2015-11-16T14:28:52-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 600 E FRONT ST SUITE 300 TRAVERSE CITY MI 49686 990 2014-01-01 381303843 OTSEGO MEMORIAL HOSPITAL ASSOCIATION OTSE 9897312100 825 N CENTER GAYLORD MI 49735 THOMAS LEMON CEO 9897312100 2015-11-16 1 CAROL LALONDE CPA P00181637 2319477800 2014 2016-03-07 17:11:31Z OTSEGO COUNTY MEMORIAL HOSPITAL ASSOCIATION THOMAS LEMON CEO 825 N CENTER GAYLORD MI 49735 89592649 0 X WWW.MYOMH.ORG X 1946 MI 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. 10 9 800 145 0 0 403036 672032 80054714 85859000 615117 978417 328844 336309 81401711 87845758 0 0 0 0 45502811 49650857 0 0 831976 32763672 32289796 78266483 81940653 3135228 5905105 53609005 59493151 28598687 28177385 25010318 31315766 X TO PROVIDE EXCEPTIONAL HEALTHCARE THAT MEETS THE NEEDS OF OUR PATIENTS, AND THE COMMUNITIES WE SERVE. 0 0 41777283 60550545 ACUTE INPATIENT AND OUTPATIENT CARE FOR DIAGNOSTIC AND MEDICAL CARE: THERE WERE 76,647 ADMISSIONS FOR MEDICAL SURGICAL (1,312), ICU (307), BIRTHING CENTER (347), AND OUTPATIENT REGISTRATIONS (74,681). 22004758 21191245 PHYSICIAN DIAGNOSTIC OFFICES AND URGENT CARE CLINIC: THERE WERE 138,936 PATIENTS FOR MEDICAL GROUP (78,549), LEWISTON/MONTMORENCY (11,369), URGENT CARE (17,208), INDIAN RIVER (11,067), ORTHOPEDICS (16,551) AND BOYNE VALLEY (4,192). 2813560 3677417 LONG TERM CARE FOR THE ELDERLY: THIS PAST YEAR THERE WERE 137 ADMISSIONS WITH 10,741 MCREYNOLDS HALL PATIENT DAYS. 2817384 440163 ALL OTHER PROGRAM SERVICES. 2817384 440163 69412985 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 18 0 1 800 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X AMY BILYEA CONTROLLER 9897312100 825 N CENTER AVE GAYLORD MI 49735 CHRISTOPHER COLLINS DIRECTOR-VICE PRESIDENT 0.20 0.00 X X 0 0 0 MARY SANDERS DIRECTOR-PRESIDENT 0.20 0.50 X X 0 0 0 CAROLYN STUDY DIRECTOR-SECRETARY 0.20 0.50 X X 0 0 0 DAVID BRINEY DIRECTOR 0.20 0.50 X 0 0 0 SCOTT CHESLEY DIRECTOR 0.20 0.00 X 0 0 0 DONALD SKLARCZYK DIRECTOR 0.20 0.00 X 0 0 0 DR BECKY ASHLEY DIRECTOR 0.20 0.00 X 0 0 0 MARCUS WEGMEYER DIRECTOR-TREASURER 0.20 0.00 X X 0 0 0 DR JON FOLTZ DIRECTOR 40.00 0.00 X 300642 0 17500 DR STEVEN SELLA DIRECTOR 0.20 0.50 X 0 0 0 THOMAS LEMON PRESIDENT AND CEO 39.50 0.50 X 292442 0 17225 ROBERT COURTOIS VP OF FINANCE & CFO 39.50 0.50 X 184866 0 17500 BARBARA MILLER VP OF PHYSICIAN SERVICES 40.00 0.00 X 169910 0 0 DIANE FISHER VP OF PATIENT CARE SERVICE 40.00 0.00 X 170596 0 0 DR CHANGXIN LI PHYSICIAN 40.00 0.00 X 855746 0 0 DR JOHN MOFFAT PHYSICIAN 40.00 0.00 X 986288 0 0 DR LOUIS HABRYL PHYSICIAN 40.00 0.00 X 663053 0 0 DR ARMIN AALAMI HARANDI PHYSICIAN 40.00 0.00 X 461478 0 17500 DR ADRIENNE KELLY PHYSICIAN 40.00 0.00 X 442542 0 0 