2016-11-14T08:16:10-06:00 2015-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY SUITE 300 PORTAGE MI 49002 990 2015-01-01 381359180 ALLEGAN GENERAL HOSPITAL ALLE 2696864280 555 LINN STREET ALLEGAN MI 49010 richard harning CFO 2696864280 2016-11-10 1 Carol LaLonde CPA P00181637 2695674500 2015 2017-02-10 21:41:12Z RICHARD HARNING 555 LINN STREET ALLEGAN MI 49010 47989769 0 X www.aghosp.org X 1944 MI THE HOSPITAL IS A SHORT-TERM, ACUTE CARE FACILITY PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. 12 11 378 45 9548 0 125000 100000 40344574 37139056 3733 8692 7100105 6599689 47573412 43847437 0 0 0 0 22466867 21661211 0 0 0 24108852 23522049 46575719 45183260 997693 -1335823 32452322 28131047 23317283 22639868 9135039 5491179 TO PROVIDE EXCEPTIONAL, COMPASSIONATE, PERSONALIZED HEALTHCARE TO OUR COMMUNITY. 0 0 31250825 37139056 ANCILLARY MEDICAL SERVICES. 5675589 5696371 ROUTINE MEDICAL SERVICES; CHARITY CARE PROVIDED IN 2015 WAS APPROXIMATELY $174,805 36926414 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 19 0 1 378 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X RICHARD HARNING 2696864284 555 LINN STREET ALLEGAN MI 49010 STEVE MCKOWN CHAIRMAN 1.00 0.00 X X 0 0 0 JOHN WALSTRUM MD VICE CHAIR 1.00 40.00 X X 0 197735 49842 JAMES MUENZER TREASURER 1.00 1.00 X X 0 0 0 JIM CONNELL SECRETARY 1.00 1.00 X X 0 0 0 Matthew Antkoviak Board Member 1.00 0.00 X 0 0 0 EDELIO COIPEL SPHR BOARD MEMBER 1.00 0.50 X 0 0 0 Janna Tibbitts CPA BOARD MEMBER 1.00 0.00 X 0 0 0 KEVIN HARNESS BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTINE HASSING BOARD MEMBER 1.00 0.00 X 0 0 0 SHAWN MCFALL BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS MILLER BOARD MEMBER 1.00 0.00 X 0 0 0 PAUL ANTON HODGE BOARD MEMBER 1.00 0.50 X 0 0 0 Cyndi Cornell-Trobeck Board Member - Part Year 1.00 0.50 X 0 0 0 gERALD BARBINI cEO-COMPENSATED BY QUORUM 40.00 1.50 X 265574 0 68183 RICHARD HARNING CHIEF FINANCIAL OFFICER 40.00 1.50 X 193644 0 51348 DAVID FEDERINKO CHIEF INFORMATION OFFICER 40.00 0.00 X 126819 0 49974 KATHY CHAPMAN CHIEF NURSING OFFICER 40.00 0.00 X 129216 0 20092 MARK WARNER ORTHOPEDIC SURGEON 40.00 0.00 X 805947 0 63208 TIMOTHY FULLER CRNA 40.00 0.00 X 270334 0 67940 KENNETH WHITCOMB CRNA 40.00 0.00 X 270949 0 45137 James Kosiur ORTHOPEDIC SURGEON 40.00 0.00 X 447614 0 31781 MATTHEW RALPH GENERAL SURGEON 40.00 0.00 X 346077 0 10373 2856174 197735 457878 17 0 1 1 WEST MICHIGAN REHAB 576 LINN STREET ALLEGAN MI 49010 REHABILITATION SERVICES 1434170 EPMG 200 Green Rd Ann Arbor MI 48105 Emergency SERVICES 667676 HEALOGICS WOUND CARE 3087 MOMENTUM PLACE CHICAGO IL 60689 MEDICAL SERVICES 633997 Alliance HNI PO BOX 6600 Newport Beach CA 92658 MRI Services 573832 Bronson Methodist Hospital 601 John St Kalamazoo MI 49007 HOSPITALIST 459800 10 100000 100000 PATIENT SERVICE 621110 37139056 37139056 37139056 8692 8692 468768 278545 190223 190223 190223 599953 599953 0 8960205 3263834 5696371 5696371 OTHER SERVICES 900099 532586 532586 CAFETERIA 722100 164125 