JAMES MACDONALD DO BOARD MEMBER 40.00 0.00 X 0 328495 51157 RICK CORDES BOARD MEMBER 3.00 0.00 X 0 0 0 JESSICA PUCKETT DO CHIEF OF STAFF 40.00 0.00 X 0 362502 36722 ANDY GOLDBERGER BOARD MEMBER - PART YEAR 3.00 0.00 X 0 0 0 DOUG MITCHELL BOARD MEMBER - PART YEAR 3.00 0.00 X 0 0 0 JENNIFER GRABER BOARD MEMBER - PART YEAR 3.00 0.00 X 0 0 0 GLENDORA GREENE MD BOARD MEMBER - PART YEAR 40.00 0.00 X 0 53075 5465 WILLIAM RUSSELL PRESIDENT/CEO 40.00 4.00 X 275241 0 77213 STEVE ANDREWS CFO 40.00 4.00 X 183206 0 62950 HOPE BAILEY VICE PRESIDENT 40.00 3.00 X 152544 0 31910 BRIAN CLARK CRNA 40.00 0.00 X 257506 0 46882 CHAD BUSH CRNA 40.00 0.00 X 256719 0 45773 RANDALL SMITH CRNA 40.00 0.00 X 252402 0 25232 LEONARD DARLING PHARMACY MANAGER 40.00 0.00 X 140126 0 27950 LYNETTE BURKETT AUDIOLOGIST 40.00 0.00 X 132832 0 25369 1650576 744072 436623 14 0 1 0 QHR 1573 MALLORY LANE BRENTWOOD TN 37027 HOSPITAL MANAGEMENT 993702 BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49048 PHYSICIAN, IT SERVICES, LAUNDRY 964644 WEST MICHIGAN ENT 3850 GLENKERRY COURT PORTAGE MI 49024 PHYSICIAN SERVICES 948356 KALAMAZOO FOOT & ANKLE 12057 WEST INDIAN LAKE DR VICKSBURG MI 49097 PHYSICIAN SERVICES 945094 ATHENA HEALTH 311 ARSENAL ST WATERTOWN MA 02472 REVENUE CYCLE SERVICES 634774 26 295000 295000 NET PATIENT REVENUE 621110 61013031 61013031 61013031 5374 5374 111088 29511 81577 81577 81577 9650 0 9650 9650 9650 CAFETERIA/VENDING 900099 98131 98131 MISCELLANEOUS 900099 27099 27099 125230 61529862 61013031 0 221831 X 783064 313226 469838 21771091 18811190 2959901 229613 206652 22961 4264374 3837937 426437 1424092 1281683 142409 782677 234803 547874 396777 396777 98937 19787 79150 9088 9088 21437 21437 9511198 4687889 4823309 2738 610 2128 119858 119858 871838 871838 158677 158677 244191 244191 2127744 2127744 428496 65540 362956 MEDICAL SUPPLIES 7552725 7396727 155998 PHYSICIAN FEES 4465472 4465472 BAD DEBT EXPENSE 4267550 4267550 EQUIP RENTAL AND MAINTE 1988195 1515868 472327 483708 483708 62003540 51012529 10991011 0 1433608 3387989 3545816 3091440 1044933 921282 869941 779997 51747599 43127371 9603290 8620228 414698 119151 13501 52553 16925787 16972640 5879562 5769858 4773971 4931922 474962 947246 11128495 11649026 X 0 0 0 0 5797292 5323614 5797292 5323614 16925787 16972640 -473678 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9088 9088 0 Part II-B, Line 1: A PORTION OF MHA DUES IS ALLOCATED TO LOBBYING EXPENSE. 219500 219500 21192504 15774713 5417791 1485997 1419178 66819 28849598 25933480 2916118 8620228 COST REPORT SETTLEMENTS PAYABLE 947246 947246 1 1 X 1 X 1 X 1 1 0 1 1 70260 70260 0.00120 14251208 10106514 4144694 0.07180 14321468 10106514 4214954 0.07300 116396 116396 0.00200 264637 264637 0.00460 12688670 7143929 5544741 0.09600 13069703 7143929 5925774 0.10260 27391171 17250443 10140728 0.17560 1 4267550 685000 8579162 9334176 -755014 X 1 1 THREE RIVERS HEALTH 701 S HEALTH PARKWAY Three Rivers MI 49093 1060000006 X X X THREE RIVERS HEALTH 1 0 0 1 X X X X X X X X X X 16 1 1 1 1 X http://www.threerivershealth.org/ X 1 16 1 http://www.threerivershealth.org/ 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X http://www.threerivershealth.org/financial-assistance/ X http://www.threerivershealth.org/financial-assistance/ X http://www.threerivershealth.