4527563 0 69725 60 0 1 0 AMERICAN HEALTHCARE SERVICES PO BOX 945 TRAVERSE CITY MI 49685 TEMPORARY LOCUM SERVICES 869854 SUNRISE CONSTRUCTION 3838 MCCOY RD GAYLORD MI 49735 CONSTRUCTION 435183 MAYO COLLABORATIVE SERVICES PO BOX 9146 MINNEAPOLIS MN 55480 DIAGNOSTIC SERVICES 361971 GREENWAY HEALTH PO BOX 203658 DALLAS TX 75320 PHYSICIAN SERVICES 319017 SIEMENS MEDICAL SOLUTIONS USA DEPT CH 14195 PALATINE IL 60055 MEDICAL EQUIPMENT SERVICES 292741 9 5454 649500 8404 8674 672032 PATIENT SERVICE REVENUE 622110 84875097 84875097 OTHER RELATED REVENUE 622110 736377 736377 EHR REVENUE 622110 247526 247526 85859000 412907 412907 126363 50501 75862 75862 75862 2246600 15300 1654508 41882 592092 -26582 565510 565510 CAFETERIA REVENUE 722210 260077 260077 REVENUE FROM JOINT VENTURE 523000 370 370 260447 87845758 85859000 0 1314726 1380399 756305 624094 38435029 33549990 4660541 224498 1015382 876411 133240 5731 6391594 6090126 286683 14785 2428453 2096081 318666 13706 143830 143830 173447 173447 5651 5651 76814 76814 4223197 2901543 989197 332457 103545 20780 82765 781002 352472 402544 25986 289370 148552 136900 3918 1533813 513402 1020411 198913 141033 56891 989 189562 134737 51244 3581 716318 539051 175661 1606 2660774 2004359 650467 5948 842177 243912 598265 MEDICAL & OTHER SUPPLIE 12489094 12365600 119948 3546 PROVISION FOR BAD DEBT 3157889 3157889 REPAIRS AND MAINTENANCE 2087118 1235634 834970 16514 QUALITY ASSESSMENT FEES 1665058 1665058 952224 640830 215448 95946 81940653 69412985 11695692 831976 846427 2844933 45184 1736051 5169243 5983568 1219068 1358751 2329188 2667844 57997954 29734422 28172125 28263532 12048927 12710080 819631 1517015 2959212 2411377 53609005 59493151 7356000 8325395 186001 19169604 17981249 290715 136849 1782368 1547891 28598687 28177385 X 24983629 31294076 26689 21690 25010318 31315766 53609005 59493151 5905105 400343 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5651 5651 0 PART II-B, LINE 1: SUPPORTED LOBBYING ACTIVITIES THROUGH ANNUAL DUES PAID TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION. 0 1008951 1008951 37600369 16061845 21538524 425026 321038 103988 18778284 13351539 5426745 185324 185324 28263532 COST REPORT SETTLEMENT PAYABLE 1547891 1547891 X PART X, LINE 2: 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, 2014, 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, 2011. 