2017-02-08T12:46:54-06:00 2016-03-31 381357951 PLANTE & MORAN PLLC 600 E Front St Ste 300 Traverse City MI 49686 990 2015-04-01 464088182 John Tolfree Hospital JOHN 9893453660 2463 S M-30 WEST BRANCH MI 48661 ROBERT MCGRAIL CHIEF EXECUTIVE OFFICER 9893453660 2017-02-07 1 CAROL LALONDE CPA P00181637 2319477800 2017-02-07 2015 2021-01-29 14:40:06Z WEST BRANCH REGIONAL MEDICAL CENTER ROBERT MCGRAIL 2463 S M-30 WEST BRANCH MI 48661 52395184 0 X wbrmc.com X 2013 MI THE MISSION OF WEST BRANCH REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. 13 12 429 12 258038 56291 0 325677 0 50945431 0 357053 0 504416 0 52132577 0 11500 0 0 0 22491683 0 0 0 0 28885419 0 51388602 0 743975 0 43396344 0 44827775 0 -1431431 THE MISSION OF WEST BRANCH REGIONAL MEDICAL CENTER IS TO PROVIDE QUALITY HEALTHCARE SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. 0 0 38279529 11500 50992543 PROVIDED NURSING AND PROFESSIONAL SERVICES FOR ACUTE INPATIENTS, EMERGENCY, AND OUTPATIENTS IN A RURAL AREA DURING FISCAL YEAR 2016. INPATIENT SERVICES WERE PROVIDED TO 2,571 PATIENTS TOTALING 9,909 DAYS OF CARE. 66,050 PATIENTS RECEIVED OUTPATIENT SERVICES, AND EMERGENCY ROOM VISITS TOTALED 14,870. 38279529 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 32 0 1 429 1 1 1 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X KATHARINE KOHR 9893433228 2463 S M-30 WEST BRANCH MI 48661 ROBERT MCGRAIL PRESIDENT / CHIEF EXECUTIVE OFFICER 40.00 10.00 X 249678 0 78669 KATHARINE KOHR CHIEF FINANCIAL OFFICER 40.00 10.00 X 176590 0 27879 LANETTE LUMBARDO CHIEF NURSING OFFICER 40.00 0.00 X 239982 0 15318 JILL JENNINGS MD PHYSICIAN 40.00 0.00 X 391844 0 7023 KENT ALLEN DIRECTOR HUMAN RESOURCES 40.00 0.00 X 112940 0 138 NICOLE GILLETTE INTERIM CHIEF NURSING OFFICER 40.00 0.00 X 114066 0 20979 J DANIEL STONEBACK CHAIRPERSON 10.00 2.00 X X 2200 0 0 E ARNOLD ENGSTER SECRETARY 5.00 0.00 X X 1650 0 0 JACQUIE KATTERMAN TREASURER 5.00 0.00 X X 1000 0 0 JEFFREY GODFREY VICE-CHAIRPERSON 5.00 0.00 X X 1300 0 0 MARK WEBER MD TRUSTEE 2.00 0.00 X 0 0 0 JAMES TAMBS TRUSTEE 2.00 0.00 X 100 0 0 ELIZABETH PESZKO TRUSTEE 2.00 0.00 X 850 0 0 EDWARD NAPIERALA TRUSTEE /FORMER CHIEF EXECUTIVE OFFICER 2.00 0.00 X 625539 0 5684 KEVIN ELLIOTT TRUSTEE 2.00 0.00 X 0 0 0 WILLIAM JENNINGS JR TRUSTEE 2.00 0.00 X 0 0 0 PATRICIA BURKHEISER TRUSTEE- 1ST PART OF YEAR 2.00 0.00 X 650 0 0 ALAN BRUDER TRUSTEE 2.00 0.00 X 900 0 0 RICHARD BACHELDER TRUSTEE 2.00 0.00 X 0 0 0 PATSY HARDAWAY TRUSTEE 2.00 0.00 X 900 0 0 THOMAS KISH TRUSTEE 2.00 0.00 X 0 0 0 1920189 0 155690 7 0 1 0 PHARMACY SYSTEMS INC 5050 BRADENTON AVE DUBLIN OH 43017 PHARMACY STAFFING & MANAGEMENT 847038 NORTHERN MICHIGAN EMERGENCY PHYSICIANS PO BOX 674579 DETROIT MI 