2016-05-16T09:52:27-05:00 2015-06-30 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2014-07-01 462128815 MHA KEYSTONE CENTER MHAK 5173233443 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 BRIAN PETERS CEO 5173233443 2016-05-13 1 LU ANN TRAPP P01506476 3122071040 2016-05-12 2014 2016-08-17 19:52:53Z MHA PATIENT SAFTEY ORGANIZATION BRIAN PETERS 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 3101453 0 X WWW.MHAKEYSTONECENTER.ORG X 2013 MI BRING TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS. 16 14 0 16 0 0 5533750 1514000 1366644 1538982 21773 48471 0 0 6922167 3101453 40000 0 0 0 0 0 0 0 14287 1517360 1780768 1557360 1780768 5364807 1320685 6702091 7834341 960755 762096 5741336 7072245 TO LEAD THE NATION IN QUALITY AND PATIENT SAFETY THROUGH THE DIFFUSION OF CHANGE USING PATIENT-CENTERED, EVIDENCE-BASED INTERVENTIONS SUPPORTED BY CULTURAL IMPROVEMENT. 0 0 1262984 1259606 PATIENT SAFETY - THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION (MHA) KEYSTONE CENTER BRINGS TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS. 404910 279376 COLLABORATIVES - THE MHA KEYSTONE CENTER OPERATES PROJECTS FOCUSED ON CARE TRANSITIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, EMERGENCY ROOMS, INTENSIVE CARE UNITS, OBSTETRICS, SAFE CARE, SEPSIS AND SURGERY. THE CENTER IS ALSO A CO-LEADER IN THREE NATIONAL PROJECTS AIMED AT ELIMINATING SPECIFIC HOSPITAL-ASSOCIATED INFECTIONS AND SERVES AS A PARTNERSHIP FOR PATIENTS HOSPITAL ENGAGEMENT NETWORK. 24784 SAFE TABLES CONFERENCES - A SAFE TABLE IS A MHA KEYSTONE CENTER MEMBERS-ONLY, SHARED LEARNING MEETING OF HEALTHCARE PEERS TO EXCHANGE PATIENT SAFETY EXPERIENCES, DISCUSS BEST PRACTICES AND LEARN IN AN OPEN, UNINHIBITED AND LEGALLY PROTECTED ENVIRONMENT. ATTENDEES HAVE THE OPPORTUNITY TO SHARE PATIENT SAFETY AND QUALITY ISSUES, GAIN INPUT AND SUPPORT, LEARN FROM EACH OTHER'S EXPERIENCES AND DEVELOP A CRITICAL NETWORK OF COLLABORATION, FURTHER IMPROVING THE PATIENT EXPERIENCE. THE PURPOSE IS TO: GENERATE CANDID DISCUSSION AND SHARE EXPERIENCES ON PATIENT AND STAFF ISSUES INCLUDING SAFETY, QUALITY AND CULTURE, EXCHANGE INFORMATION ABOUT BEST PRACTICES, ENCOURAGE COORDINATED/ COLLABORATIVE EFFORTS AND NEW PARTNERSHIPS, AND NETWORK AND COMMUNICATE. 1692678 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 4 0 1 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 MI X WILLIAM JACKSON CFO 5173233443 2112 UNVERSITY PARK DRIVE OKEMOS MI 48864 SPENCER JOHNSON PRESIDENT 1.00 39.00 X X 0 2510308 200295 SHERRY SOHN CHAIR 1.00 0.00 X X 0 0 0 SHERRY TAUNT VICE-CHAIR 1.00 0.00 X X 0 0 0 MATTHEW RUSH VICE-CHAIR 1.00 0.00 X X 0 0 0 SAM WATSON SECRETARY 1.00 39.00 X X 0 256317 96703 GARY HENRIKSEN TREASURER 1.00 39.00 X X 0 396657 59086 LAWRENCE ABRAMSON DIRECTOR 1.00 0.00 X 0 0 0 RICHARD BOOTHMAN DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE CHESNY DIRECTOR 1.00 0.00 X 0 0 0 PAUL CONLON DIRECTOR 1.00 0.00 X 0 0 0 THOMAS DEFAUW DIRECTOR 1.00 3.00 X 0 5000 0 ROBERT HYZY DIRECTOR 1.00 0.00 X 0 0 0 CHERYL KNAPP DIRECTOR 1.00 0.00 X 0 0 0 MARJORIE MITCHELL DIRECTOR 1.00 0.00 X 0 0 0 JAMES RICHARD DIRECTOR 1.00 0.00 X 0 0 0 KIMBERLY ROSS DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE SCHREIBER DIRECTOR 1.00 0.00 X 0 0 0 DENNIS SWAN DIRECTOR 1.00 3.00 X 0 5000 0 ROBERT WELSH DIRECTOR 1.00 0.00 X 0 0 0 ED WOLKING DIRECTOR 1.00 0.00 X 0 0 0 BRIAN PETERS CEO 1.00 39.00 X X 0 553292 114329 WILLIAM JACKSON TREASURER (BEGINNING 1/1/2015) 1.00 39.00 X 0 175627 34764 0 3902201 505177 0 0 1 0 ECRI INSTITUTE 5200 BUTLER PIKE PLYMOUTH MEETING PA 19462 PUBLICATIONS, INFO & CONSULTING SERVICES 399390 ARBORMETRIX INC 339 