MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL (EIN 38-1303843)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201623199349307242
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T14:50:08-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	600 E Front St Ste 300	AddressLine1Txt
City	Traverse City	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49686	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381303843	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	OTSE	BusinessNameControlTxt
Phone	9897312100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 N CENTER	AddressLine1Txt
City	GAYLORD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49735	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS LEMON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9897312100	PhoneNum
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CAROL LALONDE CPA	PreparerPersonNm
PTIN	P00181637	PTIN
Phone	2319477800	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO COUNTY MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	THOMAS LEMON CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 N CENTER	AddressLine1Txt
City	GAYLORD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49735	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$93,469,592	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MYOMH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE THAT MEETS THE NEEDS OF OUR PATIENTS AND THE COMMUNITIES WE SERVE BY: WORKING IN PARTNERSHIP WITH AREA PHYSICIANS TO PROVIDE PATIENT-FOCUSED CARE WITH QUALITY AND SERVICE SECOND TO NONE; DELIVERING A FULL CONTINUUM OF ACCESSIBLE CARE THAT ADDRESSES THE COMMUNITIES NEEDS; WORKING TO INCREASE THE PUBLIC'S AWARENESS OF THE BREADTH AND DEPTH OF OTSEGO MEMORIAL HOSPITAL'S SERVICES; MEETING THE PROFESSIONAL NEEDS OF OUR DEDICATED STAFF BY PROVIDING THEM WITH OPPORTUNITIES FOR PROFESSIONAL GROWTH AND EDUCATIONAL DEVELOPMENT; AND REMAINING FISCALLY SOUND.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	846	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$672,032	PYContributionsGrantsAmt
CY Contributions Grants	$160,212	CYContributionsGrantsAmt
PY Program Service Revenue	$85,859,000	PYProgramServiceRevenueAmt
CY Program Service Revenue	$90,870,515	CYProgramServiceRevenueAmt
PY Investment Income	$978,417	PYInvestmentIncomeAmt
CY Investment Income	$129,774	CYInvestmentIncomeAmt
PY Other Revenue	$336,309	PYOtherRevenueAmt
CY Other Revenue	$362,712	CYOtherRevenueAmt
PY Total Revenue	$87,845,758	PYTotalRevenueAmt
CY Total Revenue	$91,523,213	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,650,857	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$54,520,053	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$837,551	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,289,796	PYOtherExpensesAmt
CY Other Expenses	$33,061,704	CYOtherExpensesAmt
PY Total Expenses	$81,940,653	PYTotalExpensesAmt
CY Total Expenses	$87,581,757	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,905,105	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,941,456	CYRevenuesLessExpensesAmt
Total Assets BOY	$59,493,151	TotalAssetsBOYAmt
Total Assets EOY	$65,314,526	TotalAssetsEOYAmt
Total Liabilities BOY	$28,177,385	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,599,744	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$31,315,766	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$34,714,782	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCEPTIONAL HEALTHCARE THAT MEETS THE NEEDS OF OUR PATIENTS, AND THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	Yes (1)	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$44,911,336	ExpenseAmt
Revenue	$63,364,251	RevenueAmt
Desc	ACUTE INPATIENT AND OUTPATIENT CARE FOR DIAGNOSTIC AND MEDICAL CARE: THERE WERE 82,054 ADMISSIONS FOR MEDICAL SURGICAL (1,316), ICU (318), BIRTHING CENTER (412), AND OUTPATIENT REGISTRATIONS (80,008).	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$23,299,220	ExpenseAmt
Revenue	$23,790,966	RevenueAmt
Desc	PHYSICIAN DIAGNOSTIC OFFICES AND URGENT CARE CLINIC: THERE WERE 151,592 PATIENTS FOR MEDICAL GROUP (82,652), LEWISTON/MONTMORENCY (12,955), URGENT CARE (18,114), INDIAN RIVER (14,364), ORTHOPEDICS (17,276) AND BOYNE VALLEY (6,231).	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,887,523	ExpenseAmt
Revenue	$3,342,967	RevenueAmt
Desc	LONG TERM CARE FOR THE ELDERLY: THIS PAST YEAR THERE WERE 144 ADMISSIONS WITH 10,563 MCREYNOLDS HALL PATIENT DAYS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,831,262	ExpenseAmt
Revenue	$372,331	RevenueAmt
Desc	ALL OTHER PROGRAM SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,831,262	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$372,331	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$73,929,341	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	846	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMY BILYEA CONTROLLER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9897312100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 N CENTER AVE	AddressLine1Txt
City	GAYLORD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49735	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CAROLYN STUDY
DIRECTOR-SECRETARY	0.20	0.50	Yes (X)	Yes (X)	$0	$0	$0
CHRISTOPHER COLLINS
DIRECTOR-VICE PRESIDENT	0.20	0.50	Yes (X)	Yes (X)	$0	$0	$0
DANIEL SMITH
DIRECTOR	0.20	0.50	Yes (X)		$0	$0	$0
DAVID BRINEY
DIRECTOR	0.20	0.50	Yes (X)		$0	$0	$0
DONALD SKLARCZYK
DIRECTOR	0.20	0.00	Yes (X)		$0	$0	$0
DR STEVEN SELLA
DIRECTOR	0.20	0.50	Yes (X)		$0	$0	$0
DR BECKY ASHLEY
DIRECTOR	0.20	0.00	Yes (X)		$0	$0	$0
DR KEVIN SMITH
DIRECTOR	40.00	0.00	Yes (X)		$342,029	$0	$0
MARCUS WEGMEYER
DIRECTOR-TREASURER	0.20	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARY SANDERS
DIRECTOR-PRESIDENT	0.20	0.50	Yes (X)	Yes (X)	$0	$0	$0
DR JOHN FOLTZ
DIRECTOR - 1ST PART YEAR	40.00	0.00	Yes (X)		$324,631	$0	$17,500
SCOTT CHESLEY
DIRECTOR - 1ST PART YEAR	0.20	0.00	Yes (X)		$0	$0	$0
ROBERT COURTOIS
VP OF FINANCE & CFO	39.50	0.50		Yes (X)	$201,829	$0	$18,000
THOMAS LEMON
PRESIDENT AND CEO	39.50	0.50		Yes (X)	$334,998	$0	$18,000
BARBARA MILLER
VP OF PHYSICIAN SERVICES	40.00	0.00			$186,768	$0	$0	Yes (X)
CHRISTOPHER SQUIRE
VP OF PROFESSIONAL & ANCILLARY SERVICES	40.00	0.00			$158,081	$0	$0	Yes (X)
DIANE FISHER
VP OF PATIENT CARE SERVICE	40.00	0.00			$184,536	$0	$0	Yes (X)
DR JAMES SHURLOW
PHYSICIAN	40.00	0.00			$452,043	$0	$0		Yes (X)
DR STEVEN WISNIEWSKI
PHYSICIAN	40.00	0.00			$460,878	$0	$17,498		Yes (X)
DR CHANGXIN LI
PHYSICIAN	40.00	0.00			$833,842	$0	$0		Yes (X)
DR JOHN MOFFAT
PHYSICIAN	40.00	0.00			$994,741	$0	$0		Yes (X)
DR LOUIS HABRYL
PHYSICIAN	40.00	0.00			$647,202	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,121,578	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$70,998	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	54	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BURDCO
1222 VETERNS	TRAVERSE CITY	MI	49684	CONSTRUCTION	$2,392,338
REMER PLUMBING & HEATING
PO BOX 1569	SAGINAW	MI	48605	PLUMBING/HEATING	$718,981
MAYO COLLABORATIVE SERVICES
PO BOX 9146	MINNEAPOLIS	MN	55480	DIAGNOSTIC SERVICES	$494,484
STRYKER SALES
PO 70119	CHICAGO	IL	60673	MEDICAL EQUIPMENT	$433,855
SIEMENS MEDICAL SOLUTIONS USA
DEPT CH 14195	PALATINE	IL	60055	MEDICAL EQUIPMENT SERVICES	$427,533

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Membership Dues	$6,843	MembershipDuesAmt
Related Organizations	$120,951	RelatedOrganizationsAmt