48267 EMERGENCY ROOM PHYSICIANS 592710 AGILITY HEALTH LLC PO BOX 5509 CAROL STREAM IL 60197 THERAPY STAFFING & MANAGEMENT 527634 COVENANT HEALTHCARE LAB 1000 HOUGHTON AVE ROOM 2531 SAGINAW MI 48602 LABORATORY TESTING SERVICES 413630 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 60673 WOUND CARE STAFFING & MANAGEMENT 282984 14 325677 254493 325677 PATIENT SERVICE REVENUE 622110 50735265 50477227 258038 OTHER RELATED REVENUE 622110 210166 210166 50945431 289036 289036 561020 255870 305150 305150 305150 23388 51366 0 6737 23388 44629 68017 68017 CAFETERIA REVENUE 722210 199266 199266 199266 52132577 50992543 258038 556319 11500 11500 926740 647808 278932 13158855 10039556 3119299 2631092 2631092 5774996 4505252 1269744 166558 166558 61000 61000 5048794 4435869 612925 34914 34914 985348 216648 768700 54946 33987 20959 679457 679457 2191115 1709356 481759 253453 12589 240864 SUPPLIES 12245550 11688124 557426 PROVISION FOR BAD DEBTS 3720916 3720916 0 REPAIRS & MAINTENANCE 1875503 1205882 669621 1567865 52042 1515823 51388602 38279529 13109073 0 0 6429415 1145 0 5609425 0 127175 0 930208 0 486748 51033766 30502789 0 20530977 402427 8163572 0 227668 0 487584 0 43396344 0 3737274 0 3140417 0 12580816 0 25369268 0 44827775 X 0 -1431431 0 -1431431 0 43396344 X 743975 24614 -2200020 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 539061 539061 21769167 10201956 11567211 2036712 381712 1655000 26627142 19919121 6708021 61684 61684 20530977 SAVINGS & MONEY MARKET ACCOUNTS 6918903 C FIXED INCOME SECURITIES 1237972 F ACCRUED INTEREST 6697 F 8163572 COST REPORT SETTLEMENT PAYABLE 1742121 ACCRUED POST-RETIREMENT BENEFIT 8619547 PENSION OBLIGATION 15007600 25369268 X 48053571 24614 24614 48028957 4103620 4103620 52132577 47923083 255397 255397 47667686 3720916 3720916 51388602 Part X, Line 2: THE INTERNAL REVENUE SERVICE HAS RULED THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS 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 ORGANIZATION AND HAS CONCLUDED THAT AS OF MARCH 31, 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN WHICH WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. Part XI, Line 4b - Other Adjustments: RENTAL EXPENSES -255,870. BAD DEBT EXPENSE- ADD BACK 3,720,916. INTEREST & DIVIDEND INCOME 289,036. REALIZED GAIN 23,388. CONTRIBUTIONS 325,677. OTHER 473. Part XII, Line 2d - Other Adjustments: RENTAL EXPENSES 255,870. OTHER -473. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE 3,720,916. 