E LIBERTY ST ANN ARBOR MI 48104 QUALITY REPORTING & BENCHMARKING 285000 2 14000 1500000 1514000 SUBSCRIPTIONS 511120 1246046 1246046 SERVICE FEES 900099 269896 269896 SEMINARS 900099 14040 14040 WORKSHOP SPONSORSHIP 453000 9000 9000 1538982 48471 48471 3101453 1538982 0 48471 X 6612 6612 1950 1950 1489934 1489934 14287 14287 35770 35770 53719 53719 59626 58499 1127 99378 99378 3169 3169 13838 13838 DUES & SUBSCRIPTION 2485 2485 1780768 1692678 73803 14287 2065707 2267819 575072 1005584 132520 127102 10438 12012 27510 25926 4754 1584 3913600 4420240 6702091 7834341 119321 84567 675430 661775 166004 15754 960755 762096 X 376413 371911 5364923 6700334 5741336 7072245 6702091 7834341 1320685 10224 0 X 0 1 X 1 0 X 435859 5533750 1514000 7483609 435859 5533750 1514000 7483609 1348743 6134866 21773 48471 70244 9000 9000 7562853 3491800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 27510 25926 1584 1584 STIFEL, NICOLAUS & CO INVESTMENT 4420240 F 4420240 DUE TO AFFILIATES 15754 15754 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2015 AND 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. 0 1 0 0 0 0 0 0 0 SPENCER JOHNSON PRESIDENT 0 645957 0 0 0 1864351 0 175182 0 25113 0 2710603 0 1832551 SAM WATSON SECRETARY 0 208145 0 35000 0 13172 0 68059 0 28644 0 353020 0 13172 GARY HENRIKSEN TREASURER 0 268694 0 62489 0 65474 0 51458 0 7628 0 455743 0 59481 BRIAN PETERS CEO 0 428292 0 110000 0 15000 0 86531 0 27798 0 667621 0 0 WILLIAM JACKSON TREASURER (BEGINNING 1/1/2015) 0 155627 0 20000 0 0 0 22410 0 0 0 198037 0 0 PART I, LINE 3 COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. - SPENCER JOHNSON - SAM WATSON - GARY HENRIKSEN THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE CURRENT YEAR: - SPENCER JOHNSON - $1,832,551 - GARY HENRIKSEN - $59,481 - SAM WATSON - $13,172 THE PRESIDENT'S 2014 W-2 INCLUDES $1,832,551 OF PREVIOUSLY ACCRUED RETIREMENT BENEFITS. THESE RETIREMENT BENEFITS WERE APPROVED BY THE BOARD, ACCRUED OVER 17 YEARS, AND REPORTED AS DEFERRED COMPENSATION IN THE PRIOR 990S. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS MHA HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE OFFICERS, EXCEPT FOR THE PRESIDENT, AND DIRECTORS ARE APPOINTED BY THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION B, LINE 11 PREPARED BY INDEPENDENT ACCOUNTING/AUDIT FIRM, REVIEWED BY CONTROLLER, CFO AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 12C WE REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROGRAMMING & DATA COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 523,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 523,164. PROGRAMS/COLLABORATIVES SERVICES: PROGRAM SERVICE EXPENSES 735,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 735,530. MANAGEMENT CONSULTING: PROGRAM SERVICE EXPENSES 231,240. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,240. MICHIGAN HEALTH & HOSPITAL ASSOCIATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 381458751 PROMOTE HEALTH CARE MI 501(C)(6) N/A 0 MHA HEALTH FOUNDATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 386091188 PERFORM CHARITABLE & EDUCATIONAL FUNCTIONS OF THE MHA MI 501(C)(3) LINE 11A, I MICHIGAN HEALTH & HOSPITAL ASSOCIATION 0 MHA SERVICE CORPORATION 2112 UNIVERSITY PARK DRIVE OKEMOS MI 48864 382259766 SERVICES TO HOSPITALS MI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 MICHIGAN HEALTH AND HOSPITAL ASSOCIATION L 8751 BOOKS MAINTAINED AT FMV MICHIGAN HEALTH AND HOSPITAL ASSOCIATION M 6686 BOOKS MAINTAINED AT FMV MICHIGAN HEALTH AND HOSPITAL ASSOCIATION O 231240 COST MHA HEALTH FOUNDATION M 42451 BOOKS MAINTAINED AT FMV MHA HEALTH FOUNDATION O 583325 COST