Government Grants	$8,996	GovernmentGrantsAmt
All Other Contributions	$23,422	AllOtherContributionsAmt
Total Contributions	$160,212	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$89,973,816	$89,973,816
OTHER RELATED REVENUE	622110	$803,338	$803,338
EHR REVENUE	622110	$93,361	$93,361

Field	Value	IRS element (for citing)
Total Program Service Revenue	$90,870,515	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$442,871	TotalRevenueColumnAmt
Exclusion	$442,871	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$143,022	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$46,475	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$96,547	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,547	TotalRevenueColumnAmt
Exclusion	$96,547	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,574,107	SecuritiesAmt
Other	$12,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,537,804	SecuritiesAmt
Other	$362,100	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,303	SecuritiesAmt
Other	-$349,400	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$313,097	TotalRevenueColumnAmt
Exclusion	-$313,097	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA REVENUE	Desc
Business	722210	BusinessCd
Total Revenue Column	$266,165	TotalRevenueColumnAmt
Exclusion	$266,165	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$266,165	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,523,213	TotalRevenueColumnAmt
Related Or Exempt Func Income	$90,870,515	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$492,486	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,498,671	TotalAmt
Program Services	$804,483	ProgramServicesAmt
Management And General	$694,188	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$41,709,200	TotalAmt
Program Services	$36,256,550	ProgramServicesAmt
Management And General	$5,235,919	ManagementAndGeneralAmt
Fundraising	$216,731	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,194,318	TotalAmt
Program Services	$1,026,865	ProgramServicesAmt
Management And General	$161,434	ManagementAndGeneralAmt
Fundraising	$6,019	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,528,719	TotalAmt
Program Services	$7,171,498	ProgramServicesAmt
Management And General	$340,178	ManagementAndGeneralAmt
Fundraising	$17,043	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,589,145	TotalAmt
Program Services	$2,226,126	ProgramServicesAmt
Management And General	$349,970	ManagementAndGeneralAmt
Fundraising	$13,049	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$196,397	TotalAmt
Management And General	$196,397	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$314,072	TotalAmt
Management And General	$314,072	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$5,803	TotalAmt
Management And General	$5,803	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$96,510	TotalAmt
Management And General	$96,510	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,125,524	TotalAmt
Program Services	$2,779,901	ProgramServicesAmt
Management And General	$1,018,226	ManagementAndGeneralAmt
Fundraising	$327,397	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$109,484	TotalAmt
Management And General	$26,184	ManagementAndGeneralAmt
Fundraising	$83,300	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$676,894	TotalAmt
Program Services	$318,528	ProgramServicesAmt
Management And General	$323,645	ManagementAndGeneralAmt
Fundraising	$34,721	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$329,176	TotalAmt
Program Services	$159,943	ProgramServicesAmt
Management And General	$167,127	ManagementAndGeneralAmt
Fundraising	$2,106	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,785,422	TotalAmt
Program Services	$690,546	ProgramServicesAmt
Management And General	$1,094,876	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$164,034	TotalAmt
Program Services	$110,206	ProgramServicesAmt
Management And General	$47,886	ManagementAndGeneralAmt
Fundraising	$5,942	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$142,684	TotalAmt
Program Services	$97,027	ProgramServicesAmt
Management And General	$44,857	ManagementAndGeneralAmt
Fundraising	$800	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$543,370	TotalAmt
Program Services	$405,710	ProgramServicesAmt
Management And General	$136,335	ManagementAndGeneralAmt
Fundraising	$1,325	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,794,515	TotalAmt
Program Services	$2,087,749	ProgramServicesAmt
Management And General	$699,965	ManagementAndGeneralAmt
Fundraising	$6,801	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$964,514	TotalAmt
Program Services	$235,020	ProgramServicesAmt
Management And General	$729,494	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$13,660,875	$13,484,575	$174,987	$1,313
PROVISION FOR BAD DEBT	$2,493,059	$2,493,059
REPAIRS AND MAINTENANCE	$1,934,867	$1,246,036	$671,096	$17,735
QUALITY ASSESSMENT FEES	$1,735,313	$1,735,313

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$989,191	TotalAmt
Program Services	$600,206	ProgramServicesAmt
Management And General	$285,716	ManagementAndGeneralAmt
Fundraising	$103,269	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$87,581,757	TotalAmt
Program Services	$73,929,341	ProgramServicesAmt
Management And General	$12,814,865	ManagementAndGeneralAmt
Fundraising	$837,551	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,844,933	BOYAmt
EOY	$1,633,310	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,736,051	BOYAmt
EOY	$37,935	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,983,568	BOYAmt
EOY	$6,231,822	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,358,751	BOYAmt
EOY	$1,339,443	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,667,844	BOYAmt
EOY	$2,836,927	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$62,292,336	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,126,473	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$28,263,532	BOYAmt
EOY	$32,165,863	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$12,710,080	BOYAmt
EOY	$15,584,507	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,517,015	BOYAmt
EOY	$2,803,241	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,411,377	BOYAmt
EOY	$2,681,478	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,493,151	BOYAmt
EOY	$65,314,526	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,325,395	BOYAmt
EOY	$9,857,772	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$186,001	BOYAmt
EOY	$185,506	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,981,249	BOYAmt
EOY	$17,499,353	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$136,849	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,547,891	BOYAmt
EOY	$3,057,113	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,177,385	BOYAmt
EOY	$30,599,744	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,294,076	BOYAmt
EOY	$34,685,605	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,690	BOYAmt
EOY	$29,177	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,315,766	BOYAmt
EOY	$34,714,782	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$59,493,151	BOYAmt
EOY	$65,314,526	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$3,941,456	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$542,440	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$5,803	OtherActivitiesAmt
Total Lobbying Expenditures	$5,803	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	SUPPORTED LOBBYING ACTIVITIES THROUGH ANNUAL DUES PAID TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,455,291	OtherCostOrOtherBasisAmt
