Civic Intelligence

Hills & Dales General Hospital Inc

EIN 38-1619577 • 501(c)3 • Cass City, MI

Profile

To be the provider of choice and the employer of choice in our primary market

4675 Hill StreetCass City, MI 48726

www.hdghmi.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

65th percentile

0.41x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

39th percentile

0.23x

Higher debt load relative to revenue than 39% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

61st percentile

9.2%

Higher net margin than 61% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

91st percentile

$1,269,370

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

53rd percentile

6.5%

Faster asset growth than 53% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

76th percentile

26%

Faster revenue growth than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Assets

Up

$54,392,188

Up $3,315,498 (+6.5%) from 2023

Liabilities

Up

$22,224,690

Up $6,479,572 (+41%) from 2023

Net Assets

Down

$32,167,498

Down $3,164,074 (-9.0%) from 2023

Revenue

Up

$96,657,734

Up $20,061,252 (+26%) from 2023

Expenses

Up

$87,762,385

Up $19,980,373 (+29%) from 2023

Net Income

Up

$8,895,349

Up $80,879 (+0.9%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0-$20MAssets 2010: $15,129,849Liabilities 2010: $16,259,762Net Assets 2010: -$1,129,9132010Assets 2011: $15,040,489Liabilities 2011: $16,249,594Net Assets 2011: -$1,209,1052011Assets 2012: $17,123,955Liabilities 2012: $17,870,243Net Assets 2012: -$746,2882012Assets 2013: $16,233,146Liabilities 2013: $17,560,745Net Assets 2013: -$1,327,5992013Assets 2014: $16,552,840Liabilities 2014: $17,965,746Net Assets 2014: -$1,412,9062014Assets 2015: $17,162,044Liabilities 2015: $18,173,515Net Assets 2015: -$1,011,4712015Assets 2016: $17,861,961Liabilities 2016: $17,989,988Net Assets 2016: -$128,0272016Assets 2017: $11,066,093Liabilities 2017: $5,752,409Net Assets 2017: $5,313,6842017Assets 2018: $10,972,682Liabilities 2018: $5,841,644Net Assets 2018: $5,131,0382018Assets 2019: $11,615,705Liabilities 2019: $6,171,352Net Assets 2019: $5,444,3532019Assets 2020: $22,123,497Liabilities 2020: $14,531,392Net Assets 2020: $7,592,1052020Assets 2021: $25,494,777Liabilities 2021: $10,007,140Net Assets 2021: $15,487,6372021Assets 2022: $32,706,755Liabilities 2022: $7,046,113Net Assets 2022: $25,660,6422022Assets 2023: $51,076,690Liabilities 2023: $15,745,118Net Assets 2023: $35,331,5722023Assets 2024: $54,392,188Liabilities 2024: $22,224,690Net Assets 2024: $32,167,4982024

Highlighted filing

2024

Assets$54,392,188
Liabilities$22,224,690
Net Assets$32,167,498

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0-$50MExpenses 2010: $21,998,9412010Expenses 2011: $19,303,3012011Expenses 2012: $22,511,0492012Revenue 2013: $25,428,807Expenses 2013: $26,010,118Net Income 2013: -$581,3112013Revenue 2014: $27,424,522Expenses 2014: $27,203,748Net Income 2014: $220,7742014Revenue 2015: $29,157,907Expenses 2015: $28,506,472Net Income 2015: $651,4352015Revenue 2016: $32,235,584Expenses 2016: $31,002,140Net Income 2016: $1,233,4442016Revenue 2017: $38,681,412Expenses 2017: $33,239,699Net Income 2017: $5,441,7132017Revenue 2018: $35,731,222Expenses 2018: $35,913,868Net Income 2018: -$182,6462018Revenue 2019: $38,596,107Expenses 2019: $38,282,792Net Income 2019: $313,3152019Revenue 2020: $36,368,030Expenses 2020: $35,968,392Net Income 2020: $399,6382020Revenue 2021: $45,093,284Expenses 2021: $37,140,968Net Income 2021: $7,952,3162021Revenue 2022: $15,377,375Expenses 2022: $12,245,026Net Income 2022: $3,132,3492022Revenue 2023: $76,596,482Expenses 2023: $67,782,012Net Income 2023: $8,814,4702023Revenue 2024: $96,657,734Expenses 2024: $87,762,385Net Income 2024: $8,895,3492024

