2013-11-15T14:10:59-06:00 2012-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2012-01-01 382317300 THREE RIVERS HEALTH AUTHORITY THRE 2692781145 701 S HEALTH PARKWAY THREE RIVERS MI 49093 STEVE ANDREWS 2692781145 2013-11-15 1 CAROL LALONDE CPA P00181637 2695674500 2012 2016-03-07 17:11:31Z THREE RIVERS HEALTH STEVE ANDREWS 701 S HEALTH PARKWAY THREE RIVERS MI 49093 57199231 0 X WWW.THREERIVERSHEALTH.ORG X 1979 MI SEE SCHEDULE O. 12 12 567 85 0 0 41182 37216 49199549 56921145 33883 14465 142166 -31271 49416780 56941555 0 0 0 0 22556189 23661092 0 0 0 25929281 32657240 48485470 56318332 931310 623223 21073896 19487471 11441778 9232130 9632118 10255341 THE HOSPITAL'S MISSION IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTHCARE TO OUR COMMUNITY. 0 0 49298372 56921145 GENERAL ACUTE SERVICES FOR COMMUNITY INPATIENT AND OUTPATIENT SERVICES. 49298372 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 30 0 1 567 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MI X STEVEN T ANDREWS 2692739604 701 S HEALTH PARKWAY THREE RIVERS MI 49093 LAURIE HINES 3.00 X X 0 0 0 ANDY GOLDBERGER 3.00 X 0 0 0 DIANA DEGRAAF 3.00 X 0 0 0 PAT HENDERSON 3.00 1.00 X 0 0 0 LARRY HERMEN 3.00 X X 0 0 0 GARRETT HALL 3.00 X 0 0 0 RAY BENDURE 3.00 X 0 0 0 JOHN TOUSE 3.00 X 0 0 0 LARRY CLARK 3.00 1.00 X X 0 0 0 JACKIE BOWEN 3.00 X 0 0 0 HENRI'ETTA TOLBERT 3.00 X 0 0 0 SUE POTTS 3.00 X X 0 0 0 AKIYOSH KIDO MD 40.00 X X 290694 0 13478 WILLIAM RUSSELL 40.00 4.00 X 223580 0 57026 STEVE ANDREWS 40.00 4.00 X 160927 0 44093 HOPE BAILEY 40.00 3.00 X 133960 0 28303 MIKE PULFORD 40.00 X 156490 0 40230 LEONARD DARLING 40.00 X 122951 0 21586 DOUG ZEHNER 40.00 X 107975 0 21383 LYNDELLE EGYED 40.00 X 101268 0 10202 1297845 0 236301 7 0 1 0 BORGESS MEDICAL CENTER 1521 GULL ROAD KALAMAZOO MI 49048 LAB, LAUNDRY, IT SERVICES 1248455 QHR 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES, SALARIES 776097 REHABCARE GROUP PO BOX 502096 ST LOUIS MO 63150 REHAB MANAGEMENT 455515 OPTIMUM OUTCOMES 4524 SOUTHLAKE PKWY HOOVER AL 35744 PATIENT COLLECTION SERVICES 249906 KRIES ENDERLE & HUDGINS PO BOX 4010 KALAMAZOO MI 49003 LEGAL SERVICES 182667 7 37216 37216 NET PATIENT REVENUE 621110 50895095 50895095 OTHER PROGRAM REVENUE 621110 6026050 6026050 56921145 13909 13909 145554 257676 -112122 -112122 -112122 556 0 556 556 556 CAFETERIA/VENDING 900099 48393 48393 MISCELLANEOUS 900099 32458 32458 80851 56941555 56921145 0 -16806 X 458736 458736 17551106 14841367 2709739 188029 169226 18803 4045170 3640653 404517 1418051 1276246 141805 276724 276724 304499 304499 151417 151417 6755 6755 104627 104627 5793015 3925092 1867923 7665 7665 237535 237535 2315355 2315355 166075 166075 173550 173550 2575188 2575188 615976 60687 555289 BAD DEBT EXPENSE 8109641 8109641 MEDICAL SUPPLIES 5327176 5176302 150874 PHYSICIAN FEES 4293733 4293733 EQUIP RENTAL AND MAINT 1965497 1509412 456085 232812 220913 11899 56318332 49298372 7019960 0 499662 2257676 5023368 3892940 621088 665002 1138798 1034349 49125405 38794932 11589034 10330473 668392 610349 1533554 696682 21073896 19487471 6133351 5606309 201000 2037160 727654 2000000 2000000 1070267 898167 11441778 9232130 X 0 0 0 0 9632118 10255341 9632118 10255341 21073896 19487471 623223 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 6755 6755 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: A PORTION OF MHA DUES IS ALLOCATED TO LOBBYING EXPENSE. 