Book Value	$1,455,291	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,766,542	OtherCostOrOtherBasisAmt
Depreciation	$16,990,499	DepreciationAmt
Book Value	$22,776,043	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$911,194	OtherCostOrOtherBasisAmt
Depreciation	$348,384	DepreciationAmt
Book Value	$562,810	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,848,151	OtherCostOrOtherBasisAmt
Depreciation	$12,787,590	DepreciationAmt
Book Value	$7,060,561	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$311,158	OtherCostOrOtherBasisAmt
Book Value	$311,158	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,165,863	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	COST REPORT SETTLEMENT PAYABLE	Desc
Amt	$3,057,113	Amt

Field	Value	IRS element (for citing)
Total Liability	$3,057,113	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION AND ITS SUBSIDIARY ARE 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 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 ORGANIZATION 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.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	767	PersonsServedCnt
Total Community Benefit Expns	$285,597	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$485,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$199,677	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	32412	PersonsServedCnt
Total Community Benefit Expns	$15,200,051	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,754,695	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$445,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	33179	PersonsServedCnt
Total Community Benefit Expns	$15,485,648	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,239,969	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,679	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1956	ActivitiesOrProgramsCnt
Persons Served	4546	PersonsServedCnt
Total Community Benefit Expns	$366,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,528	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$360,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$7,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	22790	PersonsServedCnt
Total Community Benefit Expns	$18,108,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,728,134	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,379,932	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$38,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,284	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1970	ActivitiesOrProgramsCnt
Persons Served	27351	PersonsServedCnt
Total Community Benefit Expns	$18,520,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,733,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,786,698	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1972	ActivitiesOrProgramsCnt
Persons Served	60530	PersonsServedCnt
Total Community Benefit Expns	$34,006,008	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,973,631	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,032,377	NetCommunityBenefitExpnsAmt
Total Expense	0.02610	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$193	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$193	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	10	PersonsServedCnt
Total Community Benefit Expns	$329	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$329	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	114	ActivitiesOrProgramsCnt
Persons Served	220	PersonsServedCnt
Total Community Benefit Expns	$42,071	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,071	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,023	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$358,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$358,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	141	ActivitiesOrProgramsCnt
Persons Served	230	PersonsServedCnt
Total Community Benefit Expns	$411,849	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$411,849	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,493,058	BadDebtExpenseAmt
Bad Debt Expense Attributable	$371,552	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,197,091	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$21,192,143	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,004,948	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 N CENTER AVE	AddressLine1Txt
City	GAYLORD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49735	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MYOMH.ORG	WebsiteAddressTxt
State License	1060000063	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	long-term care FACILITY AND PHYSICIAN CLINICS	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.myomh.org/community-needs-assessment	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.myomh.org/community-needs-assessment	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.myomh.org/patient-assistance-program	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.myomh.org/patient-assistance-program	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.myomh.org/patient-assistance-program	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
OTSEGO MEMORIAL HOSPITAL ASSOCIATION	Part V, Section B, Line 5: IN CONDUCTING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, OTSEGO MEMORIAL HOSPITAL, IN CONJUNCTION WITH ITS PARTNERING HOSPITALS, CONDUCTED A DAYLONG SESSION WITH HEALTH PROFESSIONALS AND SECTOR REPRESENTATIVES IN LATE DECEMBER 2015. ADDITIONALLY, MORE THAN 1,200 INDIVIDUALS PARTICPATED IN SURVEYS AND/OR FOCUS GROUPS THROUGHOUT NORTHERN MICHIGAN IN 2015 FOR THE REGIONAL COMMUNITY HEALTH ASSESSMENT. ABOUT 1,100 RESIDENTS COMPLETED A "WHAT MATTERS TO YOU" SURVEY, INCLUDING 445 RESIDENTS FROM ANTRIM, CHEOYGAN, OTSEGO AND MONTMORENCY COUNTIES. MORE THAN 122 PHYSCIANS, NURSE PRACTITIONERS, AND PHYSICIAN ASSISTANTS COMPLETED A "HEALTH CARE PROVIDER" SURVEY. ADDITIONALLY, EXTRA EFFORT WAS MADE TO REACH LOW-INCOME RESIDENTS, MINORITIES, AND THE UNINSURED. THE COMMUNITY MEETINGS WERE HELD MOSTLY AT HEALTH DEPARTMENT OFFICES AND MARKETED THROUGH EXISTING SOCIAL SERVICE ORGANIZATIONS WORKING WITH THOSE POPULATIONS. A COMBINED TOTAL OF 74 PARTICIPANTS TOOK PART IN THE FOUR COMMUNITY CONVERSATIONS HELD IN CHEBOYGAN, MONTMORENCY, ANTRIM, AND OTSEGO COUNTIES. IN ADDITION TO THE HEALTH DEPARTMENT OF NORTHWEST MICHIGAN, CHARLEVOIX AREA HOSPITAL, AND MCLAREN NORTHERN MICHIGAN HOSPITAL, ALL PARTNERED WITH OTSEGO MEMORIAL HOSPITAL IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE ASSESSMENT COMMITTEE INCLUDED REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: OTSEGO COUNTY MSU EXTENSION, ALCONA HEALTH CENTER, HEALTH DEPT OF NW MICHIGAN, OTSEGO MEMORIAL HOSPITAL, COP EDUCATION SERVICE DISTRICT, CHARLEVOIX AREA HOSPITAL, NORTH COUNTY CMH SERVICES, MCLAREN NORTHERN MICHIGAN, THUNDER BAY COMMUNITY HEALTH SERVICE, WOMEN'S RESOURCE CENTER, HARBOR HALL, NE MICHIGAN CMH AUTHORITY, CHAR-EM UNITED WAY, EAST JORDAN FAMILY HEALTH CENTER, DISTRICT HEALTH DEPT #4, NORTHERN HEALTH PLAN, MUNSON MEDICAL CENTER, NORTHERN MICHIGAN REGIONAL ENTITY, ALPENA REGIONAL MEDICAL CENTER, MSU COLLEGE OF HUMAN MEDICINE, AND NORTHERN MICHIGAN SUBSTANCE ABUSE SERVICES.ADDITIONAL INFORMATION CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT LOCATED AT THE FOLLOWING WEBSITE: HTTP://WWW.MYOMH.ORG/COMMUNITY-NEEDS-ASSESSMENT.
