2026-05-04T09:53:03+00:00 2025-06-30 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2024-07-01 386005550 HILLSDALE COMMUNITY HEALTH CENTER HILL 5174374451 168 SOUTH HOWELL STREET HILLSDALE MI 49242 JEREMIAH J HODSHIRE OFFICER 2026-05-04 true Lauren Denton P01571860 2604604000 2026-05-04 2024 2025-03-06 01:10:19Z HILLSDALE HOSPITAL JEREMIAH J HODSHIRE 168 SOUTH HOWELL STREET HILLSDALE MI 49242 121432498 false X WWW.HILLSDALEHOSPITAL.COM X 1950 MI HILLSDALE HOSPITAL IS A GUARDIAN OF EXCEPTIONAL HEALTH SERVICES FOR OUR COMMUNITY, ENSURING THAT FAMILIES HAVE ACCESS TO HIGH-QUALITY CARE WHEN AND WHERE THEY NEED IT. 10 10 696 34 86126 75813 995772 1448451 90139783 101474975 2654741 1722319 8993 13524 93799289 104659269 0 0 0 0 38302066 41031563 0 0 3000 52413908 58580508 90715974 99612071 3083315 5047198 63579298 64785872 23928676 19090464 39650622 45695408 HILLSDALE HOSPITAL IS A GUARDIAN OF EXCEPTIONAL HEALTH SERVICES FOR OUR COMMUNITY, ENSURING THAT FAMILIES HAVE ACCESS TO HIGH-QUALITY CARE WHEN AND WHERE THEY NEED IT. false false 85458171 101474975 HILLSDALE HOSPITAL IS A SHORT-TERM, ACUTE CARE HOSPITAL FACILITY INCLUDING A SKILLED NURSING UNIT, A PSYCHIATRIC UNIT, AND A HOME HEALTH CARE DEPARTMENT, WHICH PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE HILLSDALE COUNTY, MICHIGAN AREA. THE HOSPITAL ALSO SUPPORTS UNPROFITABLE/SUBSIDIZED HEALTH SERVICES, INCLUDING BEHAVIORAL HEALTH, OBSTETRICS, AND EMERGENCY SERVICES. HILLSDALE HOSPITAL SAW 2,151 INPATIENT ADMISSIONS IN FY 2025, 105,329 OUTPATIENT VISITS, AND 19,240 EMERGENCY DEPARTMENT VISITS. DURING FY 2025 APPROXIMATELY 48.3% OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, APPROXIMATELY 19.5% OF SERVICES PROVIDED WERE TO PATIENTS DEEMED INDIGENT UNDER STATE GUIDELINES AND APPROXIMATELY 3.1% OF SERVICES PROVIDED WERE TO INDIVIDUALS WITHOUT ANY HEALTHCARE COVERAGE. THE HOSPITAL STRIVES TO MINIMIZE THE FINANCIAL BARRIERS TO HEALTHCARE THAT EXIST FOR CERTAIN MEMBERS OF OUR COMMUNITY, AND IN FY 2025 PROVIDED APPROXIMATELY $1,500,000 IN CHARITY CARE AND RECORDED A PROVISION FOR BAD DEBT OF $6.8 MILLION. A COMPLETE LIST OF SERVICES OFFERED IS AVAILABLE AT WWW.HILLSDALEHOSPITAL.COM, ALONG WITH THE INFORMATION REGARDING APPLYING FOR FINANCIAL ASSISTANCE. HILLSDALE HOSPITAL GIVES BACK TO THE COMMUNITY IN MANY WAYS, INCLUDING SUPPORTING THE FREE HEALTH CLINIC AND PROVIDING HIGHER EDUCATION LOANS FOR ALLIED HEALTH PROFESSIONS. 85458171 true true false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false true true false false false false false true true false false false true X 70 0 696 true false true CJ false false false false false false false false false false X 10 10 false false false false true true true true true false false false true true true true true true true true false false MI X MARK GROSS 5174375232 168 S HOWELL STREET HILLSDALE MI 49242 David Gossage Vice Chair 1.5 X X 0 0 0 Gregory Bailey Chair 1.5 X X 0 0 0 Richard Moore Treasurer 1.5 X X 0 0 0 Robert Henthorne SECRETARY 10.0 X X 0 0 0 Craig Connor Board Member 1.5 X 0 0 0 Diane Philipp Board Member 1.5 X 0 0 0 Karlye Horton Board Member 1.5 X 0 0 0 Kimberly Blythe Board Member 1.5 X 0 0 0 Shea Dow Board Member 1.5 X 0 0 0 Susan Smith Board Member 1.5 X 0 0 0 Jeremiah J Hodshire President/CEO 40.0 X 726737 0 55896 Mark Gross Vice President/CFO 40.0 X 626227 0 59496 Nichole Ellis Chief of Staff (Ex Oficio) 1.5 X 5000 0 0 Brian Sinischo OBGYN 40.0 X 405701 0 18690 Norris March General Suregon 40.0 X 545914 0 16261 Parthiv Patel Orthopedic Surgeon (LEFT 10/2024) 40.0 X 684783 0 19035 Sarah Spencer OBGYN 40.0 X 381015 0 15261 William Morgan General Surgeon 40.0 X 484399 0 10576 3859776 0 195215 43 false true false Healthpro Heritage LLC PO Box 69268 Baltimore MD 212649268 Therapy Services 1909545 MI Emergency Physicians LLP PO Box 677979 Dallas TX 752677979 Emergency Physicians 1885842 Challenge Anesthesia Staffing 5800 Willis Rd Ypsilanti MI 48197 CRNA/Anesthesiologist Services 1230468 Sparrow Laboratory 1322 E Michigan Ave Lansing MI 48912 Laboratory Management Services 1188354 Forvis Mazars LLP PO Box 200870 Dallas TX 753200870 Auditing & Consulting Services 1086186 36 516649 931802 1448451 NET PATIENT REVENUE 621110 100756894 100756894 CAFETERIA SALES 621110 139845 139845 EMPLOYEE PRESCRIPTIONS 621110 75941 75941 OTHER INCOME 621110 502295 502295 0 0 0 0 101474975 1079310 86126 993184 30516 16992 13524 0 13524 13524 17268592 130654 16572499 183738 696093 -53084 643009 643009 0 0 0 0 0 104659269 101474975 86126 1649717 X 1575876 1292218 283658 0 31397723 25746133 5651590 585546 480148 105398 5231768 4290050 941718 2240650 1837333 403317 157598 157598 110606 110606 3000 3000 155706 155706 