219500 219500 20723026 14182251 6540775 28182879 24612681 3570198 10330473 COST REPORT SETTLEMENTS PAYABLE 898167 898167 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOSPITAL, TRAH PROPERTIES, AND THREE RIVERS HEALTH FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IHS AND PHO ARE DEEMED A CORPORATIONS AND FILE 1120S WITH NO TAX DUE. THE HOSPITAL'S TAX RETURNS ARE NOT SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR YEARS BEGINNING PRIOR TO DECEMBER 31, 2009. THE HOSPITAL HAS ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. 1 1 1 X 250.000000000000 1 X 1 1 1 0 0 418086 0 418086 0.00870 10607163 7093134 3514029 0.07290 510519 123857 386662 0.00800 11535768 7216991 4318777 0.08960 91538 91538 0.00190 203993 203993 0.00420 3132129 3003926 128203 0.00270 3427660 3003926 423734 0.00880 14963428 10220917 4742511 0.09840 72743 72743 0.00150 72743 72743 0.00150 1 8109642 1000000 10306974 10630210 -323236 X 1 1 1 1 THREE RIVERS HEALTH

701 S HEALTH PARKWAY THREE RIVERS MI 49093

X X X THREE RIVERS HEALTH 1 0 1 1 250.000000000000 1 250.000000000000 0 1 1 X X X X 1 0 1 X 0 1 3 THREE RIVERS HEALTH FAMILY CARE

677 E MAIN STREET PO BOX 310 CENTREVILLE MI 49032

RURAL HEALTH CLINIC - CENTREVILLE THREE RIVERS HEALTH FAMILY CARE

721 6TH AVENUE STE B THREE RIVERS MI 49093

RURAL HEALTH CLINIC - THREE RIVERS THREE RIVERS HEALTH FAMILY CARE

119 S KALAMAZOO STREET PO BOX 295 CENTREVILLE MI 49032

RURAL HEALTH CLINIC -WHITE PIGEON PART I, LINE 7: COSTING METHODOLOGY IS A COST TO CHARGE RATIO AS DEFINED BY THE IRS INSTRUCTIONS. PART I, LINE 7G: OTHER SUBSIDIZED HEALTH SERVICES INCLUDES GROSS CLINIC COSTS OF $6,948,461. PART I, L7 COL(F): BAD DEBT EXPENSE ARE DOLLARS THAT ARE WRITTEN OFF OR RESERVED FOR PATIENTS THAT HAVE AVAILABLE RESOURCES, BUT WOULD NOT PAY FOR SERVICES. THE EXCEPTION TO THIS RULE WOULD BE CHARITY CARE ACCOUNTS THAT ARE INCLUDED IN BAD DEBT BECAUSE A LACK OF INFORMATION PROVIDED, OR THE TIMING OF THE INFORMATION BEING RECEIVED. PAYMENTS ON ACCOUNTS THAT HAVE BEEN WRITTEN OFF WOULD REDUCE THE OVERALL BAD DEBT EXPENSE. DISCOUNTS ON CHARGES ARE NOT INCLUDED IN BAD DEBT EXPENSE. PART II: THE HOSPITAL PRESENTLY INVESTS RESOURCES EVERY YEAR TO RECRUIT AN ADEQUATE NUMBER OF PHYSICIANS TO SERVE THE COMMUNITY. MOST OF THESE PROVIDERS ARE EMPLOYEES OF THE HOSPITAL, AND THE HOSPITALS PROVIDE HEAVY SUBSIDIES FOR THESE PRACTICES. THE HOSPITAL CONTINUES TO HAVE ANNUAL HEALTH FAIRS, AND HAS SPECIFIC SCHOLARSHIP FUNDS FOR SELECT SERVICES SUCH AS DIABETES AND CARDIAC REHAB. THE HOSPITAL PARTNERS WITH TERTIARY HOSPITALS IN KALAMAZOO TO PROMOTE HEALTHY LIVING, AND ALSO PROVIDE ACCESS TO SPECIALIST FROM URBAN AREAS ON OUR CAMPUS. PART III, LINE 4: THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COSTS, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVELY CALCULATED ADJUSTMENTS ARISING UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARY PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED.LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAMS ARE COMPLEX AND SUBJECT TO INTERPRETATION. MANAGEMENT BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS. FINAL DETERMINATION OF COMPLIANCE OF SUCH LAWS AND REGULATIONS IS SUBJECT TO FUTURE GOVERNMENT REVIEW AND INTERPRETATION. VIOLATIONS MAY RESULT IN SIGNIFICANT REGULATORY ACTION INCLUDING FINES, PENALTIES, AND EXCLUSION FROM THE MEDICARE AND MEDICAID PROGRAMS.BAD DEBT EXPENSES CONSISTS DOLLARS THAT ARE WRITTEN OFF OR RESERVED FOR THAT PERTAINS TO PATIENTS THAT HAD AVAILABLE RESOURCES, BUT WOULD NOT PAY FOR THEIR SERVICES. THE EXCEPTION TO THIS RULE APPLIES TO CHARITY CARE ACCOUNTS THAT ACTUALLY ARE INCLUDED IN BAD DEBT BECAUSE OF LACK OF INFORMATION PROVIDED, OR BECAUSE OF THE TIMING OF DETERMINTATION FOR CHARITY CARE. WE ESTIMATE THAT AT THE END OF 2012, APPROXIMATELY $1,000,000 DOLLARS INCLUDED IN BAD DEBT SHOULD ACTAULLY BE CONSIDERED CHARITY CARE. BECAUSE OF THIS WE BELIEVE THIS SHOULD ALSO BE INCLUDED IN OUR COMMUNITY BENEFIT CALCULATION. PART III, LINE 8: MEDICARE IS OUR LARGEST PAYOR, THUS PAYMENTS FOR THIS POPULATION CREATE A FINACIAL BURDEN ON THE HOSPITAL, AS PAYMENTS DO NOT COVER COSTS. MOST OF THE MEDICARE PATIENTS LIVE ON A FIXED INCOME. AS MEDICARE IS OUR LARGEST PAYOR, THE SHORTFALL IN COVERING COSTS IS EXTREME, THUS THIS WOULD SEEM TO QUALIFY AS A BENEFIT TO OUR COMMUNITY. THE COST TO CHARGE RATIO WAS USED TO DETERMINE COSTS. PART III, LINE 9B: THE HOSPITALS CURRENT COLLECTION PRACTICES APPLY TO ALL PATIENTS. IF NO INSURANCE IS AVAILABLE FOR SERVICES, AND THEY DO NOT QUALFY FOR CHARITY CARE, WE THEN MAKE THEM AWARE OF THEIR OPTIONS. DISCOUNTS ARE OFFERED, WHICH ARE TIED TO COMMERCIAL MANAGED CARE CONTRACTS. PAYMENT ARRANGEMENTS CAN BE MADE FOR A SPECIFIC PERIOD OF TIME, WITH NO INTEREST CHARGED. ONCE ARRANGEMENTS ARE MADE, THE ACOOUNT FOLLOWS THE STANDARD COLLECTION PROCESS OF LETTERS AND PHONE CALLS. AFTER 120 DAYS, IF NO PAYMENT HAS BEEN MADE, OR IF PAYMENT ARRANGEMENTS ARE NOT KEPT, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. THREE RIVERS HEALTH PART V, SECTION B, LINE 10: THE HOSPITAL CONTINUES TO PROVIDE FREE CARE AND USES THE FPG, AS WELL AS ASSETS AVAIALABLE TO DETERMINE FREE CARE. THREE RIVERS HEALTH PART V, SECTION B, LINE 12H: INCOME AND ASSET LEVELS ARE ULIMATELY USED. THREE RIVERS HEALTH PART V, SECTION B, LINE 14G: PUBLICIZED ON THE WEBSITE AND THROUGHOUT ALL OF OUR FACILITIES. THREE RIVERS HEALTH PART V, SECTION B, LINE 16E: COLLECTION EFFORTS ARE NOT MADE UNTIL PATIENTS ARE ASSESSED FOR ELIGIBILITY. THREE RIVERS HEALTH PART V, SECTION B, LINE 22: ALL PATIENTS ARE BILLED THE INITIAL CHARGES, THUS, IF THEY QUALIFY FOR ASSISTANCE, THE FULL AMOUNT WILL BE WRITTEN OFF. FOR PATIENTS THAT HAVE NO INSURANCE BUT DO NOT QUALIFY FOR ASSISTANCE, SOME WILL STILL QUALIFY FOR DISCOUNTS BASED ON TIMING OF PAYMENT OR PAYMENT PLANS. PART VI, LINE 2: THE ORGANIZATION CURRENTLY REVIEWS THE HEALTH INDICATORS OF THE