OTSEGO MEMORIAL HOSPITAL ASSOCIATION	Part V, Section B, Line 6a: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES - CHARLEVOIX AREA HOSPITAL AND MCLAREN NORTHERN MICHIGAN.
OTSEGO MEMORIAL HOSPITAL ASSOCIATION	Part V, Section B, Line 6b: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING OTHER NON-HOSPITAL ORGANIZATIONS - HEALTH DEPARTMENT OF NORTH WEST MICHIGAN, AND DISTRICT HEALTH DEPARTMENT #4.
OTSEGO MEMORIAL HOSPITAL ASSOCIATION	Part V, Section B, Line 11: FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THE TOP THREE AREAS OF HEALTH CONCERN IDENTIFIED ARE: EXPANDING ACCESS TO CARE, CHRONIC DISEASE EDUCATION AND MANAGEMENT, AND MATERNAL AND CHILD HEALTH AND WELLNESS ACTIVITIES. FOR ALL THREE AREAS OTSEGO MEMORIAL HOSPITAL BELIEVES THEY COULD DIRECT RESOURCES TO HELP ADDRESS THE GROWING HEALTH CONCERN. REGARDING ACCESS TO CARE, OTSEGO MEMORIAL HOSPITAL IS WORKING TO EXPAND SERVICES IN RURAL COMMUNITIES, OFFER ONSITE SCREENINGS AND EXPANDING OFFERINGS FOR SERVICES AT LOCAL HEALTH FAIRS, AND SIGNING INDIVIDUALS UP FOR INSURANCE BY EMPLOYING A CERTIFIED APPLICATION COUNSELOR. FOR CHRONIC DISEASE, OTSEGO MEMORIAL HOSPITAL IS COMMITTED TO OFFERING AND EXPANDING A CDC DIABETES PREVENTION PROGRAM, DOUBLING THE NUMBER OF CLASSES OFFERED. OTSEGO MEMORIAL HOSPITAL WILL CONTINUE TO EDUCATE THE COMMUNITY ON IMPORTANT CHRONIC DISEASE TOPICS SUCH AS CANCER, HEART HEALTH, AND DIABETES THROUGH PRINT AND SPEAKING EVENTS. FOR MATERNAL AND CHILD HEALTH, OTSEGO MEMORIAL HOSPITAL IS EXPANDING OFFERINGS IN THE LOCAL SCHOOLS, INCLUDING A 6 WEEK HEALTH PROGRAM FOR ELEMENTARY STUDENTS. OTSEGO MEMORIAL HOSPITAL WILL CONTINUE TO OFFER CLASSES TO NEW PARENTS, WILL EXPLORE OFFERING A HEALTH LIFESTYLES CLASS FOR FAMILIES--WORKING TO REDUCE OBESITY AND INCREASE HEALTH EATING AND ACTIVITY LEVELS FOR YOUTH IN THE COUNTIES SERVED BY OTSEGO MEMORIAL HOSPITAL. OTSEGO MEMORIAL HOSPITAL WILL CONTINUE TO OFFER OB/GYN SERVICES IN INDIAN RIVER, AND WILL WORK TO EDUCATE COMMUNITY MEMBERS ON SERVICES OFFERED FOR MOTHER AND CHILD IN THIS VERY RURAL SETTING. OTHER NEEDS IDENTIFIED IN THE MOST RECENT CHNA INCLUDE: SUBSTANCE USE, MENTAL HEALTH AND HEALTH DISPARITIES. THESE ISSUES RANKED 4-6 IN THE CHNA. OTSEGO MEMORIAL HOSPITAL FEELS THAT BASED ON AVAILBLE RESOURCES AND EXPERTISE OF STAFF, THE TOP THREE ISSUES CAN BE BEST ADDRESSED BY THE HOSPITAL.
OTSEGO MEMORIAL HOSPITAL ASSOCIATION	Part V, Section B, Line 22d: FAP ELIGIBLE PATIENTS ARE NOT CHARGED MORE THAN THE AMOUNT GENERALLY BILLED (AGB) TO PATIENTS WITH INSURANCE. WE DETERMINE THE AGB BY: AS A NUMERATOR, THE AVERAGE AMOUNT ALLOWED BY INSURANCE FOR PATIENTS COVERED UNDER MEDICAID, MEDICARE OR COMMERCIAL INSURANCE (LOOKING BACK ONE YEAR) DIVIDED BY THE GROSS CHARGES FOR ALL THE SAME SERVICES AS THE DENOMINATOR. THE 501R RULE REQUIRES PATIENTS WHO "MAY BE ELIGIBLE FOR THE FAP WILL NOT BE CHARGED MORE THAN THIS AMOUNT". THIS PERCENTAGE WILL BE MULTIPLED BY THE CHARGES AMOUNT IN OUR SYSTEM TO DERIVE THE MAXIMUM BILLED AMOUNT. THE CALCULATION OF THE AGB WILL BE UPDATED ANNUALLY WITHIN THE 120-DAY PERIOD FOLLOWING THE ANNIVERSARY DATE OF THE INITIAL AGB CALCULATION.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - OMH MEDICAL GROUP GAYLORD
829 N CENTER AVENUE	GAYLORD	MI	49735	OUTPATIENT CLINIC
2 - MEDCARE CLINIC
1996 WALDEN DRIVE	GAYLORD	MI	49735	WALK-IN AND OUTPATIENT CLINIC
3 - NORTHOPEDICS CLINIC
2147 PROFESSIONAL DRIVE	GAYLORD	MI	49735	OUTPATIENT CLINIC
4 - MCREYNOLDS HALL
825 N CENTER AVENUE	GAYLORD	MI	49735	LONG-TERM CARE
5 - LEWISTON CLINIC
3040 BOURN STREET	LEWISTON	MI	49756	WALK-IN AND OUTPATIENT CLINIC
6 - INDIAN RIVER CLINIC
3696 SOUTH STRAITS HWY	INDIAN RIVER	MI	49749	WALK-IN AND OUTPATIENT CLINIC
7 - BOYNE VALLEY CLINIC
2572 NORTH US-131	ELMIRA	MI	49730	WALK-IN AND OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	UNDER ITS ASSISTANCE PROGRAM, OTSEGO MEMORIAL HOSPITAL WILL MAKE AVAILABLE A REASONABLE AMOUNT OF UNCOMPENSATED OR REDUCED PRICE SERVICES TO PERSONS ELIGIBLE UNDER APPLICABLE GUIDELINES. OTSEGO MEMORIAL HOSPITAL'S ASSISTANCE PROGRAM SERVICES ARE NOT LIMITED TO ANY SPECIFIC HOSPITAL SERVICE. INDIVIDUAL ELIGIBILITY FOR ASSISTANCE IS DETERMINED BY MEASURING FAMILY INCOME IN RELATION TO FAMILY SIZE AGAINST THE INCOME POVERTY GUIDELINE ESTABLISHED BY THE COMMUNITY SERVICE ADMINISTRATION. IF THE HOSPITAL DETERMINES THAT SERVICES ARE NOT MEDICALLY NECESSARY, ELECTIVE OR OTHERWISE, THE HOSPITAL CAN DENY SERVICES UNDER THE FINANCIAL ASSISTANCE PROGRAM. ASSETS INCLUDING THE PATIENT'S PLACE OF RESIDENCE ARE ALSO CONSIDERED AS PART OF THE EVALUATION.