1 1 X 1 X 1 X 1 1 0 0 1 1089 376208 284676 91532 0.00120 1 26766 14914278 13330339 1583939 0.02010 2 27855 15290486 13615015 1675471 0.02130 1847 5655 260485 2535 257950 0.00330 58 64 8812 0 8812 0.00010 5 138936 17105019 15723525 1381494 0.01750 6 0 30490 0 30490 0.00040 1916 144655 17404806 15726060 1678746 0.02130 1918 172510 32695292 29341075 3354217 0.04260 1 0 5000 0 5000 0.00010 9 2000 1059 0 1059 0.00000 136 200 47427 0 47427 0.00060 9 0 303494 0 303494 0.00390 155 2200 356980 356980 0.00460 1 3157889 397293 21168873 19996910 1171963 X 1 1 1 1 OTSEGO MEMORIAL HOSPITAL ASSOCIATION 825 N CENTER AVE GAYLORD MI 49735 WWW.MYOMH.ORG 1060000063 X X X LONG-TERM CARE FACILITY AND PHYSICIAN CLINICS OTSEGO MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X 13 1 1 1 1 X HTTP://WWW.MYOMH.ORG/COMMUNITY-NEEDS-ASSESSMENT X 1 13 1 HTTP://WWW.MYOMH.ORG/COMMUNITY-NEEDS-ASSESSMENT 0 0 1 X 100.000000000000 350.000000000000 X X X X X 1 1 X X X 1 X X X 0 0 X X 1 X 0 0 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 2011. ADDITIONALLY, MORE THAN 1,200 INDIVIDUALS PARTICPATED IN SURVEYS AND/OR FOCUS GROUPS THROUGHOUT NORTHERN MICHIGAN IN 2012 FOR THE REGIONAL COMMUNITY HEALTH ASSESSMENT. ABOUT 900 RESIDENTS COMPLETED A "HEALTHY COMMUNITY" SURVEY, INCLUDING 201 RESIDENTS FROM OTSEGO AND MONTMORENCY COUNTIES. MORE THAN 500 OTSEGO COUNTY RESIDENTS RESPONDED TO THE TWO OTSEGO COUNTY QUALITY OF LIFE PROJECT'S SURVEYS (BOTH MAIL AND ONLINE FORMATS) AND/OR PARTICIPATED IN COMMUNITY DIALOGUES HELD IN ELMIRA, GAYLORD, JOHANNESBURG, VANDERBILT, AND WOLVERINE. ADDITIONALLY, EXTRA EFFORT WAS MADE TO REACH LOW-INCOME RESIDENTS AND YOUNG FAMILIES WHO DO NOT TYPICALLY RESPOND TO SURVEYS. AT WELL ATTENDED COMMUNITY EVENTS, THERE WERE RAFFLES OF A $25 GIFT CARD TO ENCOURAGE ATTENDEES TO COMPLETE THE "HEALTHY COMMUNITY" SURVEY. ADDITIONALLY, ADDITIONAL FOCUS GROUPS WERE HELD IN OTSEGO COUNTY TO FOCUS ON THE SENIORS AND PARENTS WITH CHILDREN UNDER THE AGE OF 5, BOTH OF WHICH HAVE SPECIFIC HEALTH AND INCOME ISSUES WHICH OTSEGO MEMORIAL HOSPITAL WANTED INCLUDED IN THE COMMUNITY HEALTH ASSESSMENT. 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 HUMAN SERVICES NETWORK, GREAT START COLLABORATIVE PARENT COALITION, CATHOLIC HUMAN SERVICES, WOMEN'S RESOURCE CENTER OF NORTHERN MICHIGAN, OTSEGO COUNTY UNITED WAY, GOODWILL INDUSTRIES OF NORTHERN MICHIGAN, OTSEGO COUNTY MSU EXTENSION, AND OTSEGO COUNTY COMMISSION ON AGING. 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 11: FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, THREE MAJOR AREAS OF FOCUS EMERGED: ACCESS TO CARE, OBESITY, AND SUBSTANCE ABUSE. FOR ALL THREE AREAS OTSEGO MEMORIAL HOSPITAL BELIEVES THEY COULD DIRECT RESOURCES TO HELP ADDRESS. HOWEVER, IN THE AREA OF SUBSTANCE ABUSE, DUE TO LIMITED FINANCIAL RESOURCES AND A BELIEF THAT OTHER LOCAL RESOURCES ARE WORKING TO ADDRESS THAT ISSUE, OTSEGO MEMORIAL HOSPITAL WILL NOT FOCUS AS MANY RESOURCES. IT WILL, HOWEVER, CONTINUE TO WORK TO REDUCE THE NUMBER OF SMOKING PREGNANT MOTHERS, REDUCE SMOKING IN GENERAL, AND MANAGE DRUG