2023-10-10T13:03:48-05:00 2022-12-31 382806590 MAKELA TOUTANT HILL NARDI & KATONA PC 201 W BLUFF STREET MARQUETTE MI 49855 990 2022-01-01 452716432 UPPER PENINSULA HEALTH CARE SOLUTIONS INC UPPE 9062257491 853 W WASHINGTON STREET MARQUETTE MI 49855 MELISSA HOLMQUIST EXECUTIVE DIRECTOR 9062257491 2023-10-02 1 MELISSA HOLMQUIST 999009999 0 KARA A KATONA CPA P00726523 9062283600 2023-10-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z UPPER PENINSULA HEALTH CARE NETWORK MELISSA HOLMQUIST 853 W WASHINGTON STREET MARQUETTE MI 49855 4069073 0 X WWW.UPHCS.ORG X 2011 MI TO CREATE OPPORTUNITIES OF VIABILITY FOR HEALTH CARE PROVIDERS IN THE UPPER PENINSULA OF MICHIGAN AND TO IMPROVE ACCESS TO QUALITY HEALTH SERVICES FOR RESIDENTS WITHIN THEIR COMMUNITIES. 14 14 0 0 0 0 818024 1024839 2944544 3015325 4804 9364 6178 19545 3773550 4069073 12837 28004 0 0 0 0 0 0 0 3580379 3729465 3593216 3757469 180334 311604 6779575 6041131 5514934 4464886 1264641 1576245 X TO CREATE OPPORTUNITIES OF VIABILITY FOR HEALTH CARE PROVIDERS IN THE UPPER PENINSULA OF MICHIGAN AND TO IMPROVE ACCESS TO QUALITY HEALTH SERVICES FOR RESIDENTS WITHIN THEIR COMMUNITIES. 0 0 2199526 2335286 MRI - THE ORGANIZATION LEASED MOBILE MAGNETIC RESONANCE IMAGING (MRI) UNITS AND MADE THEM AVAILABLE FOR USE BY MEMBER PATRON HOSPITALS. 558415 680039 UPHIE - MAINTAINED A HEALTH INFORMATION EXCHANGE NETWORK PROVIDING HIPAA-COMPLIANT CONNECTIONS AND SERVICES TO HEALTHCARE ENTITIES. 263132 14499 UP MOM - THE UPPER PENINSULA MATERNAL OPIOID MISUSE PROGRAM IMPLEMENTED THE COMMUNITY HEALTH WORKER MODEL FOR CARE COORDINATION IN THREE LOCAL HEALTH DEPARTMENTS TO PROVIDE FOCUSED OUTREACH, CARE COORDINATION WITH PARTNER ORGANIZATIONS, AND SERVICES TO MEET THE SOCIAL DETERMINANT OF HEALTH NEEDS OF PREGNANT/RECENTLY POST-PARTUM (UP TO 12 MONTHS) BIRTHING PERSONS WITH A HISTORY OF OPIOID USE DISORDER IN ORDER TO IMPROVE THEIR REFERRAL COMPLIANCE WITH RECOMMENDED PERINATAL CARE AND BEHAVIORAL HEALTH CARE SERVICES WITH THE GOAL OF IMPROVING HEALTH OUTCOMES FOR MOMS AND BABIES. 568607 13505 REGIONAL PERINATAL CARE SYSTEM COLLABORATIVE, MARQUETTE COMMUNITY RESOURCE FAIR, UPLIFT PROGRAM, EVALUATION CAPACITY BUILDING PROJECT, PROJECT ECHO TELEMENTORING PROGRAM, HEALTHY HEARTS FOR MICHIGAN, FEEDING AMERICA MOBILE FOOD PANTRY, AND HEALTHY AGING AT HOME PROJECT. 