Highlighted filing

2024

Revenue$96,657,734
Expenses$87,762,385
Net Income$8,895,349

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$54.4$22.2$32.2$96.7$87.8$8.90
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$51.1$15.7$35.3$76.6$67.8$8.81
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.7$7.05$25.7$15.4$12.2$3.13
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.5$10.0$15.5$45.1$37.1$7.95
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$22.1$14.5$7.59$36.4$36.0$0.40
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.6$6.17$5.44$38.6$38.3$0.31
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.0$5.84$5.13$35.7$35.9$0.18
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.1$5.75$5.31$38.7$33.2$5.44
2016Detailed filing. Detailed filing data is available for this year.$17.9$18.0$0.13$32.2$31.0$1.23
2015Detailed filing. Detailed filing data is available for this year.$17.2$18.2$1.01$29.2$28.5$0.65
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.6$18.0$1.41$27.4$27.2$0.22
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$16.2$17.6$1.33$25.4$26.0$0.58
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.1$17.9$0.75$22.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.0$16.2$1.21$19.3
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.1$16.3$1.13$22.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 4, 2025
Return Version
2024v5.2
Gross Receipts
$96,903,534
Mission and Program Overview

Mission

To be the provider of choice and the employer of choice in our primary market.

To be recognized as the leading healthcare organization in the communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$17,674,700$15,772,153▼ $1,902,547
Accounts Receivable$15,255,871$14,677,485▼ $578,386
Cash and Non-Interest-Bearing Accounts$3,404,594$7,525,215▲ $4,120,621
Savings and Temporary Cash Investments$4,308,938$3,094,804▼ $1,214,134
Investments in Publicly Traded Securities$4,944,165$1,779,938▼ $3,164,227
Inventories for Sale or Use$638,270$1,059,230▲ $420,960
Investments Program Related$625,707$832,688▲ $206,981
Prepaid Expenses and Deferred Charges$414,855$353,688▼ $61,167
Total Assets$51,076,690$54,392,188▲ $3,315,498
Other Assets Total$3,809,590$9,296,987▲ $5,487,397
Liabilities
Other Liabilities$9,278,842$13,221,759▲ $3,942,917
Accounts Payable and Accrued Expenses$6,454,376$8,693,171▲ $2,238,795
Deferred Revenue$11,900$309,760▲ $297,860
Total Liabilities$15,745,118$22,224,690▲ $6,479,572
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$35,331,572$32,167,498▼ $3,164,074
Total Net Assets Fund Balance$35,331,572$32,167,498▼ $3,164,074
Total Liabilities and Net Assets / Fund Balance$51,076,690$54,392,188▲ $3,315,498

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$9,206,781$4,039,479$13,246,260
Equipment$4,506,150$4,555,298$9,061,448
Leasehold Improvements$531,914$604,571$1,136,485
Other Land Buildings$1,038,220-$1,038,220
Land$489,088-$489,088
Other Assets Org$8,197,425--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jiab SuleimanPhysicianFT$720,000$549,370$1,269,370
Eric ShoemakerPhysicianFT$421,800$145,845$567,645
David KomasaraPhysicianFT$478,401$82,902$561,303
Adam TurnerPhysicianFT$532,918$25,455$558,373
Andrew DanielsPresident and Co-CEOPT$238,323$114,877$353,200
Faraaz AhmedPhysicianPT$260,804$37,471$298,275
Angela McconnachieCo-CEOPT$98,629$30,664$129,293
Kimberly GentnerCFOPT$79,371$19,362$98,733

Board Members and Trustees

NameTitle
Pat CurtisChairman
Gail DentonVice-chairman
Carol StarlingDirector
Erik TamlynDirector
Faith Fahrner RnDirector
Judy BrownDirector
Paul RohlingDirector
Scott OrrDirector
Steve EllisDirector
Victoria MeiburgDirector
David MessingSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Thumb Mri Center LLCMedical ServicesPO BOX 67, Cass City, MI 48726$3,605,361
Michigan Rural Medical Services PllcMedical Services2573 GINGER COURT, Bloomfield Hills, MI 48304$1,916,000
Net Revenue Associates LLCConsulting Services1330 CORPORATE DRIVE SUITE 100, Hudson, OH 44236$1,240,375
Tap StaffingStaffing Agency295 W EDDY ROAD, Sandusky, MI 48471$1,225,050
Covenant Healthcare LaboratoryLab Services1447 N HARRISON, Saginaw, MI 48602$924,859
Revenue and Support