Part I, Line 7:	A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E), HEALTH PROFESSIONS EDUCATION (LINE 7F), SUBSIDIZED HEALTH SERVICES (LINE 7G) AND CASH AND IN-KIND CONTRIBUTIONS (LINE 7I).
Part I, Line 7g:	ALL PHYSICIAN CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. THE COST REPORTED ON PAGE 1, LINE 7G OF $18,108,066 IS FOR THESE PHYSICIAN CLINICS.
Part I, Ln 7 Col(f):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $2,493,058.
Part II, Community Building Activities:	OTSEGO MEMORIAL HOSPITAL IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. OTSEGO MEMORIAL HOSPITAL STAFF REPRESENT OTSEGO MEMORIAL HOSPITAL ON A VARIETY OF COMMITTEES AND COMMUNITY BOARDS IN WHICH OTSEGO MEMORIAL HOSPITAL OFFERS ASSISTANCE THROUGH STAFF, FACILITIES, AND RESOURCES WITH THE END GOAL OF WORKING TO ADDRESS COMMUNITY ISSUES RELATED TO HEALTH IMPROVEMENT, EDUCATION, POVERTY, WORKFORCE DEVELOPMENT AND ACCESS TO CARE. WE ALSO ENCOURAGE OUR EMPLOYEES TO SERVE IN THE COMMUNITY TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. AND, WE WORK WITH NEIGHBORHOOD PROGRAMS, INCLUDING PUBLIC AND PRIVATE LOCAL SCHOOLS, OTSEGO COUNTY COMMISSION ON AGING, WORK SITES AND SAFETY NET PROVIDERS TO PROMOTE HEALTH AND WELLNESS AND PREVENT DISEASE.
Part III, Line 4:	ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE: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 COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE ORGANIZATION 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 ORGANIZATION 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). 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 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.EFFECTIVE APRIL 1, 2014, THE STATE OF MICHIGAN EXTENDED MEDICAID TO MORE LOW-INCOME PATIENTS, WHICH RESULTED IN PATIENTS PREVIOUSLY CLASSIFIED AS SELF-PAY TO BE ELIGIBLE FOR MEDICAID. THE ALLOWANCES FOR BAD DEBT, PROVISION FOR MEDICAID RECEIVABLE, AND AMOUNT REPORTED AS CHARITY CARE AS OF DECEMBER 31, 2015 AND 2014 HAVE BEEN SIGNIFICANTLY IMPACTED BY THIS PROGRAM.
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:	ALL PATIENTS RECEIVING TREATMENT AT OTSEGO MEMORIAL HOSPITAL (INCLUDING CHARITY CARE PATIENTS) ARE RESPONSIBLE FOR PAYING IN FULL ALL CHARGES FOR SUCH TREATMENT, LESS ANY AMOUNTS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, DISCOUNT CONSIDERATIONS OR INSURANCE COVERAGE, PER POINT OF SERVICE COLLECTION POLICY.
Part VI, Line 2:	OTSEGO MEMORIAL HOSPITAL CONDUCTED AN EXTENSIVE AND COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSEMENT THROUGHOUT 2015 AND COMPLETED A COMMUNITY HEALTH IMPROVEMENT ACTION PLAN WHICH WAS ADOPTED BY THE HOSPITAL BOARD OF DIRECTORS IN APRIL 2016. THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED MULTIPLE COMMUNITY FOCUS GROUPS, ONLINE SURVEYS, AND A PRIORITIZATION MEETING AIMED TO IDENTIFY THE TOP HEALTH CONCERNS FOR THE COMMUNITIES BEING SERVED BY OTSEGO MEMORIAL HOPSITAL. IN ADDITION, OTSEGO MEMORIAL HOSPITAL USES INPUT FROM PHYSICIANS, MEDICAL PROVIDERS, AND COMMUNITY MEMBERS TO ASSIST IN ITS ASSESSMENT AND PRIORITIZATION OF THE COMMUNITIES' HEALTHCARE NEEDS. OTSEGO MEMORIAL HOSPITAL WORKS IN COLLABORATION WITH VARIOUS COMMUNITY GROUPS INCLUDING BUT NOT LIMITED TO: THE HEALTH DEPARTMENT, NORTHERN HEALTH PLAN, UNITED WAY, OTSEGO COUNTY COMMISSION ON AGING, OTSEGO AREA CHAMBER OF COMMERCE, AND OTHER LOCAL ASSOCIATIONS IN ORDER TO CONTINUE TO UNDERSTAND THE LOCAL HEALTHCARE NEEDS OF OUR SERVICE AREA.
Part VI, Line 3:	THE OTSEGO MEMORIAL HOSPITAL REGISTRATION MANAGER OR THE CERTIFIED APPLICATION COUNSELOR (CAC) ATTEMPTS TO SEE THE PATIENTS IN EMERGENCY ROOM OR AT REGISTRATION. REGISTRATION STAFF HAVE ALSO BEEN TRAINED TO HAND OUT ASSISTANCE PACKAGES AND TO DIRECT PATIENTS TO SEE THE CERTIFIED APPLICATION COUNSELOR (CAC) OR FINANCIAL ADVISOR. WHEN THE PATIENT COMES IN ON THE WORK LIST THEY ARE ALSO INFORMED OF THE ASSISTANCE PACKAGE AND/OR APPLICATION. THE FORM IS ALSO ON THE OTSEGO MEMORIAL HOSPITAL WEBSITE. THERE ARE ALSO WRITTEN NOTICES AT THE BOTTOM OF THE PATIENT STATEMENTS. WHEN THERE IS A SCHEDULED PROCEDURE AND THE PATIENT DOES NOT HAVE INSURANCE, A CALL IS MADE FOR PAYMENT, CAC APPOINTMENT, OR CHARITY CARE ARRANGEMENTS. PATIENTS IDENTIFIED WITHOUT INSURANCE OR NEEDING FINANCIAL EDUCATION, ARE SCHEDULED FOR AN APPOINTMENT WITH THE CERTIFIED APPLICATION COUNSELOR (CAC). THE CAC HELPS PATIENTS TO APPLY FOR MEDICAID, INSURANCE EXCHANGE PLANS, OTHER PROGRAMS OR FINANCIAL ASSISTANCE.