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 THREE RIVERS HEALTH Part V, Section B, Line 3j: THE CHNA CONTENT INCLUDED THE PROJECT OBJECTIVES, AN OVERVIEW OF THE ASSESSMENT, AS WELL AS THE FINANCIAL OPPORTUNITY SUMMARY. THE REPORT SUMMARIZED THE APPROACH AND ITS FINDINGS. IT ALSO COMPARED HOW THE COMMUNITY COMPARED TO ITS PEERS AND SUMMARIZED KEY CONCLUSIONS AND OBSERVATIONS. FINALLY, IT RANKED THE NEEDS OF THE COMMUNITY, AND IDENTIFIED AN ACTION PLAN TO HELP IMPLEMENT THE IMPROVEMENT IN COMMUNITY HEALTH OVERALL. THREE RIVERS HEALTH Part V, Section B, Line 5: INITIALLY, WE DEPLOYED A NEEDS ASSESSMENT SURVEY WITHIN THE LOCAL POPULATION FOR ANY RESIDENT TO COMPLETE. WE RECEIVED INPUT FROM 620 AREA RESIDENTS. IT WAS AN INTERNET BASED SURVEY THAT WAS PROMOTED VIA ADVERTISING AND THROUGH LOCAL CIVIC AND HEALTH ORGANIZATIONS. PRELIMINARY CONCLUSIONS WERE THEN PRESENTED TO A LOCAL GROUP OF EXPERTS WHO WERE ASKED TO VALIDATE PRIOR ASSESSMENTS AND TO ESTABLISH PRIORITY AMONG VARIOUS IDENTIFIED HEALTH AND MEDICAL ISSUES. WHEN THE FINAL ANALYSIS WAS COMPLETE, WE PUT THE INFORMATION AND SUMMARY CONCLUSIONS BEFORE OUR LOCAL GROUP OF EXPERTS WHO WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS. SOME OF THE OTHER LOCAL ORGANIZATIONS THAT HELPED WITH THIS PROCESS WERE STURGIS HOSPITAL, COMMUNITY MENTAL HEALTH DEPARTMENT, BRANCH HILLSDALE- ST. JOSEPH COMMUNITY HEALTH AGENCY, AND ST. JOSEPH COUNTY COMMISSION ON AGING. THREE RIVERS HEALTH Part V, Section B, Line 6a: STURGIS HOSPITAL THREE RIVERS HEALTH Part V, Section B, Line 6b: COMMUNITY MENTAL HEALTH THREE RIVERS HEALTH Part V, Section B, Line 11: The Hospital and its Board chose five areas to focus on: Diabetes, education and prevention, physician services, Mental Health and Suicide, Obesity and physical inactivity. Dieticians at Three Rivers Health laid the foundation for the Pre-Diabetes Program titled, "Mindset 365" for employees and the community. Education and Prevention is addressed through skin and prostate cancer screening to community members. Physician Services; Primary Care, Orthopedics, and Specialist recruitment efforts were made. Mental Health and Suicide; worked through CON for services but Three Rivers Health did not proceed due to financial constraints and the inability to recruit a Psychiatrist. Obesity and Physical Inactivity is addressed through a School Based Clinic that is an outreach to children with these issues. The hospital Health facility is open to the community and passes are donated to children with these specific issues. 