9548 154577 GIFT SHOP 900099 16384 16384 713095 43847437 42835427 9548 902462 X 904850 904850 16455136 13224415 3230721 754798 652069 102729 2403842 2101736 302106 1142585 756382 386203 145976 145976 84360 84360 737 737 7827834 6486377 1341457 472382 388697 83685 790933 790933 2681171 2206186 474985 315246 259398 55848 supplies 4919219 4378398 540821 BAD DEBT EXPENSE 2991725 2991725 repairs and maintenance 2152824 1769070 383754 1139642 921028 218614 45183260 36926414 8256846 0 1834 4115 3833316 2530407 4926501 4952684 1190557 1163374 466226 524561 50018274 34670189 17840612 15348085 814038 311185 202648 202648 3176590 3093988 32452322 28131047 6324378 5538194 14600000 14060000 1277433 948981 1115472 2092693 23317283 22639868 X 9135039 5491179 9135039 5491179 32452322 28131047 X -1335823 -2308037 X X 1 X 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 737 737 0 Part II-B, Line 1: A PORTION OF AHA DUES IS ALLOCATED TO LOBBYING ACTIVITIES. 70556 70556 26727145 15330968 11396177 22971922 19339221 3632701 248651 248651 15348085 OTHER ASSETS 691340 OTHER RECEIVABLES 934756 notes from affiliates 1467892 3093988 COST REPORT SETTLEMENT 1660000 fair value of interest rate swap agreement 432693 2092693 X Part X, Line 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL 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 FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2012. 1 1 X 1 X 1 X 1 1 0 1 1 79237 0 79237 0.00190 2249628 2978745 -729117 0.00000 6256660 2070412 4186248 0.09920 8585525 5049157 3536368 0.10110 8585525 5049157 3536368 0.10110 1 2991725 1484793 7461755 49351321 -41889566 X 1 1 1 1 ALLEGAN GENERAL HOSPITAL 555 LINN STREET ALLEGAN MI 49010 M393862 X X X X ALLEGAN GENERAL HOSPITAL 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X FULL WEBSITE LISTED IN "OTHER" X X 1 13 1 HTTPS://WWW.AGHOSP.ORG/SITES/WWW/UPLOADS/FILES/DOWNLOADS/COMMUNITY%20HEALTH 0 0 1 X 150.000000000000 250.000000000000 X X X X X 1 1 X X X X 1 X www.aghosp.org X www.aghosp.org X www.aghosp.org X X X X X 1 X 0 X X X X 1 X X 0 0 ALLEGAN GENERAL HOSPITAL Part V, Section B, Line 5: IN CONDUCTING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, ALLEGAN GENERAL HOSPITAL CONSULTED WITH 3 INDIVIDUALS FROM ALLEGAN COUNTY HEALTH DEPARTMENT DURING JANUARY 2013 KICK-OFF MEETINGS: 1) RICHARD TOOKER, M.D., M.P.H., MEDICAL DIRECTOR; 2) RASHMI TRAVIS, M.P.H., HEALTH OFFICER; 3) ANGELIQUE JOYNES, R.N.ADDITIONALLY, ALLEGAN GENERAL HOSPITAL MET WITH LEADERS FROM OTHER COMMUNITY ORGANIZATIONS DURING JANUARY 2013 KICK-OFF MEETINGS, INCLUDING ALLEGAN COUNTY UNITED WAY, ALLEGAN COUNTY TRANSPORTATION, MI PATHWAYS, ALLEGAN COUNTY SENIOR SERVICES, AND ALLEGAN COUNTY COMMUNITY MENTAL HEALTH.A COMMUNITY SURVEY WAS CONDUCTED TO GAIN ADDITIONAL INSIGHT INTO HEALTH STATUS AND PERCEPTION OF HEALTH NEEDS. A TOTAL OF 196 COMMUNITY MEMBERS RESPONDED TO THE SURVEY.A BROAD CROSS-SECTION OF COMMUNITY LEADERS WAS INVITED TO PARTICIPATE IN A PRIORITY-SETTING MEETING IN APRIL 2013, SEE BELOW