25627177 21013743 4613434 0 240245 197001 43244 626669 513869 112800 702527 576072 126455 2180349 1787886 392463 142574 116911 25663 4656 3818 838 1920890 1575130 345760 845094 692977 152117 MEDICAL SUPPLIES 16318903 16318903 PROVISION FOR DOUBTFUL ACCOUNTS 6608203 6608203 RENT TO HHF 1370624 1123912 246712 REPAIR & MAINTENANCE 1291997 1059438 232559 273690 224426 49264 0 99612071 85458171 14150900 3000 171786 583493 10486165 7246207 0 0 13851149 14009052 0 0 0 0 566442 260755 1599472 1702462 1053186 859997 16709790 7612084 8072905 9097706 21887045 24023228 0 0 0 0 5891148 7002972 63579298 64785872 13226236 15170343 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10702440 3920121 23928676 19090464 X 39299495 45383016 351127 312392 39650622 45695408 63579298 64785872 5047198 997588 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 3000 false false 3000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HILLSDALE COMMUNITY HEALTH CENTER PAID MEMBERSHIP DUES TO THE MICHIGAN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION, WHICH INCLUDED A PERCENTAGE THAT WAS ATTRIBUTED TO LOBBYING EXPENSES. 55500 55500 5967274 491994 5475280 19790 19790 9993523 7120090 2873433 673703 673703 9097706 OTHER 2721607 ASSETS LIMITED AS TO USE 3847319 DUE FROM THIRD PARTY PAYER 37884 RIGHT OF USE ASSETS 396162 7002972 Federal Income Taxes COST REPORT SETTLEMENTS 3920121 3920121 X 98909940 997588 16992 1014580 97895360 155706 6608203 6763909 104659269 92865154 16992 16992 92848162 155706 6608203 6763909 99612071 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 RENTAL EXPENSES - 16992 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 6608203 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 16992 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 6608203 true true X true X true X 542302 542302 0.00583 15569800 24113644 0 0.0 18883520 13513074 5370446 0.05769 0 0 34995622 37626718 5912748 0.06352 4 160 4945 0 4945 0.00005 30 90331 13897 76434 0.00082 0 0.0 0 0.0 19 51612 6450 45162 0.00049 23 190 146888 20347 126541 0.00136 23 190 35142510 37647065 6039289 0.06488 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 6608203 2399092 28355151 32095150 -3739999 X true true 1 1 Hillsdale Community Health Center 168 S Howell St Hillsdale MI 49242 www.hillsdalehospital.com X X X Inpatient Psych Unit; Skilled Nursing Facility Hillsdale Community Health Center 1 false false true X X X X X X X X X 25 true false true true X WWW.HILLSDALEHOSPITAL.COM true 25 true WWW.HILLSDALEHOSPITAL.COM false true X 100.0 300.0 X X X X X X true true X X X true X www.hillsdalehospital.com X www.hillsdalehospital.com X www.hillsdalehospital.com X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Hillsdale Community Health Center. THE PRIMARY DATA FOR THE ASSESSMENT CONSISTED OF A HEALTH SURVEY OF THE GENERAL COUNTY POPULATION AND AN OPEN FORUM OF HUMAN SERVICES NETWORK MEMBERS. THE HEALTH SURVEY QUESTIONNAIRE WAS DESIGNED TO CREATE A PROFILE OF THE RESPONDENTS, THEIR HEALTH NEEDS, AND VIEWS ON COMMUNITY HEALTH-RELATED ISSUES. ALL RESIDENTS OF THE COUNTY WERE INVITED TO PARTICIPATE IN THE SURVEY THROUGH A WIDE-REACHING INFORMATION CAMPAIGN THAT CONSISTED OF INFORMATIONAL ADS IN THE LOCAL NEWSPAPER, THE LOCAL RADIO STATION, PAPER MAILINGS, THE HOSPITAL WEBSITE, AND PERSONAL REQUESTS BY HOSPITAL VOLUNTEERS. AS A RESULT OF THE CAMPAIGN, 1,079 INDIVIDUALS COMPLETED THE HEALTH SURVEY QUESTIONNAIRE (723 IN 2022). SECONDARY DATA WAS COLLECTED FROM A VARIETY OF COUNTY, STATE, AND FEDERAL SOURCES SUCH AS THE US CENSUS BUREAU, MICHIGAN LABOR AND EDUCATION DEPARTMENTS, MICHIGAN DEPARTMENT OF VITAL STATISTICS, MICHIGAN BEHAVIOR RISK FACTOR SURVEY, AND KIDS COUNT IN MICHIGAN. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Hillsdale Community Health Center. HILLSDALE HOSPITAL PARTNERED WITH THE HILLSDALE COUNTY HUMAN SERVICES NETWORK TO CREATE A COMPREHENSIVE COMMUNITY BASED HEALTH NEEDS ASSESSMENT. HILLSDALE HOSPITAL HIRED AN INDEPENDENT CONTRACTOR TO HELP DESIGN THE SURVEY, ANALYZE THE DATA, FACILITATE DISCUSSIONS, AND CREATE THE FINAL REPORT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HILLSDALE COMMUNITY HEALTH CENTER. 