13 1 - THREE RIVERS HEALTH INTERNAL MEDICINE 711 S HEALTH PARKWAY THREE RIVERS MI 49093 RURAL HEALTH CLINIC - INTERNAL MEDICINE, FAMILY CARE & WOMEN'S SERV 2 - Three Rivers Health Orthopedics 1021 HILL STREET THREE RIVERS MI 49093 ORTHOPEDICS 3 - Three Rivers Health Family Care 721 6TH AVENUE STE B THREE RIVERS MI 49093 RURAL HEALTH CLINIC - THREE RIVERS 4 - Center for Wound Healing 721 S HEALTH PARKWAY THREE RIVERS MI 49093 WOUND CARE 5 - Three Rivers Bone and Joint 1021 HILL STREET THREE RIVERS MI 49093 BONE AND JOINT FACILITY 6 - Three Rivers Health Family Care 601 E CHICAGO RD WHITE PIGEON MI 49099 RURAL HEALTH CLINIC - WHITE PIGEON 7 - Three Rivers Health Surgical Services 715 S HEALTH PARKWAY THREE RIVERS MI 49093 SURGICAL SERVICES 8 - Homecare and Hospice 633 S ERIE STREET THREE RIVERS MI 49093 HOSPICE CARE 9 - Health Trac - Wellness Pavillion 501 S HEALTH PARKWAY THREE RIVERS MI 49093 WELLNESS CENTER 10 - Three Rivers Center for Family Medicine 850 S Health Parkway THREE RIVERS MI 49093 PRIMARY CARE 11 - Veera Patel MD - Internal Medicine 1021 HILL ST SUITE 300 THREE RIVERS MI 49093 INTERNAL MEDICINE 12 - Three Rivers Health Family Care 110 EAST MAIN MARCELLUS MI 49067 HEALTH CLINIC - MARCELLUS 13 - Three Rivers Health Endocrinology 715 S HEALTH PARKWAY THREE RIVERS MI 49093 ENDOCRINOLOGY Part I, Line 7: LINES 7 A THROUGH 7C ARE REPORTED USING THE COST TO CHARGE RATIO CALCULATED USING WORKSHEET 2. LINES 7E THROUGH 7G ARE REPORTED USING DIRECT COSTS FOR CLINIC OPERATIONS. A COST ACCOUNTING SYSTEM WAS USED FOR HOSPITAL OPERATIONS. Part I, Line 7g: OTHER SUBSIDIZED HEALTH SERVICES INCLUDES GROSS CLINIC COSTS OF $11,694,006. 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 $ 4,267,550. Part III, Line 2: BAD DEBT EXPENSE ARE DOLLARS THAT ARE WRITTEN OFF OR RESERVED FOR PATIENTS THAT HAVE AVAILABLE RESOURCES, BUT WOULD NOT PAY FOR SERVICES. THE EXCEPTION TO THIS RULE WOULD BE CHARITY CARE ACCOUNTS THAT ARE INCLUDED IN BAD DEBT BECAUSE OF A LACK OF INFORMATION PROVIDED. PAYMENTS ON ACCOUNTS THAT HAVE BEEN WRITTEN OFF WOULD REDUCE THE OVERALL BAD DEBT EXPENSE. DISCOUNTS ON CHARGES ARE NOT INCLUDED IN BAD DEBT EXPENSE. Part III, Line 3: SEE ABOVE FOR METHODOLOGY. WITH REGARDS TO CHARITY CARE, THE HOSPITAL ESTIMATES THAT APPROXIMATELY $685,000 OF CHARITY CARE IS INCLUDED IN BAD DEBT EXPENSE DUE TO NOT RECEIVING INFORMATION FROM PATIENTS TO HELP DETERMINE ELIGIBILITY, THUS WE BELIEVE THE $685,000 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. Part III, Line 4: Accounts receivable for patients, insurance companies, and governmental agencies are based on gross charges. An allowance for contractual adjustments and interim payment advances is based on expected payment rates from payors based on current reimbursement methodologies. This amount also includes amounts received as interim payments against unpaid claims by certain payors. An allowance for uncollectible accounts is established on an aggregate basis by using historical write-off factors applied to unpaid accounts based on aging. Loss rate factors are based on historical loss experience and adjusted for economic conditions and other trends affecting the Organization's ability to collect outstanding amounts. Uncollectible amounts are written off against the allowance for doubtful accounts in the period they are determined to be uncollectible. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Organization 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 the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts in the period they are determined to be uncollectible. Part III, Line 8: MEDICARE IS OUR LARGEST PAYOR, THUS PAYMENTS FOR THIS POPULATION CREATE A FINANCIAL BURDEN ON THE HOSPITAL AS PAYMENTS DO NOT COVER COSTS. MOST OF THE MEDICARE PATIENTS LIVE ON FIXED INCOMES. WE USED THE COST TO CHARGE RATIO TO DETERMINE COSTS. AS MEDICARE IS OUR LARGEST PAYOR, THE SHORTFALL IN COVERING COSTS IS EXTREME, THUS THIS WOULD SEEM TO QUALIFY AS A BENEFIT TO OUR COMMUNITY. Part III, Line 9b: THE HOSPITAL'S CURRENT COLLECTION PROCESS APPLIES TO ALL PATIENTS. IF NO INSURANCE IS AVAILABLE FOR SERVICES, AND THEY DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, WE WILL MAKE THEM AWARE OF THEIR OPTIONS. DISCOUNTS ARE OFFERED WHICH ARE TIED TO COMMERICAL MANAGED CARE CONTRACTS. PAYMENT ARRANGEMENTS CAN BE MADE FOR A SPECIFIC PERIOD OF TIME, WITH NO INTEREST CHARGED. ONCE ARRANGEMENTS ARE MADE, THE ACCOUNT FOLLOWS THE STANDARD COLLECTION PROCESS OF LETTERS AND PHONE CALLS. AFTER 120 DAYS, IF NO PAYMENT HAS BEEN MADE OR IF PAYMENT ARRANGEMENTS ARE NOT KEPT, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. Part VI, Line 2: THE HOSPITAL CURRENTLY REVIEWS THE HEALTH INDICATORS OF THE COUNTY, AND WILL FROM TIME TO TIME COMPLETE COMMUNITY SURVEYS. WE ASSESS WHETHER WE HAVE A SHORTAGE OF PHYSICIANS IN THE AREA ANNUALLY AS WELL. WE REVIEW TRENDS OF OUR PATIENT ACTIVITY BY SERVICE AND TYPE OF PATIENT TO SEE IF ADJUSTMENTS IN SERVICE OR RESOURCE ALLOCATION NEED TO BE MADE. WE REVIEW OUR PATIENT SATISFACTION SURVEYS PERIODICALLY TO IDENTIFY ANY POTENTIAL GAPS IN SERVICES. WE PARTNER WITH THE LOCAL SCHOOLS AND COMMUNITY MENTAL HEALTH ON SPECIFIC HEALTH INITIATIVE THROUGHOUT THE YEAR. OUR MOST RECENT NEEDS ASSESSMENT WAS COMPLETED IN 2016. WE ALSO PARTNER WITH THE OTHER HOSPITAL IN THE COUNTY - STURGIS HOSPITAL. Part VI, Line 3: UPON IDENTIFYING PATIENTS WHO HAVE NO COVERAGE, WE WILL SEND THEM TO OUR PATIENT ASSISTANCE REPRESENTATIVE. THIS PERSON WILL THEN REVIEW THE OPTIONS THAT ARE AVAILABLE FOR THIS INDIVIDUAL. IF MEDICAID IS A POSSIBILITY, WE THEN SEND THIS PERSON TO OUR MEDICAID SPECIALIST, WHO WILL HELP THEM WITH THE PROCESS, AS WELL AS ANY FORMS. WE HAVE A FORMAL FINANCIAL ASSISTANCE PROGRAM THAT IS ADVERTISED HOSPITAL WIDE AND ON OUR WEBSITE. IF THEY QUALIFY FOR FINANCIAL ASSISTANCE, WE WILL EDUCATE THEM AND ASSIST THEM WITH THE PROCESS. Part VI, Line 4: THE HOSPITAL PRESENTLY SERVES ST. JOSEPH COUNTY, ALONG WITH OTHER PROVIDERS AS WELL. THE ESTIMATED POPULATION OF THE TOTAL MARKET IS AROUND 62,000. THE COMMUNITY WAS HEAVILY