FOR LIST OF TWENTY-FIVE ATTENDEES FROM EIGHTEEN ORGANIZATIONS:CHRISTINE ARMINTROUT - COMMUNITY EDUCATION COORDINATOR AT WINGS OF HOPE HOSPICENORA BALGOYEN-WILLIAMS - MANAGER OF MICHIGAN WORKS AT ALLEGAN AREA EDUCATIONAL SERVICE AGENCYTHERESA BRAY - CEO AT ALLEGAN COUNTY COMMUNITY FOUNDATIONTERRY BURNS - THERAPIST AT LAKESHORE COUNSELING SERVICEPENNY BURSMA - PROGRAM OFFICER AT PERRIGO FOUNDATIONLINDA CLARK - CHAIR AT ALLEGAN AREA ARTS COUNCILTOM CLARK - MEMBER, CITY COUNCIL FOR CITY OF ALLEGANCHARLIE COOK - SAFE HOUSE MANAGER AT SYLVIA'S PLACESARA DECKER - BUSINESS MANAGER AT BRIARWOOD ASSISTED LIVINGHEATHER FORREST - EXECUTIVE DIRECTOR AT SYLVIA'S PLACEMIMI GABRIEL - EXECUTIVE DIRECTOR AT ALLEGAN COUNTY UNITED WAYKAREN HANCOCK - CAMPAIGN MANAGER FOR ALLEGAN COUNTY UNITED WAYCHRISTINE HASSING - DIRECTOR OF DEMAND MANAGEMENT AT PERRIGO COMPANY/AGH BOARD OF DIRECTORSBILL HEKKER - ADMINISTRATION AT ALLEGAN COUNTY MEDICAL CARE COMMUNITYBRAD KERBER - PHYSICAL THERAPY ASSISTANT AT WEST MICHIGAN REHABILITATIONSARAH LACHAPELLE - DIRECTOR OF ALLEGAN COUNTY HEAD STARTBETTY MCDANIEL - MAYOR OF CITY OF ALLEGANCOLLEEN SANCHEZ - DIRECTOR OF ALLEGAN COUNTY EARLY HEAD STARTLAURIE SCHMITT - ASSISTANT SUPERINTENDENT OF ALLEGAN AREA EDUCATIONAL SERVICE AGENCYBART SHAW - RETIRED FROM AGH FOUNDATION BOARD/DRUG COURTSHEILA SHAW - RETIREDLOVEDIA STAP - BRANCH MANAGER OF CHEMICAL BANKRASHMI TRAVIS - HEALTH OFFICER AT ALLEGAN COUNTY HEALTH DEPARTMENTSANDRA TULEJA - FAMILY SERVICES SPECIALIST FOR ALLEGAN COUNTY HEAD STARTAMI VASQUEZ - GREAT START COLLABORATION DIRECTOR FOR ALLEGAN AREA EDUCATIONAL SERVICE AGENCY ALLEGAN GENERAL HOSPITAL Part V, Section B, Line 7d: FROM LINE 5A: https://www.aghosp.org/sites/www/Uploads/files/Downloads/Community%20Health%20Needs%20Assessment.pdf ALLEGAN GENERAL HOSPITAL Part V, Section B, Line 11: WHILE THE CHNA IDENTIFIED OTHER HEALTH NEEDS, THEY WERE SEEN TO BE BEYOND THE SCOPE OF OUR SERVICES OR WE COULD NOT MAKE A SIGNIFICANT IMPACT UPON THEM DUE TO LIMITED PERSONNEL AND/OR FINANCIAL RESOURCES. ALLEGAN GENERAL HOSPITAL Part V, Section B, Line 13b: THE HOSPITAL USES INCOME LEVELS, NUMBER OF DEPENDENTS, AND PATIENTS GUARANTORS AS FACTORS. Part I, Line 7: THE COST TO CHARGE RATIO IS USED TO CALCULATE COMMUNITY BENEFIT. 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 $ 2,991,725. Part II, Community Building Activities: WELLNESS PROGRAMS AND SPIRIT OF WOMEN OUTREACH PROGRAMS 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. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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 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 ESTIMATED MEDICARE SHORTFALL IS BASED ON THE COST TO CHARGE METHODOLOGY OF THE UNREIMBURSED COST OF CARE. ALL OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS MOST OF THESE PATIENTS ARE LIVING ON FIXED INCOMES AND DO NOT HAVE THE ABILITY TO HELP COVER THE COST OF THEIR MEDICAL CARE. THE MEDICAL FACILITY HAS TO ABSORB THESE COSTS AND IT IS DONE SO