2017-05-15T11:57:16-05:00 2016-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2015-07-01 462128815 MHA KEYSTONE CENTER MHAK 5173233443 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 BRIAN PETERS CEO 5173233443 2017-05-12 1 LU ANN TRAPP P01506476 3122071040 2017-05-12 2015 2021-01-29 14:40:06Z MHA PATIENT SAFETY ORGANIZATION BRIAN PETERS 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 5040936 0 X WWW.MHAKEYSTONECENTER.ORG X 2013 MI BRING TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS. 16 13 0 17 0 0 1514000 1521785 1538982 3462652 48471 56499 0 0 3101453 5040936 0 0 0 0 0 0 0 0 1000 1780768 3548819 1780768 3548819 1320685 1492117 7834341 9392692 762096 818188 7072245 8574504 X TO LEAD THE NATION IN QUALITY AND PATIENT SAFETY THROUGH THE DIFFUSION OF CHANGE USING PATIENT-CENTERED, EVIDENCE-BASED INTERVENTIONS SUPPORTED BY CULTURAL IMPROVEMENT. 0 0 2261856 2039388 COLLABORATIVES - THE MHA KEYSTONE CENTER OPERATES PROJECTS FOCUSED ON CARE TRANSITIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, EMERGENCY ROOMS, INTENSIVE CARE UNITS, OBSTETRICS, SAFE CARE, SEPSIS AND SURGERY. THE CENTER IS ALSO A CO-LEADER IN THREE NATIONAL PROJECTS AIMED AT ELIMINATING SPECIFIC HOSPITAL-ASSOCIATED INFECTIONS AND SERVES AS A PARTNERSHIP FOR PATIENTS HOSPITAL ENGAGEMENT NETWORK. 736518 1214899 PATIENT SAFETY - THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION (MHA) KEYSTONE CENTER BRINGS TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS. 161967 140905 THE 2016 MHA PATIENT SAFETY & QUALITY SYMPOSIUM DREW MORE THAN 300 CLINICAL AND ADMINISTRATIVE LEADERS TO SOUTHEAST MICHIGAN TO LEARN HOW INNOVATIVE PROVIDERS ARE IMPROVING PATIENT SAFETY AND QUALITY, DELIVERING VALUE, CULTIVATING PATIENT ENGAGEMENT AND PROVIDING THE BEST CLINICAL CARE POSSIBLE USING TOOLS LIKE HIGH RELIABILITY. ATTENDEES WERE ABLE TO INTERACT WITH MORE THAN 20 SUPPORTERS AND EXHIBITORS DEMONSTRATING PRODUCTS AND SERVICES THAT HELP CLINICIANS BE MORE EFFECTIVE AND EFFICIENT AND IMPROVE PATIENT CARE. 18229 67460 OTHER PROGRAMS. 18229 67460 3178570 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 19 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 MI X WILLIAM JACKSON CFO 5173233443 2112 UNVERSITY PARK DRIVE OKEMOS MI 48864 MATTHEW RUSH CHAIR 1.00 0.00 X X 0 0 0 SHERRY SOHN CHAIR 1.00 0.00 X X 0 0 0 MICHELLE SCHREIBER VICE-CHAIR 1.00 0.00 X X 0 0 0 BRIAN PETERS CEO 1.00 39.00 X X 0 655644 132028 SAM WATSON SECRETARY 1.00 39.00 X X 0 287630 103709 WILLIAM JACKSON TREASURER 1.00 39.00 X X 0 203591 72917 LAWRENCE ABRAMSON DIRECTOR 1.00 0.00 X 0 0 0 RICHARD BOOTHMAN DIRECTOR 1.00 0.00 X 0 0 0 ROBERT CASALOU DIRECTOR 1.00 3.00 X 0 0 0 PAUL CONLON DIRECTOR 1.00 0.00 X 0 0 0 THOMAS DEFAUW DIRECTOR 1.00 3.00 X 0 0 0 ROBERT HYZY DIRECTOR 1.00 0.00 X 0 0 0 MARK JANKE DIRECTOR 1.00 0.00 X 0 0 0 CHERYL KNAPP DIRECTOR 1.00 0.00 X 0 0 0 KEVIN MCCARTHY DIRECTOR 1.00 0.00 X 0 0 0 MARJORIE MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 JAMES RICHARD DIRECTOR 1.00 0.00 X 0 0 0 BARBARA SMITH DIRECTOR 1.00 0.00 X 0 0 0 ROBERT WELSH DIRECTOR 1.00 0.00 X 0 0 0 ED WOLKING DIRECTOR 1.00 0.00 X 0 0 0 SPENCER JOHNSON FORMER PRESIDENT (THRU 6/2015) 1.00 39.00 X 0 1142995 118674 GARY HENRIKSEN FORMER CFO/CONSULTANT 1.00 39.00 X 0 399828 51925 0 2689688 479253 0 1 1 0 ECRI INSTITUTE 5200 BUTLER PIKE PLYMOUTH MEETING PA 19462 PUBLICATIONS, INFO & CONSULTING SERVICES 380848 BATELLE MEMORIAL INSTITUTE 505 KING AVE COLUMBUS OH 43201 TECHNICAL SERVICES 213979 ARBORMETRIX INC 339 E LIBERTY ST ANN ARBOR MI 48104 QUALITY REPORTING & BENCHMARKING 185000 NEXTPLANE SOLUTIONS LLC 1200 W MAGNOLIA 230 FORTH WORTH TX 76104 PUBLICATIONS, INFO & CONSULTING SERVICES 110125 4 2750 1519035 1521785 SERVICE FEES 900099 1997857 