1. Recommendation from Human Services Network (HSN): Decrease the number of women who receive inadequate prenatal care from 11.1 to 8.0 for the next 3-year period (2025-2028) Background: Among the 1,482 births to county residents between 2020-2022: 61.5% of mothers received adequate prenatal care compared to 68.9% in Michigan; 27.2% of mothers received intermediate care compared to 23.0% in Michigan; and 11.4% had inadequate care compared to 8.1% in Michigan. An analysis of prenatal care indicates that about 60% of Hillsdale mothers receive adequate pre-natal care, while 10% did not. Lack of adequate pre-natal care contributes to several poor outcomes for infants, including low birthweight. The percent of low and very low birthweights was higher in Hillsdale than in Michigan compared to previous years. Action Plan - 1. Strengthen Outreach & Education a. Launch a community prenatal care awareness campaign b. Provide educational materials in clinics, schools, libraries, and online c. Develop targeted messaging for young and low-education-level mothers 2. Collaborate with Great Start Collaborative a. Integrate hospital efforts with existing community programs b. Refer patients between systems for wraparound support c. Share data and best practices to identify service gaps 3. Provide Support Services for At-Risk Moms a. Offer GED program referrals and childcare resources b. Create prenatal care "starter kits" (nutrition guides, appointment calendars, transportation info) c. Assign case managers to help schedule and follow-up 4. Reduce Transportation and Scheduling Barriers a. Provide information about transportation assistance for appointments b. Offer flexible scheduling, including evenings/weekends where possible Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - HILLSDALE COMMUNITY HEALTH CENTER. 2. Recommendation from HSN: Develop a Vaping Educational Campaign to provide information on the effects and dangers associated with Vaping. Background: A slightly higher percentage of Hillsdale County residents smoke compared to Michiganders. 18.2% of Branch-Hillsdale-St. Joseph County adult residents said they smoked on the Michigan Behavioral Risk Factor Survey, 2020-22 average, compared to 16.9% in Michigan. Despite anti-smoking programs, the percentage of smokers has remained relatively constant over the years. Smoking is a significant problem among pregnant women. Smoking during pregnancy is linked to a lower birth weight for babies as well as higher infant mortality. The Michigan Resident Birth Files reveal a larger percent of Hillsdale mothers used tobacco before or during pregnancy compared to Michigan mothers. Smoking prevention programs have had little impact on mothers at the county level over the previous decade. Some young adults have turned to vapor cigarettes instead of traditional tobacco use. Education on the long-term negative effects of vaping is often lacking. Action Plan: 1. Expand Education to Include Vaping Risks a. Update existing smoking cessation materials to include vaping content b. Train staff to discuss vaping risks during clinical visits c. Distribute vaping-specific educational brochures in schools and clinics 2. Launch Youth-Focused Prevention Campaigns a. Develop social media and school-based campaigns targeting middle and high school students b. Host assemblies or peer-led forums discussing vaping dangers c. Use real testimonials from former users or health professionals 3. Track and Share Local Data Trends a. Monitor local vaping trends through surveys and provider reports b. Share results with schools, clinics, and media to raise awareness 4. Promote Cessation Programs for Youth and Adults a. Offer vaping-specific cessation support groups or referrals b. Promote state/national quit line resources tailored to e-cigarette users c. Integrate support into primary care visits Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - HILLSDALE COMMUNITY HEALTH CENTER. 3. Recommendation from HSN: Expansion of the use of Telehealth services Background: The rise of technology has given rise to many improvements in the health care system. In previous years, the HSN suggested that the development of a telemedicine system would benefit the community. A telehealth service became available in early 2021 in the Hillsdale County area through nearly all of the health clinics. Respondents in the 2022 CHNA survey were asked about it. The survey asked respondents if they had tried telehealth. Of the 816 who answered this question, only 18.6% said they used telehealth services, while 81.4% said they did not use telehealth services. Respondents were asked if they were aware Hillsdale Hospital offered telehealth services and of the 816 who answered the question 48% said they were aware, while 52% said they were not aware. Of the 525 respondents who answered why they had not tried telehealth services, 53.7% said it was because they did not know it was an option. Action Plan: 1. Launch Community Telehealth Awareness Campaign a. Create flyers, social media posts, and website updates explaining telehealth services b. Highlight common telehealth visit types (e.g., follow-ups, mental health, urgent care) c. Include information in discharge packets and clinic visits 2. Improve Telehealth Literacy a. Offer free "How to Use Telehealth" workshops at libraries, clinics, and senior centers b. Develop easy-to-follow guides and video tutorials c. Provide 1-on-1 tech coaching during clinic visits Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - HILLSDALE COMMUNITY HEALTH CENTER. 