SEEKERS THAT PRESENT AT THE EMERGENCY ROOM AND OTHER POINTS OF CARE. ADDITIONALLY, ACCESS TO CARE IS A VERY BROAD CATEGORY, WHICH DUE TO LIMITED FINANCIAL RESOURCES OTSEGO MEMORIAL HOSPITAL ADDRESSES IN COOPERATION WITH OTHER COMMUNITY RESOURCES. THE HOSPITAL HAS ADDED RURAL HEALTH CLINICS IN THE MEDICALLY UNDERSERVED COMMUNITIES OF GAYLORD, LEWISTON, INDIAN RIVER AND ELMIRA. THE CLINICS INCLUDE WALK-IN SERVICES WHICH PROVIDE CONVENIENT AND LESS COSTLY ALTERNATIVES TO TRIPS TO THE HOSPITALS EMERGENCY CENTER. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY OTSEGO MEMORIAL HOSPITAL ASSOCIATION PART V, SECTION B, LINE 16B WEBSITE: HTTP://WWW.MYOMH.ORG/PATIENT-ASSISTANCE-PROGRAM 7 OMH MEDICAL GROUP GAYLORD 829 N CENTER AVENUE GAYLORD MI 49735 OUTPATIENT CLINIC MEDCARE CLINIC 1996 WALDEN DRIVE GAYLORD MI 49735 WALK-IN AND OUTPATIENT CLINIC N'ORTHOPEDICS CLINIC 2147 PROFESSIONAL DRIVE GAYLORD MI 49735 OUTPATIENT CLINIC MCREYNOLDS HALL 825 N CENTER AVENUE GAYLORD MI 49735 LONG-TERM CARE LEWISTON CLINIC 3040 BOURN STREET LEWISTON MI 49756 WALK-IN AND OUTPATIENT CLINIC INDIAN RIVER CLINIC 3696 SOUTH STRAITS HWY INDIAN RIVER MI 49749 WALK-IN AND OUTPATIENT CLINIC BOYNE VALLEY CLINIC 2572 NORTH US-131 ELMIRA MI 49730 WALK-IN AND OUTPATIENT CLINIC 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 LINE 7G OF $17,870,654 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 $3,157,889. 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. ADDITIONALLY, OTSEGO MEMORIAL HOSPITAL STAFF SIT ON THE MOBILIZING THROUGH ACTION FOR PLANNING AND PARTNERSHIPS (A THOROUGH AND NATIONALLY RECOGNIZED PROGRAM FOR CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT). PART III, LINE 2: OTSEGO MEMORIAL HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. OTSEGO MEMORIAL HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS AND TRENDS. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX. PART III, LINE 3: THE CALCULATION FOR ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE ATTIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY, $397,293, IS BASED ON OTSEGO MEMORIAL HOSPITAL'S ACTUAL FINANCIAL ASSISTANCE WRITE-OFFS AS A PERCENTAGE OF ACTUAL UNCOMPENSATED CARE (FINANCIAL ASSISTANCE PLUS BAD DEBT). AN ADDED ASSUMPTION IS USED BASED ON THE IDEA THAT BAD DEBT WOULD LIKELY INCREASE BY A PARTICULAR PERCENTAGE DUE TO THE ECONOMIC CLIMATE IN THE DEMOGRAPHIC AREA. 