AS A BENEFIT TO THE COMMUNITY. Part III, Line 9b: WHEN FINANCIAL ASSISTANCE PATIENTS ARE IDENTIFIED, COLLECTION ACTIVITY IS STOPPED AND THEIR ACCOUNTS ARE PLACED ON HOLD PENDING COMPLETION AND RETURN OF ALL REQUIRED DOCUMENTS. THE IDENTIFICATION CAN OCCUR AT PRE-REGISTRATION, DURING AN ADMISSION OR AFTER A PATIENT HAS RECEIVED A BALANCE OWING STATEMENT. THE APPROPRIATE PERCENTAGE OF DISCOUNT IS DETERMINED ONCE ALL INFORMATION IS RECEIVED BY THE HOSPITAL. THE ACCOUNTS INVOLVED WITH THE FINANCIAL ASSISTANCE ARE THEN REVIEWED, APPROVED, AND CREDIT ADJUSTMENTS POSTED TO THE ACCOUNTS. ANY ACCOUNTS THAT MAY HAVE A REMAINING BALANCE AFTER DISCOUNTING ARE RELEASED FROM HOLD AND THE PATIENT IS BILLED. Part VI, Line 2: THE ORGANIZATION USES VARIOUS SURVEYS TO OBTAIN INFORMATION REGARDING THE NEEDS OF THE COMMUNITY. Part VI, Line 3: OUR IN-HOUSE FINANCIAL COUNSELOR EDUCATES AND WORKS WITH PATIENTS TO GET FEDERAL ASSISTANCE OR TO APPLY FOR MEDICAID Part VI, Line 4: ALLEGAN GENERAL HOSPITAL IS LOCATED IN ALLEGAN, MICHIGAN, THE COUNTY SEAT OF ALLEGAN COUNTY. ALLEGAN COUNTY IS APPROXIMATELY 40 MILES SOUTH OF GRAND RAPIDS, 80 MILES WEST OF LANSING AND 70 MILES NORTH OF SOUTH BEND, INDIANA. IN ADDITION TO THE HOSPITAL, OTHER MAJOR EMPLOYERS INCLUDE: PERRIGO COMPANY (3,200 EMPLOYEES), HAWORTH INC. (3,000 EMPLOYEES), PARKER HANNIFIN CORP. (700 EMPLOYEES), S 2 YACHTS INC. (600 EMPLOYEES), AND VENTUREDYNE CORP. (500 EMPLOYEES). ALLEGAN COUNTY HAS A TOTAL POPULATION OF APPROXIMATELY 105,000. APPROXIMATELY 39% OF THIS POPULATION IS OVER THE AGE OF 45, WITH 12% OVER THE AGE OF 65, WHICH IS IN LINE WITH THE STATE OF MICHIGAN AVERAGES OF 39% AND 13% RESPECTIVELY. ALLEGAN COUNTY'S POPULATION IS RELATIVELY YOUNG. AS THE POPULATION AGES, THE HOSPITAL SHOULD SEE AN OVERALL INCREASE IN PATIENT CARE DEMAND. ALLEGAN COUNTY'S MEDIAN HOUSEHOLD INCOME IN 2008 WAS $52,401, WHICH IS HIGHER THAN THE STATE AVERAGE OF $49,694 AND THE NATIONAL AVERAGE OF $52,175. Part VI, Line 5: THE HOSPITAL'S MISSION IS TO PROVIDE EXCEPTIONAL, COMPASSIONATE, PERSONALIZED HEALTHCARE TO OUR COMMUNITY. THE HOSPITAL'S VISION IS TO BE THE TRUSTED HEALTHCARE PROVIDER OF CHOICE BY DEMONSTRATING CLINICAL AND OPERATIONAL EXCELLENCE, OUTSTANDING CUSTOMER SERVICE AND AN UNWAVERING COMMITMENT TO THE HEALTH OF OUR COMMUNITY. Part VI, Line 7, Reports Filed With States MI X X X 0 0 0 0 0 0 0 0 0 JOHN WALSTRUM MD VICE CHAIR 0 197735 0 0 0 0 0 22490 0 27352 0 247577 0 0 gERALD BARBINI cEO-COMPENSATED BY QUORUM 265574 0 0 0 0 0 0 0 68183 0 333757 0 0 0 RICHARD HARNING CHIEF FINANCIAL OFFICER 193644 0 0 0 0 0 5850 0 45498 0 244992 0 0 0 DAVID FEDERINKO CHIEF INFORMATION OFFICER 126819 0 0 0 0 0 15600 0 34374 0 176793 0 0 0 MARK WARNER ORTHOPEDIC SURGEON 805947 0 0 0 0 0 24000 0 39208 0 869155 0 0 0 TIMOTHY FULLER CRNA 270334 0 0 0 0 0 24000 0 43940 0 338274 0 0 0 KENNETH WHITCOMB CRNA 270949 0 0 0 0 0 23166 0 21971 0 316086 0 0 0 James Kosiur ORTHOPEDIC SURGEON 447614 0 0 0 0 0 0 0 31781 0 479395 0 0 0 MATTHEW RALPH GENERAL