Revenue Composition

Contributions and Grants
$58,509
Program Service Revenue
$93,949,189
Investment Income
$987,090
Other Revenue
$1,662,946
All Other Contributions
$13,621
Change in Net Assets
$8,895,349
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$45,011,197
Salaries, Compensation, and Employee Benefits$42,740,754
Grants and Similar Amounts Paid$10,434
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$28,492,765$4,929,843-$33,422,608
Fees for Services Other$15,023,528$1,253,815-$16,277,343
Other Employee Benefits$5,848,501$75,052-$5,923,553
Depreciation Depletion$2,203,722$80,448-$2,284,170
Payroll Taxes$2,192,591$39,919-$2,232,510
Information Technology$999,098$907,902-$1,907,000
Office Expenses$1,310,135$489,878-$1,800,013
Pension Plan Contributions$1,139,934$22,149-$1,162,083
Other Expenses$951,805$48,168-$999,973
Occupancy$979,469$3,697-$983,166
Interest$491,357$8,597-$499,954
Insurance$413,582$79,861-$493,443
All Other Expenses$194,286$234,931-$429,217
Advertising$26,006$350,659-$376,665
Fees for Services Accounting-$148,924-$148,924
Travel$82,898$40,539-$123,437
Conferences and Meetings$67,099$45,971-$113,070
Fees for Services Legal-$79,243-$79,243
Grants to Domestic Orgs$10,434--$10,434
Total Functional Expenses$78,857,628$8,904,757$0$87,762,385
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Cass City Chamber of CommerceCass City, MI501(c)(6)General Operating Support$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Capital Lease$12,040,167
Estimated Third-party Payor Settlements$1,179,736
Related Party Payable$1,856
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

There shall be an executive committee of the board, consisting of the chair, vice chair, secretary, treasurer, the president/ceo, ex-officio without vote, and such other number of directors who may be nominated by the chair and approved by the board of directors: provided, however, that in no event shall the executive committee constitue a majority of the board of directors. The executive committee shall meet at the call of the chair, and exercise such functions and powers as the board of directors may provide. The executive committee shall keep records of its proceedings, and shall report on its actions to the board of directors as its next meeting. The executive committee shall possess and exercise all of the powers and authority of the board of directors, to the extent permitted by law, and shall manage the affairs of the corporation between meetings of the board of directors. Notwithstanding anything which may be expressed in, or implied from this section, the executive committee shall not have the power or authority to: a. Amend the articles of incorporation; b. Adopt an agreement of merger or consolidation; c. Approve the sale, lease, or exchange of all or substantially all of the hospital's property and assets; d. Approve a dissolution of the corporation or revocation of a dissolution; e. Amend these bylaws; f. Fill vacancies on the board and/or appoint officers; g. Modify the purpose of the corporation; or h. Approve the incurrence of any long-term debt, or the capital and/or operating budgets of the corporation.

Form 990, Part VI, Section A, Line 6

Hills & dales healthcare corporation is the sole member.

Form 990, Part VI, Section A, Line 7A

The number of directors is at least three and no more than eight persons and all directors are appointed by hills & dales healthcare corporation.

Form 990, Part VI, Section A, Line 7B

The following actions may be taken by the organization only upon written approval of the board of trustees of bluewater healthcare network dba aspire rural health: a: adoption, amendment, or other modification of the bylaw or articles of incorporation; b: any mergers, consolidation, reorganization, other change in the corporate structure or the creation of any corporate subsidiary; c: participation in any partnership, limited partnership, corporation, association or other form of joint venture or shared service with any other party; d: creation, incurrence, or assumption of indebtedness, commitments, or any contractual obligations with respect to borrowed money, guarantees, endorsements, leases, or other type of direct contingent liabilities, in excess of$150,000 for any one item; e: creation, incurrence, or assumption of any mortgage, pledge, security agreement, encumbrance, or other lien of any kind in any property or assets of the organization; f: acquisitions, by purchase, lease or by any other method of real estate, capital improvements, or equipment in excess of value of $150,000 for any such item; g: any change in the services of programs of the organization, including the termination of existing services, the addition of new services, or any major expansion or contraction of existing services or programs; h: adoption, amendment or modification of the annual operating and capital budgets of the corporations; or i: adoption, amendment or modification of the mission and goals of the corporation, and its long-range and short-range strategic plans. J. Appointment of persons to serve, or removal of persons serving on, the board of trustees of the corporation k. Setting the total number of trustees to serve on the board of trustees of the corporation l the appointment and/or removal of the president and chief executive officer of the corporation. Provisions j, k and l were added with the change in bylaws in may 2022.

Form 990, Part VI, Section B, Line 11B

The 990 was complied by the corporate controller and then reviewed by the board.