1 1 X 1 X 1 X 0 1 0 0 1 103 25215 25215 0.00050 7887709 6218393 1669316 0.03250 1 103 7912924 6218393 1694531 0.03300 3 2126 78179 18159 60020 0.00120 5 49118 0 49118 0.00100 34822 34261 561 0.00000 8 2126 162119 52420 109699 0.00220 9 2229 8075043 6270813 1804230 0.03520 6 48 708 708 0.00000 1 260 1075 1075 0.00000 7 308 1783 1783 0 3720916 796276 20641790 21477472 -835682 X 1 1 1 1 JOHN TOLFREE HOPSITAL DBA WEST BRANCH REGIONAL MEDICAL CENTE 2463 S M-30 WEST BRANCH MI 48661 WBRMC.COM 1060000046 X X X JOHN TOLFREE HOSPITAL AND SUBSIDIARIES 1 1 1 0 0 1 X 200.000000000000 250.000000000000 X X X X 1 1 X X X 1 X https://www.wbrmc.com/mgr-content/afa343b6b34131f8b0ccfcf8298ccf98.pdf X https://www.wbrmc.com/mgr-content/75186371958955946540383071257015.pdf X X X X X 1 X 0 X X X X 1 X 0 0 JOHN TOLFREE HOSPITAL AND SUBSIDIARIES Part V, Section B, Line 2: THE HOSPITAL PREVIOUSLY OPERATED AS A MUNICIPAL HEALTHCARE FACILITY, JOHN TOLFREE HEALTH SYSTEM. ON DECEMBER 31, 2015, ASSETS WERE TRANSFERRED TO A 501 C 3 CORPORATION, JOHN TOLFREE HOSPITAL. BOTH ORGANIZATIONS OPERATE(D) WITH A D/B/A WEST BRANCH REGIONAL MEDICAL CENTER. JOHN TOLFREE HOSPITAL AND SUBSIDIARIES Part V, Section B, Line 13b: THE CRITERIA USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE INCLUDE: INCOME FROM THE APPLICANT AND ALL DIRECT FAMILY MEMBERS LIVING WITHIN THE PATIENT'S HOUSEHOLD; FOR SELF EMPLOYED APPLICANTS, THE COMPANY'S MOST RECENT INCOME STATEMENT; RESOURCES FROM SAVINGS AND CHECKING ACCOUNTS, CERTIFICATES OF DEPOSIT, STOCKS, BONDS AND REAL ESTATE; RETIREMENT INCOME; 50% OF PENSION/RETIREMENT FUNDS WILL BE CONSIDERED AN ASSET; ASSETS INCLUDING HOME, CARS, BOATS, AND ANY OTHER VEHICLES; MONTHLY EXPENSES; NUMBER OF DEPENDENTS; LAST FILED FEDERAL TAX RETURN; SOCIAL SECURITY AWARD LETTER FOR SSD OR SSI. Part II, Community Building Activities: THE HOSPITAL IS ACTIVE IN THE PROMOTION OF HEALTHLY LIFESTYLES FOR BOTH ITS EMPLOYEES AND COMMUNITY MEMBERS. DURING THE YEAR THE HOSPITAL PROVIDED COMMUNITY EDUCATION THROUGH DIABETES SUPPORT GROUPS, HEALTHY WEIGHS, AND NUTRITION SERVICES. ADDITIONALLY THE HOSPITAL DONATED 260 CASES OF WATER TO FLINT TO ASSIST WITH THE WATER CRISIS. THE HOSPITAL TAKES A LEAD ROLE IN MANY OF THESE ENDEAVORS BUT IS ALSO WILLING TO BE A SUPPORTIVE PARTNER AND TEAM MEMBER AS WELL. Part III, Line 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. Part III, Line 3: THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS AS ESTIMATE. THIS AMOUNT WAS CALCULATED BY MULTIPLYING THE BAD DEBT EXPENSE BY 21.4%. THIS ESTIMATE IS BASED ON THE AREA POVERTY RATE AS REPORTED IN THE 2015 CENSUS STATISTICS. 