2025-08-15T23:04:56-07:00 2025-03-31 990 2024-04-01 381369796 SHERIDAN COMMUNITY HOSPITAL SHER 9892916235 301 N Main Sheridan MI 48884 Newton Mulama Controller 9892916235 2025-08-15 1 2024 2025-03-06 01:10:19Z X Ljiljana Petricevic 301 N Main Street Sheridan MI 48884 33214357 0 X www.sheridanhospital.com X 1950 MI Mission: Sheridan Community Hospital is committed to provide compassionate, high-quality care rooted in our local Community. Vision: Create a healthcare destination with lasting legacy by delivering exceptional, high quality care close to home where providers choose to practice, patients confidently recommend, employees take pride in their work, and our community places its trust. 6 0 206 6 30320 0 1140152 363419 12683240 32699109 0 39100 7215 112729 13830607 33214357 0 0 235049 0 9689150 11864766 0 0 0 7356416 13444344 17280615 25309110 -3450008 7905247 9440970 11756190 8391530 -2010413 1049440 13766603 X Mission: Sheridan Community Hospital is committed to provide compassionate, high-quality care rooted in our local Community. Vision: Create a healthcare destination with lasting legacy by delivering exceptional, high quality care close to home where providers choose to practice, patients confidently recommend, employees take pride in their work, and our community places its trust. 1 0 5745398 0 6490697 Sheridan Community Hospital provided general and specialized surgical services to 1,767 local community. 2628887 0 2314784 Also we provided Emergency Medical services to 5,971 patients 1469590 0 403581 Inpatient 84 with a total of 943 swing bed and inpatient days. 1130335 617262 Rural Health Clinic 1105872 773894 Laboratory 962930 172826 Specialty Clinic 856205 1065937 Diagnostics 424797 581298 Pharmacy 345358 581302 Rehabilitation- Occupational Therapy, Physical Therapy, Speech Therapy 4825497 0 3792519 14669372 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 206 1 0 0 0 0 0 0 0 0 X 6 0 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X Sheridan Community Hospital 9892913261 301 N Main Sheridan MI 48884 Doctor Eva Bartlett Chief Medical Officer 40 0 X X X 459672 0 16957 Lilijana Petricevic Chief Executive Officer/Chief Operating Officer 40 0 X X X X 297342 0 21997 Ryan Holley- Mallo Emergency Room Physician - Mid Level 36 0 X 170573 0 19064 Doctor Michael Cearlock Emergency Room Physician 36 0 X 172656 0 6518 Newton Mulama Controller 40 0 X X 164415 0 13699 Jessica Morgan Senior Director of Operations 40 0 X 122646 0 16472 Gina Bennett NP Hospitalist 40 0 X 103288 0 18957 Mary Thomas Pharmacy Manager 32 0 X 113915 0 5823 James Dimitriou Board Secretary , Compliance Officer 40 0 X X X 75307 0 14002 Jalil Rizqallah President of the Board and Hospital 10 0 X X 18681 0 0 Bobbi McColley Board Treasurer 0.5 0 X X 0 0 0 Doctor Mark Clark Vice President - Hospital 0.5 X 0 0 0 Adrian Rizqallah Board Member 0.5 0 X 0 0 0 1698495 0 133489 14 0 1 0 Rural Health Management 13634 23 Mile Rd Hersey MI 49639 Consultant- Hospital Business operations 340000 Great Lakes Neurosurgery 3350 Eagle Park Drive North East Suite 102 Grand Rapids MI 49525 Nero Surgery Services 222614 Celebrity Anesthesia Staffing 3809 VALLEY VIEW RD Austin TX 78704 Anesthisiology Staffing 364798 Samaritan Health Care PC 811 E Kent Rd Greenville MI 48838 Pain Management 211987 Samaritan Health Care PC 5503 CountyFarm Rd GreenVile MI 48838 ER Physician Services 152253 6 0 0 30320 333099 0 0 0 363419 Patient Services 622110 30036128 30036128 0 0 QAAP Medicaid Payments 900099 2017792 2017792 0 0 340B Pharmacy Program 621999 40033 40033 0 0 Program Incentive Payments 900099 605156 605156 0 0 0 0 0 0 32699109 39100 39100 0 0 0 0 0 0 0 0 0 0 6575 0 0 0 6575 0 6575 6575 0 0 0 0 0 0 0 0 0 0 0 0 30320 30320 0 30320 30320 0 Vending Machine / Dietary Receipts 900099 34678 34678 0 0 Med Rec- Transcript 900099 2085 2085 0 0 Miscellaneous Income 900099 39071 39071 0 0 0 0 0 0 75834 33214357 32820618 30320 0 X 2455413 0 2455413 7012926 4888009 2124917 0 133767 93236 40531 0 1580871 1101867 479004 0 681789 475207 206582 0 565595 0 565595 7985 0 7985 200586 0 200586 82668 0 82668 0 0 0 0 3224080 2247184 976896 0 49086 0 49086 74232 51740 22492 0 701074 488649 212425 