568607 13505 3589680 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 MI X MELISSA HOLMQUIST 9062257157 853 W WASHINGTON STREET MARQUETTE MI 49855 MELISSA HOLMQUIST EXECUTIVE DIRECTOR 3.00 37.00 X 0 296973 9163 PAULA CHERMSIDE CHAIR 0.20 X X 0 0 0 ROBERT CRUMB VICE CHAIR 0.20 X X 0 0 0 HUNTER NOSTRANT VICE CHAIR; TREASURER 0.20 X X 0 0 0 MITCH LECKELT TREASURER; SECRETARY 0.20 X X 0 0 0 KEVIN KALCHIK SECRETARY 0.20 X X 0 0 0 CHUCK NELSON DIRECTOR 0.20 X 0 0 0 KAREN CHEESEMAN DIRECTOR 0.20 X 0 0 0 GARFIELD ATCHISON DIRECTOR 0.20 X 0 0 0 RAE KAARE DIRECTOR 0.20 X 0 0 0 CHRISTINE HARFF DIRECTOR 0.20 X 0 0 0 DAVID JAHN DIRECTOR 0.20 X 0 0 0 SANDRA MCGOVERN DIRECTOR 0.20 X 0 0 0 CONRAD DEESE DIRECTOR 0.20 X 0 0 0 RYAN HEINONEN DIRECTOR 0.20 X 0 0 0 MATTHEW KRAUSE DIRECTOR 0.20 X 0 0 0 ROBERT STOWE DIRECTOR 0.20 X 0 0 0 ANDY BERTAPELLE DIRECTOR 0.20 X 0 0 0 0 296973 9163 0 0 1 0 ALLIANCE - HNI LLC PO BOX 19532 IRVINE CA 92623 LEASE MRI UNITS 2205727 UPPER PENINSULA MANAGED CARE LLC 853 W WASHINGTON ST MARQUETTE MI 49855 MANAGEMENT FEES/ADMIN SUPPORT 804976 MI HEALTH INFORMATION NETWORK SHARED SER PO BOX 1588 EAST LANSING MI 48826 HEALTH INFORMATION EXCHANGE 254410 3 201000 594124 229715 1024839 MRI FEES 532000 2305286 2305286 HEALTH INFORMATION EXCHANGE 541900 680039 680039 MRI CON LEASE 541900 30000 30000 3015325 9364 9364 MISCELLANEOUS 900099 19545 19545 19545 4069073 3015325 0 28909 9600 9600 18404 18404 832089 755157 76932 10160 10160 270402 269792 610 12818 10178 2640 33459 28983 4476 278577 262054 16523 36441 17444 18997 21911 16775 5136 30323 30323 230783 230783 1198448 1197536 912 MRI SERVICE COST 746753 746753 PROFESSIONAL DEVELOPMEN 27301 26221 1080 3757469 3589680 167789 0 631037 572522 820854 1479761 44076 41275 402986 259993 90476 89803 9187192 5589415 4790146 3597777 6779575 6041131 188275 220487 132357 268241 5194302 3976158 5514934 4464886 X 1264641 1576245 1264641 1576245 6779575 6041131 311604 0 X 0 1 X 0 0 X 777703 906401 603205 818024 1024839 4130172 777703 906401 603205 818024 1024839 4130172 137252 3992920 8873 17868 11429 4804 9364 52338 2567 2398 1000 6178 19545 31688 4214198 14296028 0.94750 0.94710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2018 AMOUNT: $ 2,567. 2019 AMOUNT: $ 2,398. 2020 AMOUNT: $ 1,000. 2022 AMOUNT: $ 19,545. CONTRACTED SERVICES REFUND - 2021 AMOUNT: $ 6,178. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9187192 5589415 3597777 3597777 CAPITAL LEASE OBLIGATION 3976158 3976158 X 4069073 0 4069073 0 4069073 3757469 0 3757469 0 3757469 PART X, LINE 2: UPHCS HAS RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE STATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR INCOME TAXES PERTAINING TO UNRELATED BUSINESS INCOME. UPHCS FILES FORM 990 WITH THE INTERNAL REVENUE SERVICE. UPHCS BELIEVES THAT ITS INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON UPHCS'S FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. 