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 RATE 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: THE FOLLOWING COSTING METHOD OF COST TO CHARGE RATE IS USED: MEDICARE COSTS DIVIDED BY MEDICARE CHARGES. ANY SHORTFALLS CALCULATED ARE CONSIDERED TO BE COMMUNITY BENEFIT. Part III, Line 9b: ANY PATIENT THAT IS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE RECEIVES PERSONAL ASSISTANCE AND SUPPORT IN OBTAINING THE INFORMATION NEEDED TO QUALIFY THEM FOR FULL OR PARTIAL DISCOUNTS DEPENDING ON THEIR INCOME LEVEL. IT IS, HOWEVER, THE PATIENT'S RESPONSIBILITY TO CONTACT THE PATIENT FINANCIAL COUNSELOR TO REQUEST AN APPLICATION FOR FINANCIAL ASSISTANCE. ATTEMPTS ARE ALSO MADE BY FINANCIAL ASSISTANCE PERSONNEL TO CONTACT ANY SELF PAY PATIENT IDENTIFIED TO DISCUSS PAYMENT OPTIONS AND DETERMINE IF THERE IS A NEED TO SEND THEM A FINANCIAL ASSISTANCE APPLICATION. BROCHURES ARE ALSO LOCATED THROUGHOUT THE HOSPITAL FOR THE PATIENT'S BENEFIT WHICH EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY. APPLICATIONS MAY ALSO BE DOWNLOADED FROM THE HOSPITAL'S WEBSITE. EVERY POSSIBLE ATTEMPT IS MADE TO HELP THE PATIENT RESOLVE THEIR ACCOUNT; HOWEVER, IF THE PATIENT DOES NOT FOLLOW THROUGH WITH THE APPLICATION PROCESS OR IS DENIED FINANCIAL ASSISTANCE, OR FAILS TO MAKE PAYMENT ON THEIR ACCOUNT, THE ACCOUNT WILL GO THROUGH THE SAME COLLECTION PROCESS AS ALL OTHER ACCOUNTS. Part VI, Line 2: WE ARE IN THE PROCESS OF COMPLETING OUR FIRST COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WILL PROVIDE INFORMATION ON CURRENT AND FUTURE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. COMMUNITY NEEDS ARE ALSO RECEIVED FROM OUR EMPLOYEES, MEDICAL STAFF, AND BOARD, WHO ARE ALSO MEMBERS OF THE COMMUNITIES WE SERVE. THE MICHIGAN HOSPITAL ASSOCIATION (MHA) MARKET SHARE REPORT ALSO HIGHLIGHTS AREAS OF OPPORTUNITY FOR SERVICES THAT ARE LACKING IN OUR AREA. Part VI, Line 3: PATIENTS ARE GIVEN THE FINANCIAL ASSISTANCE POLICY AND APPLICATION UPON REGISTRATION, INCLUDING A DESCRIPTION OF THE DHS WORKER ON SITE. WE HAVE AN EMPLOYED HEALTH ACCESS COORDINATOR WHOSE PRIMARY PURPOSE IS TO ASSIST UNINSURED, UNDERINSURED, AND LOW INCOME INDIVIDUALS WITH THEIR MEDICAL NEEDS. FUNDRAISERS ARE HELD TO ENABLE US TO ASSIST THESE INDIVIDUALS WITH PRESCRIPTIONS, MEDICAL SERVICES AND SUPPLIES, AND MEDICAL RELATED TRAVEL EXPENSES. AS A CERTIFIED APPLICATION COUNSELOR AND NAVIGATOR, OUR COORDINATOR ALSO ASSISTS INDIVIDUALS WITH APPLICATIONS FOR SOCIAL SECURITY DISABILITY, MEDICAID INSURANCE COVERAGE, AND COMMERCIAL INSURANCE COVERAGE UNDER THE AFFORDABLE CARE ACT. OUR HEALTH ACCESS COORDINATOR COLLABORATES WITH OTHER LOCAL CHARITIES AND GROUPS TO PROVIDE THIS ASSISTANCE. THE COORDINATOR ALSO IS A BOARD MEMBER OF A LOCAL FREE CLINIC AND THE COMMUNITY SUPPORT TEAM, WHOSE FUNCTION IS TO PROVIDE ASSISTANCE TO INDIVIDUALS WITH CATASTROPHIC ILLNESSES. DURING THIS FISCAL YEAR, 676 CLIENTS WERE SEEN. ASSISTANCE WAS PROVIDED AND/OR ARRANGED IN THE AMOUNT OF $161,009. OUR COST FOR OUR