DEPENDENT ON THE AUTO INDUSTRY AND THUS THE ECONOMY HAS STRUGGLED IN RECENT YEARS. WHILE THE OVERALL ECONOMY IN THE STATE HAS REBOUNDED SOMEWHAT, THE LOCAL COUNTY HAS LAGGED IN THE RECOVERY. THE UNEMPLOYMENT RATE CONTINUES TO BE HIGH, AND THE MEDICAID POPULATION IN THE COMMUNITY IS EXTREMELY HIGH. ADDITIONALLY, PEOPLE WITH COVERAGE HAS ALSO INCREASED. BECAUSE OF THIS, MANY PEOPLE USE THE ER AS THEIR PRIMARY CARE PROVIDER. WHILE THE COMMUNITY IS RURAL, IT IS CLOSE TO URBAN AREAS. MANY PEOPLE IN THE COMMUNITY DO NOT HAVE ADEQUATE TRAVEL ARRANGEMENTS, AS CAN BE EVIDENCED BY HIGH NO SHOW RATES FOR PRIMARY CARE APPOINTMENTS DUE TO TRAVEL ISSUES. Part VI, Line 5: THE HOSPITAL HAS A BOARD THAT RESIDES ENTIRELY IN THE COMMUNITY IT SERVES. THE HOSPITAL HAS EXTENDED PRIVILEGES TO ALL QUALIFIED STAFF IN THE COMMUNITY, AND AS MENTIONED ABOVE, HAS SET UP ARRANGEMENTS WITH TERTIARY HOSPITALS TO ARRANGE FOR SPECIALIST TO PROVIDE CARE IN THE COMMUNITY ON AN AS NEEDED BASIS. THIS IS CRITICAL, AS THIS MEANS THE LOCAL POPULATION DOES NOT HAVE TO TRAVEL EXTENSIVELY FOR THIS SPECIALTY CARE. IF SURPLUS FUNDS ARE AVAILABLE, THESE FUNDS ARE INVESTED BACK INTO THE COMMUNITY, BY ALLOCATING DOLLARS FOR MEDICAL EQUIPMENT REPLACEMENT, PHYSICIAN RECRUITING, AND OTHER COMMUNITY INITIATIVES. THE HOSPITAL ALSO CONTINUES TO ESTABLISH RURAL HEALTH CLINICS IN COMMUNITIES SURROUNDING ITS SERVICE AREA. THE HOSPITAL IS ALSO A MEMBER OF AN ACO, AND THE HOSPITAL HAS HIRED A CARE COORDINATOR TO HELP WITH CHRONIC CARE PATIENTS AND TO HELP PROMOTE ANNUAL WELLNESS VISTS AS WELL. Part VI, Line 7, Reports Filed With States MI X X 0 0 0 0 0 0 0 0 0 JAMES MACDONALD DO BOARD MEMBER 0 314995 0 0 0 13500 0 18000 0 33157 0 379652 0 0 JESSICA PUCKETT DO CHIEF OF STAFF 0 332502 0 0 0 30000 0 17500 0 19222 0 399224 0 0 WILLIAM RUSSELL PRESIDENT/CEO 244201 0 23000 0 8040 0 0 0 77213 0 352454 0 0 0 STEVE ANDREWS CFO 180275 0 0 0 2931 0 3800 0 59150 0 246156 0 0 0 HOPE BAILEY VICE PRESIDENT 152544 0 0 0 0 0 9093 0 22817 0 184454 0 0 0 BRIAN CLARK CRNA 257506 0 0 0 0 0 18000 0 28882 0 304388 0 0 0 CHAD BUSH CRNA 256719 0 0 0 0 0 15370 0 30403 0 302492 0 0 0 RANDALL SMITH CRNA 252402 0 0 0 0 0 0 0 25232 0 277634 0 0 0 LEONARD DARLING PHARMACY MANAGER 140126 0 0 0 0 0 5605 0 22345 0 168076 0 0 0 LYNETTE BURKETT AUDIOLOGIST 132832 0 0 0 0 0 5253 0 20116 0 158201 0 0 0 FORM 990, PART I, LINE 1: THE HOSPITAL'S MISSION IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTHCARE TO OUR COMMUNITY. WE SERVE A COMMUNITY THAT HAS ONE OF THE HIGHEST UNEMPLOYMENT RATES IN THE STATE. WE EMPLOY 85% OF THE PHYSICIANS IN THE COMMUNITY, THUS PROVIDING ADEQUATE ACCESS TO OUR COMMUNITY, SPECIFICALLY MEDICAID ELIGIBLE PATIENTS. WE OPERATE 3 RURAL HEALTH CLINICS, AND WILL HAVE ONE MORE OPERATIONAL IN 2017, WHICH GREATLY ENHANCES ACCESS TO CARE. WE PROVIDE A FULL RANGE OF OB SERVICES TO THE COMMUNITY, OF WHICH OVER 60% IS MEDICAID. WE ALSO PROVIDE WELLNESS AND DIABETIC EDUCATION SERVICES TO THE COMMUNITY, AS WELL AS