0 751020 523461 227559 9510 6628 2882 0 0 0 0 0 28469 19843 8626 0 22199 22199 0 0 0 0 0 0 206475 143913 62562 945387 658935 286452 Provision for Bad Debt 1814376 0 1814376 0 Medicaid Provider Tax 721208 0 721208 0 340B Expense 10731 0 10731 0 Medical Supplies and Pharmaceuticals 3761803 3761803 0 0 267860 186698 81162 0 25309110 14669372 10639738 0 143882 922368 302500 302500 0 0 3066882 5163940 0 0 0 0 0 383361 659768 109733 30083 12876861 8199330 5434612 4677531 9440970 11756190 3831322 4395652 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4560208 -6406065 8391530 -2010413 X 1049440 13766603 0 0 1049440 13766603 9440970 11756190 X 7905247 0 0 0 3450008 1361908 X 0 0 0 X 0 1 0 0 0 1 7600 1 82668 0 0 90268 0 Schedule C, Part II-B, Line 1 Sheridan Community Hospital engaged the services of an attorney as a Government Relations Officer at the state capital in Michigan with the state and federal legislative governing body.. The hospital is also a member of MHA and pays annual dues. MHA is lobbyists for healthcare organizations including hospitals at the federal and state levels of government. 365450 0 365450 3229860 0 2861337 368523 520934 0 366736 154198 8695412 0 4928550 3766862 65205 0 42707 22498 4677531 Other Liabilities -6406065 -6406065 Community Fundraising For New Hospital Building 30320 0 30320 0 0 0 0 0 0 0 0 30320 0 30320 0 0 0 0 0 0 0 30320 1 1 1 X 250 1 X 1 1 0 0 32795 0 385097 0 0 0 417892 0 0 0 13972 681 0 0 14653 0 0 0 0 0 432545 0 0 0 7320 3500 0 10472 0 500 0 0 21792 0 0 0 1 1814376 32795 2144197 3195110 -1050913 X 1 1 Critical Access Mobile MRI LLC To Provide Magnetic Resonance Imaging (MRI) Critical Access Hospitals in Rural Michigan 0.1 0 0 1 1 Sheridan Community Hospital Sheridan Care 301 N Main Street Sheridan MI 48884 www.sheridanhospital.com 1060000119 X X X X Sheridan Community Hospital Sheridan Care 1 0 0 0 0 1 X 250 400 X X 1 1 X X X X 1 X HTTPS//WWW.SHERIDANHOSITAL.COM/PAYMENTS X HTTPS//WWW.SHERIDANHOSITAL.COM/PAYMENTS X HTTPS//WWW.SHERIDANHOSITAL.COM/PAYMENTS X X X X 1 0 X X X X 1 0 0 Schedule H, Part I, Line 7 Sheridan Community Hospital Charity (Financial Assistance program) used the then federal poverty guidelines to qualify community members in need of financial assistance. Also the Uncompensated care is assessed using the state of Michigan Medicaid program. Schedule H, Part I, Line 7, Column f Bad Debt expenses of $1,814,376.00 was excluded from the denominator per HFMA instructions when calculating total expenses. Schedule H, Part II Sheridan Community Hospital offers a variety of Health and Wellness Programs including Education workshops, health screaming during community health fair. We also sponsor 5K race every year. Schedule H, Part III, Section A, Line 4 Sheridan Community Hospital has a policy for bad debt collection and all patient accounts are subjected to this process to determine collectability of the account. The hospital also uses historical data to pick up trends from the primary payors to estimate an appropriate allowance for bad debt. Schedule H, Part III, Section B, Line 8 The shortfall is covered by seeking grants from other sources to cover for operational costs Schedule H, Part III, Section C, Line 9b For patients who qualify for financial assistance through our FA program, they are asked to provide information through application to determine their eligibility if they don't qualify to additional insurance such as Medicaid. Schedule H, Part VI, Line 2 In order to determine the most prevalent health needs of the community served by Sheridan Community Hospital, the 2023-2025 Sheridan Community Hospital Community Health Needs Assessment was collaboratively developed and adopted with the Mid-Michigan District Health Department's 2021-2022(assessment period) Community Health Needs Assessment. The Community Health Needs Assessment was planned and developed by the Mid-Michigan District Health Department, Spectrum Health and the Montcalm County community. Sheridan Community Hospital participated as a part of Montcalm County Community Health Needs Assessment Advisory Committee/ Healthy Montcalm Subcommittee member organization. Schedule H, Part VI, Line 3 Information is