EMPLOYED INDIVIDUAL WAS $49,179. INCOME/DONATIONS RECEIVED TOTALED $18,159.WE ALSO HAD A CONTRACTED WORKER FROM THE MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES, WHO ASSISTED UNINSURED AND UNDERINSURED PATIENTS WITH MEDICAID ELIGIBILITY. CONTACT WAS MADE WITH ALL SELF-PAY PATIENTS BY MAIL, PHONE, AND AT TIMES, IN PERSON. THE GOAL IS TO SCREEN PATIENTS FOR MEDICAID PROGRAMS, ANSWER QUESTIONS, AND ASSIST WITH THE APPLICATION PROCESS. COUNSELING IS PROVIDED TO HELP INDIVIDUALS UNDERSTAND INSURANCE OPTIONS AND MAKE INFORMED DECISIONS ABOUT OBTAINING HEALTH CARE COVERAGE. MEDICAID INELIGIBLE PATIENTS ARE REFERRED TO OUR HEALTH ACCESS PROGRAM FOR POSSIBLE ASSISTANCE. DURING THIS FISCAL YEAR, 1,450 MEDICAID APPLICATIONS WERE PROCESSED, WITH 597 BEING APPROVED FOR COVERAGE. Part VI, Line 4: JOHN TOLFREE HOSPITAL D/B/A WEST BRANCH REGIONAL MEDICAL CENTER, LOCATED IN WEST BRANCH, MICHIGAN, SERVES OGEMAW COUNTY AS WELL AS PORTIONS OF ROSCOMMON, OSCODA, IOSCO, ARENAC, AND GLADWIN COUNTIES. IN THE MOST RECENT CENSUS DATA, OGEMAW COUNTY HAD A POPULATION OF 21,699. THERE WERE 9,398 HOUSEHOLDS WITH AN AVERAGE OF 2.25 PERSONS PER HOUSEHOLD. THE MEDIAN HOUSEHOLD INCOME WAS $35,850. THE POVERTY RATE IS 21.4%. Part VI, Line 5: WEST BRANCH REGIONAL MEDICAL CENTER PARTICIPATES WITH MANY ORGANIZATIONS TO ADDRESS THE ISSUES THAT AFFECT THE HEALTH OF THE COMMUNITIES WE SERVE. WE PROVIDED INTERNSHIPS TO STUDENTS OF AREA COLLEGES AND UNIVERSITIES IN THE AREAS OF NURSING, SURGICAL SERVICES, RADIOLOGY AND ULTRASOUND. COMMUNITY EDUCATION IS PROVIDED IN THE AREAS OF WEIGHT MANAGEMENT AND DIABETES EDUCATION, INCLUDING HEALTHY COOKING PRESENTATIONS, FOOT CHECK & SCREENINGS, AND INSULIN PUMP TRAINING. WE ARE ACTIVELY INVOLVED IN A BI-MONTHLY BLOOD DRIVE, WHICH HAS RESULTED IN A SIGNIFICANT INCREASE IN BLOOD DONATIONS. WE HAVE DEDICATED STAFF IN OUR HEALTH ACCESS PROGRAM TO ASSIST OUR COMMUNITY RESIDENTS IN GAINING ACCESS TO NEEDED MEDICAL SERVICES, BY HELPING THEM FILL OUT PROGRAM APPLICATIONS, AND PROVIDING ASSISTANCE WITH PRESCRIPTION, MEDICAL SERVICES AND SUPPLIES, AND MEDICAL RELATED TRAVEL EXPENSES. WE ALSO PROVIDED A LARGE SUPPLY OF FRESH WATER TO THE RESIDENTS OF FLINT, MICHIGAN, DURING THEIR RECENT WATER CRISIS. OUR RECENTLY DEVELOPED TOLFREE WELLNESS PARK AIMS TO PROMOTE HEALTH AND WELLNESS IN THE AREA. THE LANDSCAPE, OPEN TO BOTH THE PUBLIC AND THEIR PETS, FEATURES A WALKING AND BIKING TRAIL SYSTEM, OUTDOOR EXERCISE EQUIPMENT, HEALING AND TEACHING GARDENS, AND A PAVILION WITH KITCHEN AND COOKING FACILITIES. OUR ANNUAL 5K WALK/RUN IS HELD AT THE WELLNESS PARK AS WELL AS NUMEROUS COMMUNITY EDUCATION EVENTS. NEARBY SCHOOL CHILDREN ARE INVOLVED IN GROWING VEGETABLES IN THE