4. Recommendation from HSN: Increase the number of residents that get a mammogram from 70.1 to 73 on The Michigan Behavioral Risk Factor Survey for the period 2025-2028. Background: The United States Preventive Services Task Force (2016) recommends women aged 40 to 74 should have a mammogram every two years. Women aged 40 to 49 and those at higher risk of breast cancer due to family history or another reason should follow the recommendations of their physicians. Females were asked in the 2024 CHNA survey if they had a mammogram in the past year. 332 answered this question though the survey only had 234 women. * 234 said yes. This would represent 35% of the women who took the survey. * 98 said no, probably including some men who answered the question. The Michigan Behavior Risk Factor Survey asked female residents if they had a mammogram in the last two years. The percent of Branch-Hillsdale-St. Joseph residents who said they did was much less in 2018-20 than in 2022-20. Action Plan: 1. Increase Community Awareness a. Launch a women's health awareness campaign (flyers, local media, social media) b. Promote National Cervical Cancer Awareness Month (January) c. Include Pap test reminders in patient portal messages 2. Host Accessible Screening Events a. Organize free or low-cost Pap test days in collaboration with community centers b. Offer mobile screening clinics in rural areas c. Partner with employers for workplace health screening events 3. Reduce Barriers to Access a. Provide transportation information/resources for screening appointments b. Offer extended hours and weekend availability for working women c. Provide care navigation for uninsured or underinsured women 4. Educate Providers to Encourage Screenings a. Implement provider scripts for discussing women's preventive care b. Integrate automatic Pap test reminders into electronic health records c. Encourage OB/GYNs and PCPs to flag overdue patients d. Provide educational Materials to all hospital clinics as well as the St. Peters Free Clinic in Hillsdale. Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - HILLSDALE COMMUNITY HEALTH CENTER. 5. Recommendation from HSN: Increase availability of specialty care in Hillsdale; including Oncology, Neurology, Podiatry, and Infertility Specialists. Background: Hillsdale County is served by: * One hospital, the Hillsdale Hospital. * Three primary care health clinics owned and operated by Hillsdale Hospital: o Hillsdale Health and Wellness located at 240 W. Carleton Road, Hillsdale and is open seven days a week from 10 AM to 6 PM. o Reading Health Clinic, a Rural Clinic in Reading, Hospital located at 143 South Main Street, Reading, MI 49274. This clinic operates Monday, Wednesday, Thursday and Friday from 8 AM to 4 PM and Tuesday from 8 AM to 6 PM. o Hillsdale Medical Associates has two locations, one on located at 32 S. Broad St, Hillsdale and is open 4 days a week from 8 am to 6pm. The other Hillsdale Medical Associates is located at 1456 Hudson Rd, Hillsdale open five days a week from 9am to 5pm. * Hillsdale Hospital also owns and manages several other facilities in the county including: o Hillsdale Orthopedics. o Hillsdale Home Care o Hillsdale Home Oxygen & Medical Equipment o Three Meadows Medical Building * Neurology * Pulmonary. * Surgical Group. * Urology * Vascular Care * Weigh loss Surgery * Physical Therapy * Occupation Therapy * Laboratory * Speech Therapy * Hidden Meadows OB/GYN * Cancer Care * Primary Care One free clinic, St. Peter's, open only two nights a week. The hospital donates lab services and medical supplies in support of this clinic. Many hospital staff members also donate their time to serve clinic clients. Hillsdale County currently has no round-the-clock urgent care facility. All health clinics have limited hours. However, the hospital has opened a Walk in Clinic at Hillsdale Health and Wellness, open 6 days a week from 10am to 6pm. Action Plan: 1. Recruit Needed Specialists a. Launch a targeted recruitment campaign for neurologists and other high-demand specialists b. Offer competitive incentives (loan repayment, relocation packages) c. Attend national and regional specialty job fairs 2. Expand Tele- Specialty Services a. Implement or expand telehealth partnerships for neurology and other underserved specialties b. Train staff to assist patients with tele-specialty consults c. Promote tele-specialist access through marketing and referral networks. Schedule H, Part V, Section B, Line 11 Facility , 6 Facility , 6 - HILLSDALE COMMUNITY HEALTH CENTER. 