posted on our website and on patient statements. Also we have same information displayed at the patient registration desk at the hospital and clinic. We have a dedicated financial assistance program employee who reaches out to patients and meets with them to help with completing their application. Schedule H, Part VI, Line 4 Montcalm County is the primary community we serve and its bordered by Isabella County, Mecosta County, Gratiot County, Newaygo County, Ionia County, Kent County and Clinton County. Montcalm County, Michigan has a median age of 40.1. The population is fairly evenly distributed across age groups, with a significant portion under 18 and a notable number of residents 65 and older. In 2023, the population was approximately 67,174. The county has seen an increase in patients with opioid abuse. We also have a large population of diabetes patients with co-morbidities. X X 0 0 0 0 0 0 0 0 0 Doctor Eva Bartlett Chief Medical Officer 459672 0 0 0 0 0 0 0 16957 0 476629 0 0 0 Lilijana Petricevic Chief Executive Officer/Chief Operating Officer 297342 0 0 0 0 0 0 0 21997 0 319339 0 0 0 Doctor Michael Cearlock Emergency Room Physician 172656 0 0 0 0 0 0 0 6518 0 179174 0 0 0 Ryan Holley- Mallo Emergency Room Physician - Mid Level 170573 0 0 0 0 0 0 0 19064 0 189637 0 0 0 Newton Mulama Controller 164415 0 0 0 0 0 0 0 13699 0 178114 0 0 0 Jessica Morgan Senior Director of Operations 122646 0 0 0 0 0 0 0 16472 0 139118 0 0 0 Mary Thomas Pharmacy Manager 113915 0 0 0 0 0 0 0 5823 0 119738 0 0 0 Gina Bennett NP Hospitalist 103288 0 0 0 0 0 0 0 18957 0 122245 0 0 0 James Dimitriou Board Secretary , Compliance Officer 75307 0 0 0 0 0 0 0 14002 0 89309 0 0 0 Jalil Rizqallah President of the Board and Hospital 18681 0 0 0 0 0 0 0 0 0 18681 0 0 0 Bobbi McColley Board Treasurer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Doctor Mark Clark Vice President - Hospital 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Mary Thomas Pharmacy Manager 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Adrian Rizqallah Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule J, Part I, Line 3 The Hospital conducts Market survey for compensation based on similar job group and presents a proposal before the board for a vote. Form 990, Part III, Line 2 The hospital added a Mental Health Program through Senior Life Solutions (parent Company- Psychiatric Medical Care) Form 990, Part VI, Section A, Line 2 President of the Board nominated a board member - his daughter a finance expert- and was voted in and approved by other board members to sit on the board. Form 990, Part VI, Section A, Line 3 The Hospital engaged services of Rural Health Management Company LLC to run the board - Board Chair/President- Jerry Rizqallah Form 990, Part VI, Section A, Line 7a President/ Chair of the board had powers to elect up to 3 members to sit on the board upon approval by the other board members by a vote. Form 990, Part VI, Section B, Line 11b Copy of the 990 reserved after filing. Form 990, Part VI, Section B, Line 12c A conflict of interest questionnaire is completed annually by Board Members, reviewed by the Board Secretary and Compliance office to ensure that no conflict exists. If a conflict arises the Board Secretary will bring the issue up for discussion by the board (following by-laws governing the board) and a decision/action is taken to remedy the conflict Form 990, Part VI, Section B, Line 15 Every year - 2025 included- the hospital works with a consultant to review compensation for all positions within the organization at the prevailing competitive market rate. We also use Medical Group Management Association DataDive to inform decision around physician compensation in Provider contracts. Form 990, Part VI, Section C, Line 19 Any governing documents, conflict of interest, policy and/or financial statements required to be public are available upon request. Form 990, Part IX, Line 11g This expense includes Contract services and consulting services for all departments. Form 990, Part XI, Line 9 Orthopedic surgery program saw an increase in AR revenue. There was additional purchase of equipment for the program hence the net increase in Assets.