TEACHING GARDENS, AND THEN, LEARNING HEALTHY WAYS TO COOK THE PRODUCE UPON HARVEST, ADDRESSING THE GROWING CHILD OBESITY PROBLEM. DIABETIC EDUCATION CLASSES ARE ALSO HELD IN THE WELLNESS PARK. PLANS FOR THE PARK ALSO INCLUDE DEVELOPMENT OF CARDIAC TREATMENT PROGRAMS. PART VI, LINE 7: JOHN TOLFREE HOSPITAL BECAME A 501(C)(3) AS OF JANUARY 1, 2016. NO BENEFIT REPORT WAS FILED FOR THE CURRENT YEAR. 0 TOLFREE FOUNDATION 335 E HOUGHTON AVE WEST BRANCH MI 48661 383067917 11500 FUNDRAISING SUPPORT 1 0 0 0 0 0 0 0 0 0 0 ROBERT MCGRAIL PRESIDENT / CHIEF EXECUTIVE OFFICER 216289 0 0 0 33389 0 57384 0 21285 0 328347 0 0 0 KATHARINE KOHR CHIEF FINANCIAL OFFICER 169081 0 0 0 7509 0 20658 0 7221 0 204469 0 0 0 LANETTE LUMBARDO CHIEF NURSING OFFICER 220461 0 0 0 19521 0 0 0 15318 0 255300 0 0 0 JILL JENNINGS MD PHYSICIAN 391820 0 0 0 24 0 0 0 7023 0 398867 0 0 0 EDWARD NAPIERALA TRUSTEE /FORMER CHIEF EXECUTIVE OFFI 144446 0 0 0 481093 0 0 0 5684 0 631223 0 0 0 A USDA RURAL DEVELOPMENT 431757115 NONEAVAIL 2015-12-31 12700000 TO CONSOLIDATE EXISTING DEBT AND PROVIDE A STATE OF THE ART MEDICAL FACILITY 0 0 0 A 11053578 12700000 378181 1268241 2016 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 0 0 0 0 0 0 0 0 A 0 X PAVILION 1 254493 COST OF CONSTRUCTION 0 0 0 0 Form 990, Part VI, Section B, line 11 AFTER PREPARATION OF THE RETURN BY A THIRD PARTY, IT WILL BE REVIEWED BY THE CEO AND CFO. THE BOARD WILL BE NOTIFIED THAT A COPY OF THE FORM 990 IS AVAILABLE UPON REQUEST. Form 990, Part VI, Section B, line 12c A CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY AND MONITORED FOR COMPLIANCE BY ADMINISTRATION AND THE CHAIRMAN OF THE BOARD. WHEN A CONFLICT EXISTS, THE BOARD MEMBER WITH THE CONFLICT IS ALLOWED TO DISCUSS THE MATTER AT HAND, BUT IS NOT ALLOWED TO VOTE ON ANY CONFLICTED ITEM. Form 990, Part VI, Section B, line 15a THE CEO'S COMPENSATION IS SET AT MARKET VALUE, BASED ON MARKET STUDIES DONE BY A COMMITTEE OF THE BOARD OF DIRECTORS. THIS PROCESS WAS LAST UNDERTAKEN IN 2015. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: PENSION-RELATED CHANGES 66,013. POSTRETIREMENT BENEFIT-RELATED CHANGES 1,775,819. EQUITY TRANSFER -4,041,852. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OF THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. TOLFREE FOUNDATION 335 E HOUGHTON AVE WEST BRANCH MI 48661 383067917 FUNDRAISING MI 501(c)(3) Line 9 JOHN TOLFREE HOSPITAL 1 HOSPICE OF HELPING HANDS INC 322 W HOUGHTON AVE WEST BRANCH MI 48661 382424475 HOSPICE CARE MI 501(c)(3) Line 9 JOHN TOLFREE HOSPITAL 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 TOLFREE FOUNDATION C 308050 COST HOSPICE OF HELPING HANDS INC Q 101808 COST TOLFREE FOUNDATION Q 243394 COST