MIDMICHIGAN HEALTH SERVICES

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1975

Legal Domicile

Phone

9894225122

Tax Period

2023-01-01 to 2023-12-31

MIDMICHIGAN HEALTH SERVICES, founded in 1975, is a mid-sized nonprofit in the Health Care sector that reported $22.4M in total revenue in fiscal year 2023. Revenue grew 11% year-over-year, indicating healthy expansion.

Mission

To provide high quality, community-oriented, patient-centered health services for all.

Program Service Accomplishments

Program 1

Expenses: $22,110,584 Revenue: $22,362,042

Community Health Center provides health care services to Roscommon, Gladwin and surrounding counties of Michigan. Located at four clinic sites and five school-based health centers. MidMichigan Health Services provided services to 17,779 patients through 51,937 encounters. MidMichigan Health Services offers imaging services in Houghton Lake. In addition, through an affiliation with My Michigan, on-site laboratory services are offered at the Houghton Lake site. Physician Therapy and Specialty Services are also provided in Houghton Lake by our affiliation agreement. The five school-based health centers offer health care services to students on school campuses, allowing the students to receive services while minimizing the time spent out of the classroom. In keeping with its' mission, the clinic provides high quality healthcare to all patients, regardless of the individual's inability to pay. Through it's 340b drug program, the clinic was able to provide significant discounts on prescriptions filled with our contracted pharmacies.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $5,462,391

Program Service Revenue $16,116,165

Investment Income $572,088

Other Revenue $211,398

TOTAL REVENUE $22,362,042

Expense Breakdown

Grants Paid $0

Salaries & Benefits $13,454,524

Fundraising Expenses $0

Program Expenses $22,110,584

Other Expenses $8,656,060

TOTAL EXPENSES $22,110,584

Year-over-Year Comparison

	2023	2022	Change
Revenue	$22,362,042	$20,187,965	+0.1%
Expenses	$22,110,584	$21,115,750	+0.0%
Net Income	$251,458	$-927,785	-1.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

161

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,035,368

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Lorelei King	Director	0.00	Director	$0	$0	$0
Dawn LaCasse	Director	0.00	Director	$0	$0	$0
Deborah VanWert	Director	0.00	Director	$0	$0	$0
Jeffrey Fossitt	Director	0.00	Director	$0	$0	$0
Frederick Roemer	Director	0.00	Director	$0	$0	$0
James Bischoff	Director	0.00	Director	$0	$0	$0
Ray Stover	Director	0.00	Director	$0	$0	$0
Shannon Phelps	Director	0.00	Director	$0	$0	$0
Joseph Passalacqua	Director	0.00	Director	$0	$0	$0
Thomas Moreau	Director	0.00	Director	$0	$0	$0
Lenard Govitz	Director	0.00	Director	$0	$0	$0
James Raschke	CEO	40.00	Officer	$213,370	$0	$240,768
Gregory Rogers	Director	0.00	Director	$0	$0	$0
William Collin	CEO	40.00	Officer	$188,431	$0	$217,952
Allison Hubbard	Human Resource Director	40.00	Officer	$106,483	$0	$138,502
Robert McMorrow	Medical Director	40.00	Officer	$40,000	$0	$40,000
Cara Crawford-Bartle	Medical Director	40.00	Officer	$40,000	$0	$40,000
Candice Barnum	Clinical Operations Director	40.00	Officer	$108,698	$0	$113,906
Jennifer Shamel	COO	40.00	Officer	$136,111	$0	$169,400
Stacey Gedeon	Psychologist	40.00	Highest	$238,795	$0	$271,378
Kevin Denlinger	Physician	40.00	Highest	$250,685	$0	$289,790
Robert McMorrow	Physician	40.00	Highest	$300,543	$0	$317,905
Lyndsy McMorrow	Physician	40.00	Highest	$244,615	$0	$283,482
Cara Crawford-Bartle	Physician	40.00	Highest	$254,179	$0	$294,613
Lyndsy McMorrow	Medical Director	10.00	Officer	$15,000	$0	$15,000
Melissa Dunkle	CEO	40.00	Officer	$59,840	$0	$59,840

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$22,362,042	$22,110,584	$14,832,612	$251,458
2022	$20,187,965	$21,115,750	$14,257,587	$-927,785
2021	$20,215,598	$19,771,830	$14,679,039	$443,768
2020	$19,923,131	$18,485,852	$14,288,719	$1,437,279