1 FEEDING AMERICA WEST MICHIGAN 864 WEST RIVER CENTER DR NE COMSTOCK PARK MI 493218955 382439659 501(C)(3) 9600 0 MOBILE FOOD PANTRY 1 SDOH SUPPORT ASSISTANCE 57 12852 1647 FMV BABY SUPPLIES FOR MOTHERS PARTICIPATING IN MOM MODEL INCENTIVES FOR COMMUNITY PARTICIPATION 33 905 2500 FMV DIAPER BAG INCENTIVES FOR PREGNANT WOMEN WHO SUCCEED WITH SCRIPT INCENTIVES FOR TRAINING CASE PRESENTATIONS 5 500 PART I, LINE 2: THE ORGANIZATION MAINTAINS RECORDS OF RECEIPTS, INVOICES, ATTENDANCE RECORDS FOR MEETING PARTICIPATION, ENROLLMENT RECORDS, REQUESTS FOR MOM ENROLLEES AND PARTICIPATES IN THE FEEDING AMERICA MOBILE FOOD PANTRY EVENTS. REGIONAL PERINATAL CARE SYSTEM COLLABORATIVE - SCRIPT PARTNERS SELF-IDENTIFY AND INDICATE SMOKING CESSATION BY FILLING OUT A PARTICIPATION FORM THAT IS KEPT ON FILE. ECHO TELEMENTORING PROGRAM - CASES ARE PROVIDED TO THE ORGANIZATION PRIOR TO THE SESSION AND KEPT ON FILE. UP MATERNAL OPIOID MISUSE MODEL - SOCIAL DETERMINANTS OF HEALTH SCREENINGS ARE COMPLETED AND DOCUMENTED FOR PEOPLE WHO ARE CURRENTLY EXPERIENCING OPIOID USE DISORDER (OUD), BEING TREATED FOR OUD, AND ARE IN RECOVERY OR REMISSION AND PEOPLE WHO ARE PREGNANT, PEOPLE WHO ARE LESS THAN OR EQUAL TO 12 MONTHS POSTPARTUM, TO IDENTIFY NEEDS, REFER TO ASSISTANCE, AND FOLLOW THE ENROLLEE TO REMOVE BARRIERS TO HEALTH. 0 0 0 0 0 0 0 0 0 MELISSA HOLMQUIST EXECUTIVE DIRECTOR 0 241899 0 42925 0 12149 0 8513 0 1509 0 306995 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH UPPER PENINSULA MANAGED CARE LLC (UPMC) FOR MANAGEMENT, ADMINISTRATIVE AND ACCOUNTING SUPPORT SERVICES, INCLUDING THE SERVICES OF AN EXECUTIVE DIRECTOR. BECAUSE UPMC IS A RELATED ORGANIZATION, THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS REPORTED IN SECTION VII. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION CONSIST OF 14 PATRON-HOSPITALS LOCATED IN THE UPPER PENINSULA OF MICHIGAN. ONE INDIVIDUAL FROM EACH MEMBER HOSPITAL IS DESIGNATED TO EXERCISE ITS RIGHT TO VOTE ON CORPORATE MATTERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS MANAGED BY A BOARD OF DIRECTORS WHICH CONSIST OF OFFICERS OF EACH HOSPITAL MEMBER. DIRECTORS ARE ELECTED BY THE HOSPITAL MEMBERS AT AN ANNUAL MEETING. EACH DIRECTOR IS ENTITLED TO ONE VOTE. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS INITIALLY REVIEWED BY MANAGEMENT AND THE EXECUTIVE DIRECTOR. AFTER THIS REVIEW AND ANY NECESSARY ADJUSTMENTS ARE MADE, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED EACH YEAR AT A BOARD MEETING. APPROPRIATE ACTIONS ARE TAKEN THROUGHOUT THE YEAR FOR CONFLICTS OF INTEREST REPORTED. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST. UPPER PENINSULA MANAGED CARE LLC 853 W WASHINGTON STREET MARQUETTE MI 49855 383323620 PHYSICIANS HOSPITAL ORGANIZATION & MANAGEMENT CO MI N/A 0 0 UPPER PENINSULA HEALTH PLAN LLC 853 W WASHINGTON STREET MARQUETTE MI 49855 460927995 HEALTH MAINTENANCE ORGANIZATION MI N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0