Part VI, Line 4:	OTSEGO MEMORIAL HOSPITAL PROVIDES HEALTHCARE TO TWELVE COMMUNITIES LOCATED WITHIN ANTRIM, CHEBOYGAN, OTSEGO AND MONTMORENCY COUNTIES (THE COMMUNITIES ARE: BOYNE FALLS, ATLANTA, ELMIRA, FREDERIC, GAYLORD, INDIAN RIVER, JOHANNESBURG, LEWISTON, MANCELONA, WATERS, WOLVERINE, AND VANDERBILT). THE POPULATION INCLUDES A SIGNIFICANT NUMBER OF RETIREES. SERVICES ARE NOT LIMITED TO RESIDENTS OF THESE COMMUNITIES AS THE AREA HAS A HIGH VOLUME OF TRANSIENTS THAT COME FOR NUMEROUS RECREATIONAL AND SEASONAL ACTIVITIES. THE OUTLYING AREAS ARE PREDOMINANTLY IN A RURAL, AGRICULTURAL BASED SETTING.
Part VI, Line 5:	OTSEGO MEMORIAL HOSPITAL (OMH) OFFERS A VARIETY OF PROGRAMS AND SERVICES WITH THE END GOAL OF PROMOTING THE GREATER HEALTH OF THE COMMUNITY. OMH PROVIDED DISCOUNTED SPORTS PHYSICALS TO MORE THAN 330 AREA STUDENT ATHLETES, DONATING ONE HUNDRED PERCENT OF THE PROCEEDS BACK TO THE LOCAL SCHOOL ATHLETIC DEPARTMENTS. THE HOSPITAL PARTICIPATES IN A VARIETY OF LOCAL FREE HEALTH EVENTS, INCLUDING OFFERING FREE HEALTH SCREENINGS TO PARTICIPANTS; SCREENINGS INCLUDED BLOOD PRESSURE, PULMONARY, BMI, HEIGHT AND WEIGHT. ADDITIONALLY, THE HOSPITAL OFFERED DISCOUNTED FULL LIPID PROFILE SCREENINGS TO MORE THAN 500 PARTICIPANTS AT A SENIOR EXPO. OMH HOSTS MONTHLY WELLNESS WEDNESDAYS, OFFERING CHOLESTEROL, BLOOD PRESSURE, BMI, HEIGHT, WEIGHT AT A DISCOUNTED RATE TO COMMUNITY MEMBERS. THE HOSPITAL OFFERS A MAMMOGRAPHY ASSISTANCE PROGRAM, TO ENSURE THAT WOMEN WHO DO NOT QUALIFY FOR A FREE MAMMOGRAM THROUGH THE LOCAL HEALTH DEPARTMENT, YET HAVE NO MEANS TO PAY FOR IT PRIVATELY, ARE COVERED AND RECEIVE A SCREENING AND IF NECESSARY DIAGNOSTIC MAMMOGRAM AND OTHER SERVICES AT NO CHARGE. ADDITIONALLY, THE HOSPITAL OFFERS A DIABETES ASSISTANCE PROGRAM AND AN ONCOOGY ASSISTANCE PROGRAM DESIGNED TO HELP THOSE DIAGNOSED WITH THOSE DISEASES AND STRUGGLING FINANCIALLY TO RECEIVE THE ASSISTANCE THEY NEED TO ATTEND TREATMENTS AND TEST REGULARLY FOR DIABETES. IN 2014, OMH BEGAN OFFERING THE CDC'S YEAR LONG DIABETES PREVENTION PROGRAM, WORKING WITH INDIVIDUALS WHO HAVE BEEN DIAGNOSED AS PRE-DIABETIC TO REDUCE CALORIE INTAKE, INCREASE EXERCISE, AND UNDERSTAND PORTION CONTROL. THIS PROGRAM HAS SEEN A HIGH SUCCESS RATE OF COMPLETEION AND BMI REDUCTION. OMH ALSO WORKS CLOSELY WITH THE LOCAL SCHOOLS TO ASSIST THE HIGH SCHOOL LEVEL MEDICAL OCCUPATIONAL PROGRAM IN JOB SHADOWING AND EDUCATION PROGRAM FOR STUDENTS THROUGHOUT THE FACILITY AND SCHOOL YEAR. NEW PARENTS ARE INVITED TO PARTICIPATE IN CHILDBIRTH EDUCATION CLASSES OFFERED BY OMH STAFF FOR A NOMINAL FEE. ON A QUARTERLY BASIS THE HOSPITAL PRODUCES AND DISTRIBUTES LITERATURE TO MORE THAN 38,000 HOUSEHOLDS THROUGHOUT THE SERVICE AREA ON VARIOUS HEALTHCARE ISSUES AND TOPICS, INCLUDING INFORMATION ON LOCAL FREE HEALTH EVENTS. OMH HAS NUMEROUS MEDICAL PRACTICES THAT ARE FEDERALLY QUALIFIED RURAL HEALTHCARE CLINICS, AS WELL AS OMH IS LOCATED WITHIN A HEALTH PROFESSIONAL SHORTAGE AREA. BOTH OF THESE QUALIFICATIONS DEMONSTRATE OMH'S ISOLATED SERVICE AREA WHICH HAS RESULTED IN CHALLENGING PHYSICIAN RECRUITMENT AND RETENTION. OMH'S COMMITMENT TO PROVIDING THE HIGHEST LEVEL OF CARE STARTS WITH PHYSICIAN AND OTHER PROVIDERS. EXTENSIVE RECRUITMENT ACTIVITIES MUST TAKE PLACE IN ORDER TO PROVIDE CARE TO THESE HEALTH PROFESSIONAL SHORTAGE AREAS. ADDITIONALLY, OMH IS WORKING DILIGENTLY TO BRING SERVICES INTO THE RURAL SETTING. THIS INCLUDES OPENING THE NEWLY BUILDT OMH MEDICAL GROUP-INDIAN RIVER, WHICH NOT ONLY EXPANDED TESTING SERVICES, BUT ALSO BROUGHT FULL TIME OB/GYN AND PEDIATRIC SERVICES TO THAT RURAL AREA (NOTE: THIS CLINIC IS A FEDERALLY QUALIFIED RURAL HEALTH CENTER).(1). A MAJORITY OF THE HOSPITAL'S BOARD OF TRUSTEES IS MADE UP OF COMMUNITY REPRESENTATIVES RESIDING WITHIN THE HOSPITAL'S SERVICE AREA. (2). THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS AS APPROVED BY OUR HOSPITAL BOARD OF DIRECTORS. DUE TO THE SIZE AND RURAL NATURE OF THE HOSPITAL SERVICE AREA, NOT ALL HEALTHCARE SPECIALTIES ARE OFFERED THROUGH THE HOSPITAL. (3). THE HOSPITAL APPLIES SURPLUS FUNDS, INCLUDING DONATIONS FROM THE FOUNDATION, TO ASSIST IN PURCHASING EQUIPMENT FOR PATIENT USE AND FUNDING MANY OF THE COMMUNITY HEALTH EDUCATION PROGRAMS LISTED ABOVE. ADDITIONALLY, THE HOSPITAL WORKS TO USE ANY SURPLUS FUNDS TO CONTINUE TO ADVANCE THE MISSION OF THE ORGANIZATION THROUGH GROWTH AND DEVELOPMENT OPPORTUNITIES.