6. Recommendation from HSN: Increase the utilization of electronic messaging system with patient portals to advertise Community and Evidence-based Programs for the period 2025-2028. Strategies: 1. Patient Portal Messaging a. Send monthly electronic messages about upcoming screenings and programs b. Target messages based on age and gender (e.g., Pap test reminders for women 21-65) c. Include info about local events and wellness tips 2. Promote Women's Health Through Multi Channel Outreach a. Create women's health info packets (Pap, mammograms, menopause, etc.) b. Share information through flyers, social media, and waiting room screens c. Highlight patient stories or testimonials to personalize the message 3. Educate About Transportation Assistance a. Add transportation FAQs to appointment reminder texts/emails b. Train front desk staff to mention transportation options when scheduling 4. Highlight Evidence-Based Community Programs a. Advertise programs like diabetes prevention, parenting classes, and wellness workshops b. Feature events in the hospital newsletter, community boards, and church bulletins c. Collaborate with local organizations for cross-promotion d. Create/ Use social media platforms to promote programs (ie: information and how to sign up) Schedule H, Part V, Section B, Line 11 Facility , 7 Facility , 7 - HILLSDALE COMMUNITY HEALTH CENTER. 7. Recommendation from HSN: Expand mental health offerings by 15% - increasing access to telehealth, as appropriate, for the period 2025-2028. Background: Mental health impacts not just the individual but the community. Feelings of wellbeing even have a positive impact on the management and progress of some diseases. When respondents in the 2024 CHNA survey were asked about their mental health in the past year: 181 (20.4%) of the 887 respondents to this question said they had been depressed for more than a week; 13 (1.5%) of the 887 respondents to this question had been suicidal. The Michigan Behavioral Risk Factor Survey asked respondents how many felt their mental health was not good for 14 or more days out of the previous 30 days including stress, depression and problems with emotions. 15.4% of Branch- Hillsdale-St. Joseph residents said their mental health was not good compared to 16.0% of Michigan residents but both groups showed a marked increase in poor mental health than in the past. Hillsdale Hospital has a 10-bed psychiatric unit; this is the only inpatient Psych unit in the county. Examination of the hospital psychiatric patient discharge data shows a fairly consistent pattern of use. Action Plan: 1. Expand Outpatient Mental Health Capacity a. Expand clinic hours to include evenings/weekends 2. Scale Tele- Mental Health Services a. Launch or expand virtual therapy and psychiatry appointments b. Train staff and patients on how to access and use tele-mental health c. Ensure HIPAA-compliant platforms are user-friendly and mobile-accessible 3. Outreach & Mental Health Awareness a. Run a "Mental Health is Health" public education campaign b. Host community events and webinars during Mental Health Awareness Month (May) 4. Connect Patients to Services Through Referrals a. Integrate behavioral health screenings in primary care b. Train providers to recognize and refer patients to in-house or partnered services c. Create a mental health services referral guide for staff and patients. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Hillsdale Community Health Center. AFTER INSURANCE PAYMENTS, THE SELF PAY PORTION IS BILLED TO THE PATIENT ON A MONTHLY STATEMENT. THE STATEMENT INCLUDES INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. THE GUARANTOR RECEIVES FOUR STATEMENTS. IF THE AMOUNT IS STILL NOT PAID, THE GUARANTOR CONTINUES TO RECEIVE LETTERS UNTIL THE ACCOUNT IS WRITTEN OFF TO THE COLLECTION AGENCY. DURING THE TIME THE GUARANTOR IS RECEIVING THE STATEMENTS AND LETTERS, SEVERAL TELEPHONE CALLS ARE PLACED TO THE GUARANTOR TO TRY TO DISCUSS THE PAYMENT OR OTHER OPTIONS AVAILABLE TO THE GUARANTOR SUCH AS A PAYMENT PLAN OR FINANCIAL ASSISTANCE. 5 HILLSDALE HOME CARE 1711 S HILLSDALE RD HILLSDALE MI 49242 HOME CARE HILLSDALE HOME OXYGEN 49 E CARLETON RD HILLSDALE MI 49242 DME READING HEALTH CLINIC 143 S MAIN ST READING MI 49274 RURAL HEALTH CLINIC HILLSDALE HEALTH & WELLNESS 240 W CARLETON RD HILLSDALE MI 49242 RURAL HEALTH CLINIC HILLSDALE MEDICAL ASSOCIATES 1456 Hudson Rd Hillsdale MI 49242 RURAL HEALTH CLINIC Schedule H, Part V, Section B, Line 21 Policy Relating to Emergency Medical Care ALL PATIENTS ARE BILLED THE SAME AMOUNT REGARDLESS OF TYPE OF INSURANCE OR LACK OF INSURANCE. DISCOUNTS OFF BILLED CHARGES ARE PROVIDED THROUGH THE CHARITY APPLICATION PROCESS OR PROMPT PAYMENT DISCOUNTS. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES HILLSDALE COMMUNITY HEALTH CENTER PROVIDES NUMEROUS COMMUNITY ACTIVITIES IN SUPPORT OF THE RESIDENTS OF HILLSDALE COUNTY, INCLUDING SENIOR SUNDAY WHERE LUNCH IS SERVED TO THE SENIOR COMMUNITY MEMBERS AND A SPEAKER DISCUSSES HEALTH ISSUES AND OTHER TOPICS RELATING TO THIS AGE GROUP. IN ADDITION, THERE ARE SEVERAL SUPPORT GROUPS AND CLASSES, INCLUDING THE BREAST CANCER SUPPORT GROUP, BREAST FEEDING CLASSES, BIRTHING CLASSES, NUTRITION EDUCATION AND DIABETES EDUCATION CLASSES. THERE ARE PERIODIC HEALTH SCREENINGS SUCH AS VARICOSE VEIN, FOOT PAIN, CHOLESTEROL, AND COPD SCREENINGS. HILLSDALE COMMUNITY HEALTH CENTER ALSO PROVIDES FREE SUPPORT TO ST. PETER'S FREE CLINIC AND PARTICIPATES IN THE LOCAL ALLIED HEALTH STUDENT PROGRAM. NUMEROUS HIGH SCHOOL AND COMMUNITY LOANS HAVE BEEN GRANTED FOR FULL TUITION FOR ALLIED HEALTH DEGREES. REPAYMENT OF LOANS IS FULFILLED THROUGH A TIME COMMITMENT TO THE HILLSDALE COMMUNITY HEALTH CENTER. Schedule H, Part I LINE 7, COL (F) - BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 6,608,203 Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS STRATIFIED BY PAYOR AND NUMBER OF DAYS THE ACCOUNTS ARE OUTSTANDING. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology HILLSDALE HOSPITAL SAW $2,146,307 OF ACCOUNTS WRITTEN OFF TO BAD DEBT THAT WERE ATTRIBUTED TO PATIENTS WITH NO INSURANCE COVERAGE. THE AVERAGE DISCOUNT APPLIED TO ACCOUNTS THROUGH OUR FINANCIAL ASSISTANCE PROGRAM WAS 94.8%. WE APPLIED THAT PERCENTAGE TO THOSE ACCOUNTS WRITTEN OFF WITH NO INSURANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HILLSDALE COMMUNITY HEALTH CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HILLSDALE COMMUNITY HEALTH CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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 OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS IS AT 63 PERCENT OF TOTAL ACCOUNTS RECEIVABLE AT JUNE 30, 2024. IN ADDITION, THE HOSPITAL'S BAD DEBT WRITE-OFFS DECREASED FROM APPROXIMATELY $4,530,000 FOR THE YEAR ENDED JUNE 30, 2024, TO APPROXIMATELY $4,360,000 FOR THE YEAR ENDED JUNE 30, 2025. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COST TO CHARGE RATIO IS USED TO DETERMINE MEDICARE SURPLUS OR SHORTFALL AT COST. THE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT AS THIS IS THE EXTENT TO WHICH COSTS RELATED TO MEDICARE SERVICES GO UNPAID. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance AFTER INSURANCE PAYMENTS, THE SELF PAY PORTION IS BILLED TO THE PATIENT ON A MONTHLY STATEMENT. THE STATEMENT INCLUDES INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. THE GUARANTOR RECEIVES FOUR STATEMENTS. IF THE AMOUNT IS STILL NOT PAID, THE GUARANTOR CONTINUES TO RECEIVE LETTERS UNTIL THE ACCOUNT IS WRITTEN OFF TO THE COLLECTION AGENCY. DURING THE TIME THE GUARANTOR IS RECEIVING THE STATEMENTS AND LETTERS, SEVERAL TELEPHONE CALLS ARE PLACED TO THE GUARANTOR TO TRY TO DISCUSS THE PAYMENT OR OTHER OPTIONS AVAILABLE TO THE GUARANTOR SUCH AS A PAYMENT PLAN OR FINANCIAL ASSISTANCE. Schedule H, Part V, Section B, Line 16a FAP website - Hillsdale Community Health Center: Line 16a URL: www.hillsdalehospital.com; Schedule H, Part V, Section B, Line 16b FAP Application website - Hillsdale Community Health Center: Line 16b URL: www.hillsdalehospital.com; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Hillsdale Community Health Center: Line 16c URL: www.hillsdalehospital.com; Schedule H, Part VI, Line 2 Needs assessment HCHC PARTNERED WITH THE HUMAN SERVICES NETWORK, A COMMUNITY COLLABORATIVE BODY MADE UP OF A MAJORITY OF THE COUNTY'S HUMAN SERVICE, EDUCATIONAL, FAITH BASED, AND NON-PROFIT ORGANIZATIONS WITHIN HILLSDALE COUNTY. THIS GROUP SERVED AS THE STEERING GROUP FOR THE PROJECT, ALONG WITH ITS EXECUTIVE COMMITTEE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance IF A PATIENT PRESENTS TO HCHC FOR SERVICES AND INDICATES THEY HAVE NO INSURANCE, THEY ARE PROVIDED A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY ALONG WITH A LISTING OF THOSE ORGANIZATIONS THAT ARE AVAILABLE TO PROVIDE ADDITIONAL HELP AND SERVICES. WE ALSO HAVE A STATE MEDICAID CASE WORKER ON SITE WHO IS AVAILABLE TO WORK WITH THE PATIENTS TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID OR OTHER SERVICES. EACH STATEMENT MAILED TO THE GUARANTOR INCLUDES A STATEMENT REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO APPLY OR GET ADDITIONAL INFORMATION. AS COLLECTION CALLS ARE MADE TO THE GUARANTOR