Mid-Michigan District Health Dept

What it reported doing in 2024

Maternal Infant Health Program - provides non-medical professional services of public health nurses, registered nurses, dieticians, and social workers, as well as childbirth education classes and transportation for medicaid eligible, high risk pregnant women. Family Planning program - a comprehensive family planning service program which includes physical examination, specific laboratory services, Pap tests, contraceptive consultation, and pregnancy testing with health education as a major component. Children's Special Health Care Services (CSHCS) - provides diagnostic evaluation, family assessment, financial assessment, and case management for children up to the age of 21 with acute catastrophic or chronic illness. Hearing and vision screening - provided to pre-school and school grades. Communicable Diseases program - provides testing, treatment, and data collection of various communicable diseases and STD's. AIDS Counseling and Testing - is pre/post anonymous counseling and testing. Medicaid Outreach, Enrollment, and Coordination - a Mich-care program which provides support services for medicaid eligible mothers, infants, and children. Community Health Assessment - a program designed to plan and report regional health issues. Breast and Cervical Cancer Control program - provides physical examinations, including Pap smears and mammograms to qualified women. Access to care - provides information and care coordination for uninsured clients. Bioterrorism - designed for emergency preparedness. Community Pathways program - providing home care for individuals with multiple chronic medical/social issues to improve the individual's health and decrease costs of nonemergency trips to emergency room. A variety of other miscellaneous wellness and health related programs are provided at the local level.

Financial Efficiency

• Mission deployment rate: 63.9%; rating input score 64
• Program expense ratio: 66.5%; rating input score 66
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.5%; rating input score 49; 49th percentile among comparable filings
• Total-asset coverage ratio: 0.42; rating input score 14; 14th percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 35; 35th percentile among comparable filings
• Officer compensation ratio: 6.9%; rating input score 42; 42nd percentile among comparable filings

Growth

• Program expense growth: 3.5% per year; rating input score 100; 30th percentile among comparable filings
• Revenue growth: 3.4% per year; rating input score 100; 30th percentile among comparable filings
• Asset growth: 3.7% per year; rating input score 100; 28th percentile among comparable filings