Part VI, Line 6:	OTSEGO MEMORIAL HOSPITAL (OMH) HAS HAD AN AFFILIATION AGREEEMENT WITH MUNSON MEDICAL CENTER (MUNSON) SINCE 2006. UNDER THE AGREEMENT, OMH HAS EFFECTIVELY EXPANDED SERVICES AVAILABLE TO THE PATIENTS IN ITS PRIMARY AND SECONDARY SERVICE AREAS AND CAN ENSURE PATIENTS WILL HAVE A SMOOTH TRANSITION WHEN THEY REQUIRE THE SERVCIES OF A LARGER MEDICAL CENTER. UNDER THE AFFILATION, THE ESSENTIAL GOALS ARE TO ENHANCE THE QUALITY OF CLINICAL SERVICES; AND MAINTAIN AND IMPROVE CLINICAL AND ADMINISTRATIVEEFFICIENCY, EFFECTIVENESS AND FINANCIAL PERFORMANCE.UNDER THE AFFILIATION AGREEMENT OMH IS ABLE TO TAKE ADVANTAGE OF A VARIETY OF PURCHASED SERVICES, SUCH AS: INFORMATION TECHNOLOGY HOSTING, TELECOMMUNICATIONS TECHNICAL ASSISTANCE, IT BUSINESS CONTINUITY PLANNING & SECURITY AUDITING; LAUNDRY SERVICES; PHYSICIAN NEEDS ASSESSMENTS AND RECURUITMENT; REIMBURSEMENT MODELING AND COST REPORT PREPARATION; FINANCIAL PLANNING FOR DEBT OFFERINGS; EDUCATION AND TRAINING FOR EMPLOYEES, MANAGEMENT, AND BOARD MEMBERS; GROUP PURCHASING ACCESS; PRODUCT VALUE ANALYSIS; MARKETING; AND BRANDING.ALSO FACILITATED THROUGH THE AFFILITAION ARE COLLABORATIVE EFFORTS FOR VARIOUS INITIATIVES, SUCH AS ICD-10 DOCUMENTATION AND CODING; HIPAA COMPLIANCE; REIMBURSEMENT MODELING, STATEGIC PLANNING; REGIONAL ANALYSIS OF SERVICES NEEDS AND OPPORTUNITIES; ACCESS TO MEDICAL TECHNOLOGIES; FORUMS FOR MANAGERS, EXECUTIVES AND BOARD MEMBERS AND THE ABILITY OF MANAGERS TO BENCHMARK WITH THEIR COUNTERPARTS AMONG ALL THE MEMBERS OF THE AFFILIATION.OMH AND MUNSON ALSO COLLABORATE TO OFFER SERVICES CLOSE TO HOME THAT MIGHT NOT OTHERWISE BE AVAILABLE TO THE GAYLORD COMMMUNITY. THESE SERVICE LINES INCLUDE: CARDIOLOGY, ONCOLOGY, MOBILE IMAGING AND INFECTIOUS DISEASES.
Part VI, Line 7, Reports Filed With States	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR KEVIN SMITH
DIRECTOR	$341,813	$0	$0	$0	$216	$0	$0	$0	$0	$0	$342,029	$0	$0	$0
DR JOHN FOLTZ
DIRECTOR - 1ST PART YEAR	$306,771	$0	$0	$0	$17,860	$0	$17,500	$0	$0	$0	$342,131	$0	$0	$0
ROBERT COURTOIS
VP OF FINANCE & CFO	$176,245	$0	$0	$0	$25,584	$0	$18,000	$0	$0	$0	$219,829	$0	$0	$0
THOMAS LEMON
PRESIDENT AND CEO	$309,966	$0	$0	$0	$25,032	$0	$18,000	$0	$0	$0	$352,998	$0	$0	$0
BARBARA MILLER
VP OF PHYSICIAN SERVICES	$171,350	$0	$0	$0	$15,418	$0	$0	$0	$0	$0	$186,768	$0	$0	$0
CHRISTOPHER SQUIRE
VP OF PROFESSIONAL & ANCILLARY SERVI	$151,871	$0	$0	$0	$6,210	$0	$0	$0	$0	$0	$158,081	$0	$0	$0
DIANE FISHER
VP OF PATIENT CARE SERVICE	$158,952	$0	$0	$0	$25,584	$0	$0	$0	$0	$0	$184,536	$0	$0	$0
DR JAMES SHURLOW
PHYSICIAN	$433,851	$0	$0	$0	$18,192	$0	$0	$0	$0	$0	$452,043	$0	$0	$0
DR STEVEN WISNIEWSKI
PHYSICIAN	$435,846	$0	$0	$0	$25,032	$0	$17,498	$0	$0	$0	$478,376	$0	$0	$0
DR CHANGXIN LI
PHYSICIAN	$808,810	$0	$0	$0	$25,032	$0	$0	$0	$0	$0	$833,842	$0	$0	$0
DR JOHN MOFFAT
PHYSICIAN	$969,157	$0	$0	$0	$25,584	$0	$0	$0	$0	$0	$994,741	$0	$0	$0
DR LOUIS HABRYL
PHYSICIAN	$620,552	$0	$0	$0	$26,650	$0	$0	$0	$0	$0	$647,202	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
COUNTY OF OTSEGO HOSPITAL FINANCE
A	386004882	689065AA8	2013-10-31	$10,000,000	REFINANCE	0	0	0
CITY OF GAYLORD HOSPITAL
B	383635769	368175AA8	2013-10-31	$6,095,324	REFINANCE	0	0	0
CITY OF GAYLORD HOSPITAL
C	383635769	368175AB1	2013-10-31	$1,885,925	REFINANCE	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$10,000,000	$10,000,000	$9,795,755	$200,000	$4,245	2013	Yes (1)	Yes (1)	Yes (1)
B	$6,095,324	$6,095,324	$6,095,324			2013	Yes (1)	Yes (1)	Yes (1)
C	$1,764,677	$1,885,925	$1,721,661			2013	Yes (1)	Yes (1)	Yes (1)	$164,264

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	Yes (1)	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	Yes (1)	0	0
C	0	0	0	0	0.00000	0.00000	0.00000	Yes (1)	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Item C	DBA: OTSEGO COUNTY MEMORIAL HOSPITAL DBA: OTSEGO MEMORIAL HOSPITAL
Form 990, Part III, line 2	EXPANSION OF THE INDIAN RIVER CLINIC FROM A 4,200 SQUARE FOOT LEASED FACILITY TO A 12,400 OWNED FACILITY WHICH INCLUDES AN EXPANSION OF FAMLY PRACTICE AND WALK-IN. ADDITIONALLY, OB/GYN AND PEDIATRICS ARE NEW SERVICES ADDED WITH THE EXPANSION.