HOMECARE AND HOSPICE, ALL SERVICES THAT ARE HEAVILY SUBSIDIZED. IN ADDITION, THE HOSPITAL ALSO HAS AN IP REHABILITATION UNIT ON CAMPUS , AS WELL AS A WOUND CARE CLINIC. WE HAVE STARTED AN EMPLOYEE WELLNESS PROGRAM INTERNALLY, AND PLAN TO WORK WITH LOCAL EMPLOYERS TO OFFER THIS SERVICE AS WELL. FUTURE PLANS INCLUDE OFFERING MENTAL SERVICES, AND EXPANDING ORTHOPAEDICS, AND ADDING ENT SERVICES. ADDITIONALLY, WE ARE ADDING RESOURCES TO HELP THE UNINSURED NAVIGATE THE REQUIREMENTS FOR OBTAINING INSURANCE COVERAGE FOR THEIR PROBLEMS. IN THE LATTER PART OF 2016, WE ADDED A HAND SURGEON, AND WE ALSO HAVE STARTED TO WORK COLLECTIVELY WITH THE OTHER HOSPITAL IN THE COUNTY TO IMPROVE ACCESS TO CARE, AS WELL AS ADEQUATE CALL COVERAGE FROM OUR PROVIDERS. Form 990, Part VI, Section A, line 3 THE HOSPITAL USES A MANAGEMENT COMPANY TO MANAGE OPERATIONS. THEY ALSO EMPLOY THE CEO AND CFO. Form 990, Part VI, Section B, line 11b THE 990 IS PRESENTED AT THE BOARD MEETING, AND REVIEWED BY OFFICERS AND MEMBERS DURING THE MEETING AFTER THE RETURN IS FILED. Form 990, Part VI, Section B, line 12c THE COMPLIANCE OFFICE REQUIRES ANNUAL DISCLOSURE, AND COMMUNICATES TO BOARD PERIODICALLY. IF A CONFLICT OF INTEREST ARISES, THE INDIVIDUAL IS REQUIRED TO LEAVE THE ROOM WHEN DISCUSSIONS TAKE PLACE. Form 990, Part VI, Section B, line 15 THE HOSPITAL USES DATA FROM MHA TO DETERMINE THE SALARY STRUCTURE FOR EMPLOYEES. FOR THE CEO AND CFO, QHR IS THE PRIMARY SOURCE FOR COMPENSATION, WHICH MUST BE APPROVED BY THE BOARD. THE SALARY PLAN IS PRESENTED TO THE FINANCE COMMITTEE AS WELL. ALL DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS TOOK PLACE IN 2016 AGAIN. Form 990, Part VI, Section C, line 19 POLICIES AND STATEMENTS ARE REVIEWED AT BOARD MEETINGS. IF ADDITIONAL REQUESTS ARE MADE, THIS INFORMATION IS PROVIDED AS REQUESTED. Form 990, Part IX, line 11g PURCHASED SERVICES: Program service expenses 3,258,077. Management and general expenses 4,823,309. Fundraising expenses 0. Total expenses 8,081,386. CONSULTANT FEES: Program service expenses 1,429,812. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,429,812. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. THREE RIVERS HEALTH FOUNDATION 701 S HEALTH PARKWAY THREE RIVERS MI 49093 201384776 FOUNDATION TO HOSPITAL MI 501(C)(3) 12 TYPE 1 THREE RIVERS HEALTH SYSTEM INC 1 TRAH PROPERTIES INC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383366344 PROPERTY MANAGEMENT MI 501(c)(3) 12 TYPE 1 THREE RIVERS HEALTH SYSTEM INC 1 THREE RIVERS HEALTH AUTHORITY 701 S HEALTH PARKWAY THREE RIVERS MI 49093 382317300 HOSPITAL MI 501(C)(3) 3 N/A 0 THREE RIVERS HEALTH NETWORK 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383330974 MEDICAL DATA PROCESSING MI N/A C 1 INTEGRATED HEALTH SYSTEMS INC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383134384 PERSONNEL MANAGEMENT MI N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 TRAH PROPERTIES INC K 254277 RENT PAID INTEGRATED HEALTH SYSTEMS INC O 4861356 FMV