Form 990, Part VI, Section B, Line 12C

The conflict of interest form is completed annually and monitored for compliance by the ceo, the compliance officer, and the chairman of the board. When a conflict exists, the board member notifies the rest of the board of the conflict. The board member is allowed to discuss the matter at hand, however, the member with the conflict is not allowed to vote on any conflicted issue. This policy covers all board members, officeres administrative staff members and medical staff members with administrative responsibilities.

Form 990, Part VI, Section B, Line 15

The salaries of the ceo, officers, and key employees are determined by three independent board members from the hills & dales general hospital, inc. Board of trustees using market data and outside surveys. Compensation is reviewed annually.

Form 990, Part VI, Section C, Line 19

The organization does not make it governing documents, conflict of interest policy, and financial statements available to the general public.

Filing and Contact Details

Filer

Filer Name
Hills & Dales General Hospital Inc
EIN
38-1619577
Phone
9898722121
Address
4675 HILL STREET, CASS CITY, MI 48726

Signing Officer

Name
Angela Mcconnachie
Title
CEO
Phone
9898722121
Signed
2025-11-04
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Andrew Daniels
Formed
1960
Legal Domicile
Mi
Voting Board Members
11
Independent Board Members
11
Employees
556
Volunteers
50

Preparer

Firm
Cliftonlarsonallen Llp
Address
220 S 6TH STREET SUITE 300, MINNEAPOLIS, MN 55402
Preparer
Ann Neil
Phone
6123764500
Supplemental Narrative

Additional Explanations

FORM 990, PART V, LINE 1A:

Form 1099/1096 filing - vendors for the filing organization are paid by bluewater healthcare network (ein 46-5444203) a of 04/15/2024. As such, all required form 1099 and form 1096 reporting is made for the entire bluewater healthcare network (with limited exceptions) under the bluewater healthcare network (ein 46-5444203).

FORM 990, PART V, LINE 2A:

W-3 filing - employees are paid by a related organization under a common paymaster arrangement as of 04/15/2024. As such, required payroll filings (including w-2 and w-3s) after 04/15/2024 are reported under the related organization, bluewater healthcare network (ein 46-5444203).

Form 990, Part IX, Line 11G

Professional services: program service expenses 6,802,131. Management and general expenses 9,250. Fundraising expenses 0. Total expenses 6,811,381. Contracted services: program service expenses 8,217,397. Management and general expenses 1,244,565. Fundraising expenses 0. Total expenses 9,461,962. Medical director fees: program service expenses 4,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,000.

FORM 990, PART XI, LINE 9:

Equity transfers -10,128,276. Loss on equity method investments 759,420. Transfer net assets of northwood meadows -2,561,321.

Financial Statement Notes

PART IV, LINE 1B:

The auxiliary uses the hospital ein for their activity.

PART X, LINE 2:

The organization believes it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. The organization would recognize future accrued interest and penalties reltaed to unrecognized tax benefits and liabilities in income tax expenses if such interest and penalties are incurred.

Raw XML AppendixShowing 400 of 1,077 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Desc0THE ORGANIZAION PROVIDED NURSING AND PROFESSIONAL SERVICES FOR ACUTE & SWING BED PATIENTS, EMERGENCY, AND OUTPATIENTS. DURING THE PERIOD JANUARY 1, 2024 TO DECEMBER 31, 2024, HDGH PROVIDED CARE INCLUDING 1,182 INPATIENT DAYS, 1,931 SWING BED DAYS, 8,220 EMERGENCY ROOM VISITS, OVER 86,376 PHYSICIAN VISITS, FOR A TOTAL REGISTRATIONS OF 164,702 . DURING THE YEAR, 68.7% OF THE SERVICES PROVIDED WERE TO GOVERNMENTAL PROGRAMS, WHICH REIMBURSE BELOW ACTUAL COSTS. IN ADDITION, THE HOSPITAL PROVIDED APPROXIMATELY $385,506 IN CHARITY CARE AND WAS UNABLE TO COLLECT FROM UNINSURED AND UNDERINSURED PATIENTS. COMMUNITY BENEFITS ARE ALSO PROVIDED THROUGH FREE PROGRAMS SUCH AS, HEALTH FAIRS, PUBLIC SERVICE ANNOUNCEMENTS, EDUCATION ON SPECIFIC DISEASE CONDITIONS, LECTURES, BLOOD PRESSURE SCREENING, TB TRAINING. THE HOSPITAL ALSO PROVIDED REDUCE FEE SERVICES.
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