1997857 SUBSCRIPTIONS 511120 1215099 1215099 REGISTRATIONS 900099 91795 91795 OTHER PROGRAM REVENUE 900099 79501 79501 SYMPOSIUM SPONSORSHIP 900099 78400 78400 3462652 56499 56499 5040936 3462652 0 56499 X 33509 33509 3485 3485 2692083 2466704 225379 1000 1000 170212 158719 11493 89345 23255 66090 181831 179782 2049 300622 300622 1585 1585 22773 17659 5114 SPONSORSHIPS 20475 20475 HONORARIUM 19300 19300 DUES & SUBSCRIPTION 9382 9382 3217 3147 70 3548819 3178570 369249 1000 2267819 2546248 1005584 96967 127102 88111 12012 270282 27510 27510 1584 0 4420240 5885620 0 505464 7834341 9392692 84567 71205 661775 610177 15754 136806 762096 818188 X 371911 374170 6700334 8200334 7072245 8574504 7834341 9392692 1492117 10142 0 X 0 1 X 1 0 X 435859 5533750 1514000 1621686 9105295 435859 5533750 1514000 1621686 9105295 2823179 6282116 21773 48471 56499 126743 9000 9000 9241038 6854551 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27510 27510 0 0 STIFEL, NICOLAUS & CO INVESTMENT 5885620 F 5885620 DUE FROM AFFILIATES 505464 505464 DUE TO AFFILIATES 136806 136806 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. 0 1 0 0 0 0 0 0 0 BRIAN PETERS CEO 0 524799 0 106313 0 24532 0 100998 0 31030 0 787672 0 878 SAM WATSON SECRETARY 0 223937 0 49500 0 14193 0 70806 0 32903 0 391339 0 10976 WILLIAM JACKSON TREASURER 0 166091 0 37500 0 0 0 47212 0 25705 0 276508 0 0 SPENCER JOHNSON FORMER PRESIDENT (THRU 6/2015) 0 472499 0 428728 0 241768 0 104220 0 14454 0 1261669 0 197828 GARY HENRIKSEN FORMER CFO/CONSULTANT 0 185333 0 62965 0 151530 0 47524 0 4401 0 451753 0 81396 PART I, LINE 3 COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. - BRIAN PETERS - SAM WATSON - SPENCER JOHNSON - GARY HENRIKSEN THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE CURRENT YEAR: - BRIAN PETERS - $878 - SAM WATSON - $10,976 - SPENCER JOHNSON - $197,828 - GARY HENRIKSEN - $81,396 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS MHA HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE OFFICERS, EXCEPT FOR THE PRESIDENT, AND DIRECTORS ARE APPOINTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION B, LINE 11 PREPARED BY INDEPENDENT ACCOUNTING/AUDIT FIRM, REVIEWED BY CONTROLLER, CFO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C WE REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROGRAMMING & DATA COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 326,163. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,163. PROGRAMS/COLLABORATIVES SERVICES: PROGRAM SERVICE EXPENSES 1,955,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,955,769. MANAGEMENT CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 190,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,800. MHA FEES: PROGRAM SERVICE EXPENSES 184,772. MANAGEMENT AND GENERAL EXPENSES 34,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,351. MICHIGAN HEALTH & HOSPITAL ASSOCIATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 381458751 PROMOTE HEALTH CARE MI 501(C)(6) N/A 0 MHA HEALTH FOUNDATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 386091188 PERFORM CHARITABLE & EDUCATIONAL FUNCTIONS OF THE MHA MI 501(C)(3) LINE 11A, I MICHIGAN HEALTH & HOSPITAL ASSOCIATION 0 MHA SERVICE CORPORATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 382259766 SERVICES TO HOSPITALS MI N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 MICHIGAN HEALTH AND HOSPITAL ASSOCIATION L 60240 BOOKS MAINTAINED AT FMV MICHIGAN HEALTH AND HOSPITAL ASSOCIATION M 64772 BOOKS MAINTAINED AT FMV MICHIGAN HEALTH AND HOSPITAL ASSOCIATION O 634640 COST MICHIGAN HEALTH AND HOSPITAL ASSOCIATION K 64032 BOOKS MAINTAINED AT FMV MHA SERVICE CORP O 238831 COST MHA HEALTH FOUNDATION L 903311 BOOKS MAINTAINED AT FMV MHA HEALTH FOUNDATION O 566803 COST