THEY ALSO INFORM THEM ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THERE ARE INFORMATIONAL POSTERS IN THE PATIENT WAITING ROOMS, AND FINANCIAL ASSISTANCE POLICY INFORMATION IS INCLUDED IN EACH DISCHARGE PACKET PROVIDED TO ADMITTED PATIENTS. THE COMPLETE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY IS PROVIDED ON THE HOSPITAL WEBSITE. Schedule H, Part VI, Line 4 Community information HILLSDALE, MICHIGAN IS THE COUNTY SEAT OF HILLSDALE COUNTY. ITS POPULATION IS 7,998 (AS OF 2025) WITH A HOUSEHOLD MEDIAN INCOME OF $47,817 (AS OF 2023). AS OF DECEMBER 2025, THE CURRENT UNEMPLOYMENT RATE IS 4.6% FOR HILLSDALE COUNTY. THE COUNTY IS BOUNDED ON THE NORTH BY CALHOUN AND JACKSON COUNTIES, ON THE EAST BY LENAWEE COUNTY, ON THE WEST BY BRANCH COUNTY, AND ON THE SOUTH BY STEUBEN COUNTY INDIANA AND WILLIAMS COUNTY OHIO. THE EXTREME SOUTHWEST CORNER OF HILLSDALE COUNTY IS WHERE THREE STATES OF MICHIGAN, OHIO AND INDIANA MEET. ON MAPS, THE COUNTY IS SITUATED AT 42 NORTH LATITUDE AND 8430' WEST LONGITUDE, AND COMPRISES ABOUT 617 SQUARE MILES, OR 394,880 ACRES. THE LAND LIES AN AVERAGE OF 630 FEET ABOVE LAKE ERIE AND 616 FEET ABOVE LAKE MICHIGAN. Schedule H, Part VI, Line 5 Promotion of community health HCHC FACILITATES SEVERAL EDUCATIONAL CLASSES INCLUDING BREAST FEEDING, BIRTHING, AND NUTRITION COUNSELING, AS WELL AS SEVERAL PERIODIC HEALTH SCREENINGS INCLUDING VARICOSE VEIN, FOOT PAIN, ACID REFLUX, CHOLESTEROL, AND COPD SCREENINGS, AS WELL AS PROVIDES FREE FLU SHOTS AND COVID-19 VACCINES TO THE MEMBERS OF THE COMMUNITY. HCHC OWNS AND OPERATES THREE RURAL HEALTH CLINICS IN READING AND HILLSDALE, MICHIGAN THAT PROVIDE HEALTHCARE SERVICES TO THE MEDICAID AND SELF INSURED POPULATION. HCHC ALSO PROVIDES FREE SUPPORT TO ST. PETER'S FREE CLINIC AND PARTICIPATES IN THE LOCAL ALLIED HEALTH STUDENT PROGRAM. Schedule H, Part VI, Line 7 State filing of community benefit report MI X X X true true X X X X X X false true false false false false false false false Jeremiah J Hodshire President/CEO 456428 0 231911 0 38398 0 47850 0 8046 0 782633 0 38348 0 Mark Gross Vice President/CFO 351049 0 224093 0 51085 0 47850 0 11646 0 685723 0 38348 0 Parthiv Patel Orthopedic Surgeon (LEFT 10/2024) 541933 0 142850 0 0 0 10350 0 8685 0 703818 0 0 0 Norris March General Suregon 403991 0 141873 0 50 0 10350 0 5911 0 562175 0 0 0 William Morgan General Surgeon 484349 0 0 0 50 0 5952 0 4624 0 494975 0 0 0 Brian Sinischo OBGYN 287245 0 98656 0 19800 0 10350 0 8340 0 424391 0 0 0 Sarah Spencer OBGYN 365965 0 15000 0 50 0 10350 0 4911 0 396276 0 0 0 Schedule J, Part I, Line 1a Travel for companions Annually, the spouses of the CEO and CFO accompany them on a business trip. The cost of the spouse's travel is treated as taxable compensation. Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Taxable spouse travel and reimbursement for dues is grossed up. Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE CFO RESIDES IN A HOUSE OWNED BY THE HOSPITAL. HOUSING COSTS OF $6,000 ARE INCLUDED IN THE CFO'S TAXABLE INCOME PER YEAR. THIS IS DONE THROUGH PAYROLL AT $500 PER MONTH. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING THE YEAR ENDED 6/30/2025, MARK GROSS AND JEREMIAH HODSHIRE PARTICIPATED IN A 457F PLAN. CONTRIBUTIONS TO THE PLAN WERE $37,500 FOR MARK GROSS AND $37,500 FOR JEREMIAH HODSHIRE. THE CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C. DISTRIBUTIONS TO THE PLAN WERE $38,348 FOR MARK GROSS AND $38,348 FOR JEREMIAH HODSHIRE. THESE DISTRIBUTIONS ARE INCLUDED IN TAXABLE WAGES AND ARE REPORTED ON SCHEDULE J, PART II, COLUMN B III. The Pediatric Place Of Hillsdae SEE STATEMENT 126829 Pediatric Coverage false Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS NICHOLE ELLIS, HILLSDALE CHIEF OF STAFF, IS A GREATER THAN 35% OWNER OF THE PEDIATRIC PLACE OF HILLSDALE. Form 990, Part VI, Line 15 THERE IS A SEPARATE COMPENSATION COMMITTEE OF THE GOVERNING BODY WHICH CONSULTS WITH THE COMPANY'S LEGAL FIRM FOR COMPARABILITY DATA. THERE IS A WRITTEN EMPLOYMENT CONTRACT THAT IS APPROVED BY THE COMPENSATION COMMITTEE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS FISCAL YEAR 2023. Form 990, Part VI, Line 6 Classes of members or stockholders MEMBERS OF THE CORPORATION SHALL BE APPOINTED FOR A TERM OF THREE (3) YEARS. ALL MEMBERS OF THE CORPORATION SHALL BE NOMINATED PURSUANT TO SECTION 5.1, AND SHALL BE APPOINTED BY THE MEMBERS AT AN ANNUAL OR SPECIAL MEETING OF MEMBERS. EVERY ATTEMPT SHALL BE MADE IN THE SELECTION OF CANDIDATES FOR MEMBERSHIP TO SECURE THE BROADEST DIVERSITY OF REPRESENTATION OF THE COMMUNITY AND ITS INTERESTS AS POSSIBLE, INCLUDING THE CONSIDERATION OF SUCH FACTORS AS AREAS OF EXPERTISE, BACKGROUND AND AREAS OF RESIDENCY. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CORPORATION MEMBERS ELECT THE BOARD OF TRUSTEES. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE CORPORATION MEMBERS APPROVE ANY PROPOSED CHANGE IN THE PURPOSE OR PHILOSOPHY OF THE CORPORATION, AND APPROVE A PLAN OF MERGER, CONSOLIDATION, SALE, OR DISSOLUTION OF THE CORPORATION. Form 990, Part VI, Line 11b Review of form 990 by governing body A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. IN ADDITION, THE FORM 990 IS REVIEWED BY THE CFO AND CEO FOR ACCURACY. THE RETURN IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. Form 990, Part VI, Line 12c Conflict of interest policy BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST ANNUALLY. THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER A CONFLICT EXISTS BY MAJORITY VOTE. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE TRUSTEE OR OFFICER SHALL NOT PARTICIPIATE IN DELIBERATIONS OR DISCUSSIONS REGARDING THE TRANSACTION AND ARE NOT ALLOWED TO VOTE ON THE MATTER AT HAND. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS ARE AVAILABLE ON REQUEST. Form 990, Part IX, Line 11g Other Fees SPEECH THERAPIST - Total Expense: 26222, Program Service Expense: 21502, Management and General Expenses: 4720, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 131086, Program Service Expense: 107491, Management and General Expenses: 23595, Fundraising Expenses: ; PSYCH - Total Expense: 248086, Program Service Expense: 203431, Management and General Expenses: 44655, Fundraising Expenses: ; E/R - Total Expense: 858076, Program Service Expense: 703622, Management and General Expenses: 154454, Fundraising Expenses: ; MAT MANAGEMENT - Total Expense: 360270, Program Service Expense: 295421, Management and General Expenses: 64849, Fundraising Expenses: ; PHARMACY - Total Expense: 1020834, Program Service Expense: 837084, Management and General Expenses: 183750, Fundraising Expenses: ; ANESTHESIOLOGIST - Total Expense: 1552758, Program Service Expense: 1273262, Management and General Expenses: 279496, Fundraising Expenses: ; PHYSICAL THERAPY - Total Expense: 736318, Program Service Expense: 603781, Management and General Expenses: 132537, Fundraising Expenses: ; OCCUPATIONAL THERAPY - Total Expense: 178069, Program Service Expense: 146017, Management and General Expenses: 32052, Fundraising Expenses: ; SLEEP STUDY - Total Expense: 221084, Program Service Expense: 181289, Management and General Expenses: 39795, Fundraising Expenses: ; HOME CARE - Total Expense: 691118, Program Service Expense: 566717, Management and General Expenses: 124401, Fundraising Expenses: ; HOSPITALIST - Total Expense: 1375006, Program Service Expense: 1127505, Management and General Expenses: 247501, Fundraising Expenses: ; PULM CLINIC - Total Expense: 716291, Program Service Expense: 587359, Management and General Expenses: 128932, Fundraising Expenses: ; QUALITY - Total Expense: 195177, Program Service Expense: 160045, Management and General Expenses: 35132, Fundraising Expenses: ; MED RECS - Total Expense: 25229, Program Service Expense: 20688, Management and General Expenses: 4541, Fundraising Expenses: ; PATHOLOGY - Total Expense: 433473, Program Service Expense: 355448, Management and General Expenses: 78025, Fundraising Expenses: ; ADMINISTRATION - Total Expense: 1106467, Program Service Expense: 907303, Management and General Expenses: 199164, Fundraising Expenses: ; INFORMATIONAL TECHNOLOGY - Total Expense: 702527, Program Service Expense: 576072, Management and General Expenses: 126455, Fundraising Expenses: ; QAAP FEE - Total Expense: 2971309, Program Service Expense: 2436473, Management and General Expenses: 534836, Fundraising Expenses: ; LAB SERVICE - Total Expense: 1229186, Program Service Expense: 1007933, Management and General Expenses: 221253, Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 8830517, Program Service Expense: 7240484, Management and General Expenses: 1590033, Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 2018074, Program Service Expense: 1654816, Management and General Expenses: 363258, Fundraising Expenses: ; Headwaters Health Foundation 168 S Howell St Hillsdale MI 49242 811509725 Support MI 501(c)(3) Type I HH true HALLETT ST PROFESSIONAL DEVELOPMENT 451 HIDDEN MEADOWS DR HILLSDALE MI 49242 383497750 PROFESSIONAL BUILDING MI NA Related 71852 956871 false true 0.5 HCHC Assurance Co LTD PO Box 1051 Grand Cayman CJ KY11102 300548721 Financial CJ HCHC C Corporation 742824 2341988 1 true false false true false false false false false true false false false false false false true false false HALLETT ST PROFESSIONAL DEVELOPMENT D 316393 FMV HALLETT ST PROFESSIONAL DEVELOPMENT Q 232851 FMV