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 ALLOWANCE FOR BAD DEBT AS OF DECEMBER 31, 2014 (AND THE PROVISION FOR BAD DEBT RECORDED IN 2014) WAS 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 2012 AND IMPLEMENTED A COMMUNITY HEALTH IMPROVEMENT ACTION PLAN IN 2013. IN ADDITION, OTSEGO MEMORIAL HOSPITAL USES INPUT FROM PHYSICIANS, MEDICAL PROVIDERS, AND COMMUNITY MEMBERS TO ASSIST IN ITS ASSESSMENT OF THE COMMUNITIES' HEALTHCARE NEEDS. OMH 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 PATIENT ACCESS MANAGER TRIES TO SEE THE PATIENTS IN EMERGENCY ROOM OR AT REGISTRATION. PATIENT ACCESS STAFF HAVE ALSO BEEN TRAINED TO HAND OUT ASSISTANCE PACKAGES. 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 AND THE ADMISSIONS OFFICE. 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 AND/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, WATER, 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 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 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. (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 X X X 0 0 0 0 0 0 0 0 0 DR JON FOLTZ DIRECTOR 300282 0 0 0 360 0 17500 0 0 0 318142 0 0 0 THOMAS LEMON PRESIDENT AND CEO 291890 0 0 0 552 0 17225 0 0 0 309667 0 0 0 ROBERT COURTOIS VP OF FINANCE & CFO 183282 0 0 0 1584 0 17500 0 0 0 202366 0 0 0 BARBARA MILLER VP OF PHYSICIAN SERVICES 168326 0 0 0 1584 0 0 0 0 0 169910 0 0 0 DIANE FISHER VP OF PATIENT CARE SERVICE 169012 0 0 0 1584 0 0 0 0 0 170596 0 0 0 DR CHANGXIN LI PHYSICIAN 855194 0 0 0 552 0 0 0 0 0 855746 0 0 0 DR JOHN MOFFAT PHYSICIAN 984704 0 0 0 1584 0 0 0 0 0 986288 0 0 0 DR LOUIS HABRYL PHYSICIAN 661469 0 0 0 1584 0 0 0 0 0 663053 0 0 0 DR ARMIN AALAMI HARANDI PHYSICIAN 461262 0 0 0 216 0 17500 0 0 0 478978 0 0 0 DR ADRIENNE KELLY PHYSICIAN 442326 0 0 0 216 0 0 0 0 0 442542 0 0 0 A COUNTY OF OTSEGO HOSPITAL FINANCE 386004882 689065AA8 2013-10-31 10000000 REFINANCE 0 0 0 B CITY OF GAYLORD HOSPITAL 383635769 368175AA8 2013-10-31 6095324 REFINANCE 0 0 0 A 10000000 10000000 10000000 9795755 200000 4245 2013 0 1 1 1 B 6095324 6095324 6095324 6095324 2013 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART I, ITEM C DBA: OTSEGO COUNTY MEMORIAL HOSPITAL ASSOCIATION DBA: OTSEGO MEMORIAL HOSPITAL FORM 990, PART VI, SECTION A, LINE 4 OTSEGO MEMORIAL HOSPITAL HAS MADE CHANGES TO THE BYLAWS SINCE THE FILING OF THE LAST FORM 990. CHANGES ARE AS FOLLOWS; THE NOMINATING COMMITTEE AND THE AD HOC POLICY COMMITTEE HAVE BEEN COMBINED INTO THE GOVERNANCE COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS APPROXIMATELY 180 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 2014. 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. OTSEGO MEMORIAL HOSPITAL FOUNDATION 825 N CENTER STREET GAYLORD MI 49735 382135473 FUNDRAISING MI 501(C)(3) LINE 11A, I OTSEGO MEMORIAL HOSPITAL ASSOCIATION 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 OTSEGO MEMORIAL HOSPITAL FOUNDATION C 649500 CASH OTSEGO MEMORIAL HOSPITAL FOUNDATION L 208781 ACTUAL COST ALLOCATION