COUNTY, AND ALSO FROM TIME TO TIME COMPLETES COMMUNITY SURVEYS. WE ALSO DO PHYSICIAN DEMAND REVIEWS TO DETERMINE IF THERE ARE PHYSICIAN SHORTAGES IN OUR COMMUNITY. WE ALSO REVIEW BY SERVICE AND PATIENT TYPE, TO SEE IF THERE ARE ANY TRENDS THAT INDICATE CHANGES IN UTILIZATION AT THE HOSPITAL. WE ALSO PARTNER WITH THE SCHOOLS, AND COMMUNITY MENTAL HEALTH, TO IDENTIFY ANY INITIATIVES THAT WOULD BENEFIT THE COMMUNITY. WE ALSO HAVE AN EXTENSIVE PATIENT SATISFACTION PROGRAM THAT IDENTIFIES POTENTIAL GAPS IN COMMUNITY SERVICE. PART VI, LINE 3: ONCE WE IDENTIFY A PATIENT WHO HAS NO COVERAGE, WE SEND THEM TO OUR PATIENT ASSISTANCE REPRESENATIVE. THIS REPRESENATIVE WILL THAN GO OVER ALL THE OPTIONS THAT ARE AVAILABLE FOR THAT INDIVIDUAL. IF MEDICAID IS A POSSIBILITY, WE THEN SEND THIS PERSON TO OUR MEDICAID SPECIALIST, WHO WILL HELP THEM WITH THE PROCESS,AS WELL AS ANY FORMS. WE HAVE A FORMAL CHARITY CARE PROGRAM, WHICH IS ADVERTISED HOSPITAL WIDE, AND ON OUR WEBSITE. IF THEY QUALIFY FOR CHARITY CARE, WE WILL EDUCATE THEM AS ASSIST THEM WITH THE PAPERWORK AND PROCESS. PART VI, LINE 4: THE HOSPITAL PRESENTLY HELPS SERVE ST. JOE COUNTY ALONG WITH OTHER PROVIDERS IN THE COMMUNITY. THE POPULATION OF THIS COMMUNITY IS APPROXIMATELY 62,000. THE COMMUNITY, AN AREA THAT WAS HEAVILY DEPENDENT ON THE AUTO INDUSTRY,IS PRESENTLY ECONOMICALLY DEPRESSED. WHILE THE OVERALL ECONOMY IN THE STATE HAS REBOUNDED SOMEWHAT, THE LOCAL COUNTY HAS LAGGED IN THE RECOVERY. THE UNEMPLOYMENT RATE CONTINUES TO BE HIGH, AND THE MEDICAID POPULATION IN THE COMMUNITY IS EXTREMELY HIGH. ADDITIONALLY, PEOPLE WITHOUT COVERAGE HAS ALSO INCREASED. BECAUSE OF THIS, MANY PEOPLE USE THE ER AS THEIR PRIMARY CARE PROVIDER. WHILE THE HOSPITAL IS CLASSIFIED AS RURAL, IT IS CLOSE TO URBAN AREAS. MANY PEOPLE IN THE COMMUNITY DO NOT HAVE ADEQUATE TRAVEL ARRANGEMENTS, AS CAN BE EVIDENCED BY HIGH NO SHOW RATES FOR PRIMARY CARE APPOINTMENTS DUE TO TRAVEL ISSUES. PART VI, LINE 5: THE HOSPITAL HAS A BOARD THAT RESIDES ENTIRELY IN THE COMMUNITY IT SERVES. THE HOSPITAL HAS EXTENDED PRIVILEGES TO ALL QUALIFED STAFF IN THE COMMUNITY, AND AS MENTIONED ABOVE, HAS SET UP ARRANGEMENTS WITH TERTIARY HOSPITALS TO ARRANGE FOR SPECIALIST TO PROVIDE CARE IN THE COMMUNITY ON AN AS NEEDED BASIS. THIS IS CRITICAL, AS THIS MEANS THE LOCAL POPULATION DOES NOT HAVE TO TRAVEL EXTENSIVELY FOR THIS SPECIALTY CARE. IF SURPLUS FUNDS ARE AVAIALBLE, THESE FUNDS ARE INVESTED BACK INTO THE COMMUNITY, BY ALLOCATING DOLLARS FOR MEDICAL EQUIPMENT REPLACEMENT, PHYSICIAN RECRUITING, AND OTHER COMMUNITY INITIATIVES. REPORTS FILED WITH STATES PART VI, LINE 7 MI X X 0 0 0 0 0 0 0 0 0 AKIYOSH KIDO MD 289994 0 0 0 700 0 0 0 13478 0 304172 0 0 0 WILLIAM RUSSELL 216320 0 0 0 7260 0 0 0 57026 0 280606 0 0 0 STEVE ANDREWS 157548 0 0 0 3379 0 3238 0 40855 0 205020 0 0 0 HOPE BAILEY 133960 0 0 0 0 0 7699 0 20604 0 162263 0 0 0 MIKE PULFORD 153740 0 2750 0 0 0 18449 0 21781 0 196720 0 0 0 ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1: THE HOSPITAL'S MISSION IS TO PROVIDE ACCESS TO HIGH QUALITY HEALTHCARE TO OUR COMMUNITY. WE SERVE A COMMUNITY THAT HAS