SURGEON 346077 0 0 0 0 0 10373 0 0 0 356450 0 0 0 FORM 990, PART VII, LINE 1A GERALD BARBINI IS COMPENSATED BY QUORUM, AN UNRELATED ORGANIZATION, AS CEO OF ALLEGAN GENERAL HOSPITAL. HIS TOTAL REPORTABLE COMPENSATION WAS $265,574. A CITY OF ALLEGAN HOSPITAL FINANCE AUTHORITY 386004518 NONEAVAIL 2010-12-20 17000000 REFUNDING AND CONSTRUCTION OF HOSPITAL FACILITIES 0 0 0 A 1880000 17000000 278475 5176300 2885156 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 FIFTH THIRD BANK 6.000000000000 0 0 0 0 0 A 1 Form 990, Part VI, Section A, line 3 THE CEO IS CONTRACTED OUT FROM A PROFESSIONAL STAFFING FIRM. Form 990, Part VI, Section B, line 11 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE CFO. ANY REPORTABLE INFORMATION IS SHARED WITH THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 12c THE CONFLICT OF INTEREST PROCESS IS THAT BOARD MEMBERS AND THE LEADERSHIP TEAM ARE EXPECTED TO COMPLETE THE DISCLOSURE STATEMENTS ANNUALLY. THESE ARE REVIEWED BY THE COMPLIANCE OFFICER FOR ANY POTENTIAL ISSUES AND DISCUSSED WITH INDIVIDUAL BOARD MEMBERS AS NECESSARY. IF A MATERIAL CONFLICT IS IDENTIFIED, MEASURES ARE TAKEN TO MITIGATE THE CONFLICT. IF NECESSARY, EXTERNAL LEGAL COUNSEL WILL BE CONSULTED. Form 990, Part VI, Section B, line 15 A REVIEW IS PERFORMED COMPARING CURRENT COMPENSATION TO EXTERNAL WAGE SURVEYS ON MARKET RATES. ADDITIONALLY, AN INDEPENDENT COMPENSATION CONSULTANT IS USED AND THE BOARD CONDUCTS A STUDY TO DETERMINE COMPENSATION. ALL DECISIONS ARE DOCUMENTED IN WRITTEN CONTRACTS AND THE BOARD MINUTES. THIS PROCESS IS PERFORMED ANNUALLY. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2014. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part IX, line 11g PROFESSIONAL FEES: Program service expenses 1,681,449. Management and general expenses 306,971. Fundraising expenses 0. Total expenses 1,988,420. PURCHASED SERVICES: Program service expenses 4,505,388. Management and general expenses 969,996. Fundraising expenses 0. Total expenses 5,475,384. OTHER FEES: Program service expenses 299,540. Management and general expenses 64,490. Fundraising expenses 0. Total expenses 364,030. Form 990, Part XI, line 9: CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENT 191,963. TRANSFER TO APHS -2,500,000. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGES IN PROCESS FROM PRIOR YEAR. ALLEGAN HEALTHCARE GROUP 555 LINN STREET ALLEGAN MI 49010 382802463 HOSPITAL MI 501(c)(3) Line 11a, I N/A 0 ALLEGAN PROFESSIONAL HEALTH SERVICES 555 LINN STREET ALLEGAN MI 49010 205800012 HEALTHCARE MI 501(c)(3) Line 3 ALLEGAN HEALTHCARE GROUP 1 ALLEGAN GENERAL HOSPITAL PAIN ADMINISTRATION SERVICES LLC 555 LINN STREET ALLEGAN MI 49010 473706652 PAIN MGMT SERVICES MI ALLEGAN GENERAL HOSPITAL investment 21323 105710 0 0 0.51000 HEALTH CENTERS INC 555 LINN STREET ALLEGAN MI 49010 382677756 MEDICAL SERVICE MI N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 ALLEGAN PROFESSIONAL HEALTH SERVICES R 2500000 CASH ALLEGAN HEALTHCARE GROUP INC C 100000 CASH