Form 990, Part VI, Section A, line 6	THE ORGANIZATION HAS APPROXIMATELY 151 GENERAL MEMBERS. ANNUAL DUES ARE $5 PER INDIVIDUAL OR $8 PER FAMILY. REQUIREMENTS TO BE A MEMBER ARE A MINIMUM OF EIGHTEEN YEARS OF AGE AND HAS A RESIDENCE IN THE AREA THAT THE HOSPITAL SERVES. EACH MEMBER HAS TWO RIGHTS: ELECTION OF THE BOARD OR OF THE CANDIDATES PROPOSED AND TO VOTE APPROVAL FOR REVISIONS TO CORPORATE BYLAWS.
Form 990, Part VI, Section A, line 7a	EACH MEMBER HAS TWO RIGHTS: ELECTION OF THE BOARD OR OF THE CANDIDATES PROPOSED AND TO VOTE APPROVAL FOR REVISIONS TO CORPORATE BYLAWS.
Form 990, Part VI, Section A, line 7b	EACH MEMBER HAS TWO RIGHTS: ELECTION OF THE BOARD OR OF THE CANDIDATES PROPOSED AND TO VOTE APPROVAL FOR REVISIONS TO CORPORATE BYLAWS.
Form 990, Part VI, Section B, line 11	THE 990 IS REVIEWED BEFORE FILING BY THE FOLLOWING INDIVIDUALS: 1. THE HOSPITAL'S CHIEF EXECUTIVE OFFICER, THOMAS LEMON; 2. THE HOSPITAL'S VP OF FINANCE, ROBERT COURTOIS; AND 3. THE HOSPITAL'S CONTROLLER, AMY BILYEA. THE 990 IS ALSO PRESENTED TO THE ENTIRE HOSPITAL BOARD BEFORE FILING. DURING THIS MEETING MEMBERS HAVE A CHANCE TO ASK QUESTIONS REGARDING THE FORM 990.
Form 990, Part VI, Section B, line 12c	THE HOSPITAL'S POLICY REGARDING "CONFLICT OF INTEREST" REQUIRES EACH BOARD MEMBER AND OFFICER TO COMPLETE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES TO DEMONSTRATE CORPORATE COMPLIANCE. THESE FORMS ARE REVIEWED AND ANY CONFLICTS ARE INVESTIGATED BY MANAGEMENT. POTENTIAL CONFLICTS AND RESTRICTIONS ARE DETERMINED AND THEN VOTED UPON, PER POLICY GUIDELINES. IN THE EVENT THAT AN OFFICER OR BOARD MEMBER HAS A CONFLICT OF INTEREST, THAT BOARD MEMBER MUST GIVE WRITTEN NOTICE OF SUCH AN INTEREST OR RELATIONSHIP TO THE BOARD OF DIRECTORS, AND SHALL THEREAFTER REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE DECISION.
Form 990, Part VI, Section B, line 15a	THE BOARD'S PERSONNEL SUB-COMMITTEE, WHICH CONSISTS OF FOUR MEMBERS, ANNUALLY REVIEWS THE COMPENSATION OF THE CEO ONLY. THEY UTILIZE MHA SALARY SURVEY DATA, AS WELL AS A MARKET ANALYSIS PERFORMED BY BOTH HOSPITAL'S HUMAN RESOURCES DEPARTMENT AND MUNSON'S HR DEPARTMENT. THE HUMAN RESOURCES MARKET ANALYSIS INCLUDES THREE SOURCES FOR DATA: INTEGRATED HEALTHCARE STRATEGIES, MERCER AND SULLIVAN COTTER, WITH REGRESSION POINT USING $70M IN NET REVENUES AND AN AVERAGE BASED ON HOSPITALS WITHIN A SIMILAR RANGE OF NET REVENUES. EACH OF THE THREE SOURCES USE NATIONAL DATA AND ARE BASED ON A FREE-STANDING HOSPITAL CEO POSITION. THE CEO DETERMINES THE STARTING COMPENSATION FOR THE VICE PRESIDENTS BASED ON MARKET DATA AND ANNUAL INCREASES OCCUR BASED ON PAY-FOR-PERFORMANCE SYSTEMS. THESE PROCESSES WERE LAST UNDERTAKEN IN 2015.
Form 990, Part VI, Section C, line 19	THE OTSEGO MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY , AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY CONTACTING THE HOSPITAL AT 825 N. CENTER GAYLORD MI 49735 OR BY PHONE 989-731-2100.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO MEMORIAL HOSPITAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	825 N CENTER STREET	AddressLine1Txt
City	GAYLORD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49735	ZIPCd

Field	Value	IRS element (for citing)
EIN	382135473	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Line 11a, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OTSEGO MEMORIAL HOSPITAL ASSOCIATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
OTSEGO MEMORIAL HOSPITAL FOUNDATION
C	$120,951	CASH
OTSEGO MEMORIAL HOSPITAL FOUNDATION
L	$229,032	ACTUAL COST ALLOCATION