ONE OF THE HIGHEST UNEMPLOYMENT RATES IN THE STATE. WE EMPLOY 75% OF THE PHYSICIANS IN THE COMMUNITY, THUS PROVIDING ADEQUATE ACCESS TO OUR COMMUNITY, SPECIFICALLLY MEDICAID ELGIBLE PATIENTS. WE OPERATE 4 RURAL HEALTH CLINICS, AND WILL HAVE ONE MORE OPERATIONAL IN 2014, WHICH GREATLY ENHANCES ACCESS TO CARE. WE PROVIDE A FULL RANGE OF OB SERVICES TO THE COMMUNITY, OF WHICH OVER 60% IS MEDICAID. WE ALSO PROVIDE WELLNESS AND DIABETIC EDUCATION SERVICES TO THE COMMUNITY, AS WELL AS HOMECARE AND HOSPICE, ALL SERVICES THAT ARE HEAVILY SUBSIDIZED. IN ADDITION, THE HOSPITAL ALSO HAS A IP REHABILITATION UNIT ON CAMPUS AS WELL. WE HAVE STARTED AN EMPLOYEE WELLNESS PROGRAM INTERNALLY, AND PLAN TO WORK WITH LOCAL EMPLOYERS TO OFFER THIS SERVICE AS WELL. FUTURE PLANS INCLUDE OFFERING MENTAL HEALTH SERVICES, AND WOUND CARE SERVICES TO THE COMMUNITY. ADDITIONALLY, WE ARE ADDING RESOURCES TO HELP THE UNINSURED NAVIGATE THE REQUIREMENTS FOR OBTAINING INSURANCE COVERAGE FOR THEIR PROBLEMS. THE WOUND CARE PROGRAM WILL BE OPERATIONAL IN 2013. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPITAL USES A MANAGEMENT COMPANY TO MANAGE OPERATIONS. THEY ALSO EMPLOY THE CEO AND CFO. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PRESENTED AT THE BOARD MEETING, AND REVIEWED BY OFFICERS AND MEMBERS DURING THE MEETING AFTER THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICE REQUIRES ANNUAL DISCLOSURE, AND COMMUNICATES TO BOARD PERIODICALLY. IF A CONFLICT OF INTEREST ARISES, THE INDIVIDUAL IS REQUIRED TO LEAVE THE ROOM WHEN DISCUSSIONS TAKE PLACE. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL USES DATA FROM MHA TO DETERMINE THE SALARY STRUCTURE FOR EMPLOYEES. FOR THE CEO AND CFO, QHR IS THE PRIMARY SOURCE FOR COMPENSATION, WHICH MUST BE APPROVED BY THE BOARD. THE SALARY PLAN IS PRESENTED TO THE FINANCE COMMITTEE AS WELL. ALL DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS TOOK PLACE IN 2012. FORM 990, PART VI, SECTION C, LINE 19 POLICIES AND STATEMENTS ARE REVIEWED AT BOARD MEETINGS. THE LOCAL PRESS ALSO RECEIVES THIS INFORMATION. IF ADDITIONAL REQUESTS ARE MADE, THIS INFORMATION IS PROVIDED AS REQUESTED. OTHER FEES FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,925,092. MANAGEMENT AND GENERAL EXPENSES 1,867,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,793,015. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. THREE RIVERS HEALTH FOUNDATION 701 S HEALTH PARKWAY THREE RIVERS MI 49093 201384776 FOUNDATION TO HOSPITAL MI 501(C)(3) 11 TYPE 1 THREE RIVERS HEALTH AUTHORITY 1 TRAH PROPERTIES INC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383366344 PROPERTY MANAGEMENT MI 501(C)(3) 11 TYPE 1 THREE RIVERS HEALTH AUTHORITY 1 THREE RIVERS HEALTH NETWORK 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383330974 MEDICAL DATA PROCESSING MI THREE RIVERS HEALTH AUTHORITY C 13840 1.00000 1 INTEGRATED HEALTH SYSTEMS INC 701 S HEALTH PARKWAY THREE RIVERS MI 49093 383134384 PERSONNEL MANAGEMENT MI N/A C 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 TRAH PROPERTIES INC K 257677 RENT PAID INTEGRATED HEATH SYSTEMS INC P 4613899 FMV