2023-05-15T09:29:35-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 600 E FRONT ST STE 300 TRAVERSE CITY MI 49686 990 2022-01-01 382602147 MYMICHIGAN MEDICAL CENTER SAULT MYMI 9066354460 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 KEVIN KALCHIK CFO 9066354460 2023-05-11 1 KEVIN KALCHIK 999009999 0 DAVID LOWENTHAL P00378651 2319477800 2023-05-11 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC DAVID JAHN CEO 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 62049124 0 X WWW.MYMICHIGAN.ORG/LOCATIONS/PROFILE/ X 1985 MI TO PROVIDE HEALTH CARE SERVICES AND ACCESS TO THE RESIDENTS OF SAULT STE. MARIE AND THE EASTERN UPPER PENINSULA. OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. 12 8 0 35 0 0 7026868 555502 108221927 60225909 1793041 947781 390824 206339 117432660 61935531 0 0 0 0 60323405 35091299 0 0 30920 47789915 28717978 108113320 63809277 9319340 -1873746 104046577 111839563 53018405 57073263 51028172 54766300 X OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. 0 0 35703544 49751977 HOSPITAL INPATIENT AND OUTPATIENT SERVICES - MYMICHIGAN MEDICAL CENTER SAULT PROVIDED INPATIENT CARE TO 1,088 PATIENTS AND THERE WERE OVER 125,992 PATIENT REGISTRATIONS FOR THE HOSPITAL'S MULTIPLE OUTPATIENT SERVICE DEPARTMENTS (LAB, RADIOLOGY, CARDIOPULMONARY, REHABILITATION, NUCLEAR MEDICINE, SURGICAL SERVICES).OUR OBSTETRICS/NURSERY UNIT REPORTED 145 BIRTHS AND OUR SURGICAL SERVICES DEPARTMENT PROVIDED SURGICAL CARE FOR 2,567 PATIENTS.THE REHABILITATION DEPARTMENT CONTINUED ITS EXPANSION OF SERVICES IN CONTRACTING TO PROVIDE REHABILITATION SERVICES WITH MULTIPLE ORGANIZATIONS IN THE REGION; INCLUDING, BUT NOT LIMITED TO, AREA SCHOOLS, HOSPITALS, AND HOME HEALTH AGENCIES. NEARLY 186,969 REHABILITATION TREATMENTS WERE REPORTED IN THE DISCIPLINES OF PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND AUDIOLOGY SERVICES. 10088819 7072112 PROFESSIONAL SERVICES - THE HOSPITAL'S TWENTY FOUR HOUR EMERGENCY DEPARTMENT AND THE COMMUNITY CARE CLINIC (WALK-IN URGENT CARE CENTER) RECORDED 7,684 VISITS AND 4,658 VISITS RESPECTIVELY FOR A TOTAL CARE PROVIDED TO 12,342 PATIENTS.VISITS BY PHYSICIAN CLINIC:WMH CARDIOLOGY CLINIC 1,113WMH DERMATOLOGY 539WMH DRUMMOND ISLAND MEDICAL 795WMH EAR, NOSE & THROAT 1,080WMH ENDOCRINOLOGY 1,160WMH FAMILY MEDICINE CEDARVILLE 1,314WMH FAST CARE - MEIJER 1,819WMH FOOT & ANKLE 952WMH GENERAL SURGICAL CARE 1,971WMH MAT COMMUNITY CARE CLINIC 1,421WMH NEPHROLOGY 823WMH NEUROLOGY 837WMH OCCUPATIONAL HEALTH 204WMH ORTHO NEWBERRY OUTPUT CLINI 85WMH ORTHOPEDICS 2,620WMH ORTHOPEDICS & SPINE 939WMH OUTPATIENT PSYCHIATRY 1,733WMH PAIN MANAGEMENT KIN 601WMH PAIN MANAGEMENT SSM 1,182WMH PRIMARY CARE SSM CMC 5,548WMH PRIMARY CARE SSM HERITAGE 6,161WMH PRIMARY CARE SSM MAGAZINE 3,962WMH PULMONOLOGY 664WMH SLEEP DISORDERS CENTER 1,364WMH SSM COMMUNITY CARE CLINIC 4,658WMH UROLOGY 2,060WMH WOMENS HEALTH 3,929WMH WOMENS NEWBERRY OUTPT CLINIC 120 2517170 2092091 INPATIENT/ OUTPATIENT PSYCH WITH 236 ADMISSIONS AND 1,801 PATIENT DAYS. 2033873 1374631 OTHER PROGRAM SERVICES - WHICH INCLUDES, BUT IS NOT LIMITED TO, OBSTETRICS WITH 19 ADMISSIONS AND 298 PATIENT DAYS. 2033873 1374631 50343406 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 8 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X KEVIN KALCHIK CFO 9066354456 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 X DAVID JAHN CEO 40.00 0.00 X X 0 0 0 TOM COATES CHAIR 1.00 0.00 X X 0 0 0 JOHN JORGENSON SECRETARY 1.00 0.00 X X 0 0 0 MAXINE ANDERSON TREASURER 1.00 0.00 X X 0 0 0 GREGORY ROGERS MYMICHIGAN PRESIDENT 1.00 40.00 X 0 0 0 JAMIE ADAIR BOARD/PHYSICIAN 40.00 0.00 X 0 0 0 AMY GOETZ BOARD 1.00 0.00 X 0 0 0 HOLLY KIBBLE BOARD 1.00 0.00 X 0 0 0 GARTH MACMASTER BOARD 1.00 0.00 X 0 0 0 CHARLES PALMER BOARD 1.00 0.00 X 0 0 0 KYLE RAYCRAFT BOARD/PHYSICIAN 40.00 0.00 X 0 0 0 MARK SAVOIE BOARD 1.00 0.00 X 0 0 0 RALPH DUMAN BOARD - PART YEAR 1.00 0.00 X 0 0 0 KEVIN KALCHIK VICE PRESIDENT 40.00 0.00 X 0 0 0 MARLA BUNKER VICE PRESIDENT 40.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 432755 122747 555502 PATIENT SERVICE REVENUE 621400 60150909 60150909 OTHER RELATED REVENUE 621400 75000 75000 60225909 940581 940581 172306 107404 64902 64902 64902 13389 6189 7200 7200 7200 CAFETERIA REVENUE 624210 141437 141437 141437 61935531 60290811 0 1089218 X 1414003 388676 1025327 25668617 21207757 4460860 1266928 1266928 4921138 3670080 1251058 1820613 1618125 202488 116587 116587 137000 137000 9191278 7834887 1356391 3467576 2689606 758754 19216 217289 115000 102289 209545 119895 89650 162716 154512 8204 834229 560100 271189 2940 2463933 1654280 800969 8684 507412 87484 419928 MEDICAL SUPPLIES 6368163 6368163 0 QUALITY ASSESSMENT FEES 1934259 1934259 REPAIRS AND MAINTENANCE 1623691 717456 906235 PROVISION FOR BAD DEBTS 1168675 1168675 315625 54451 261094 80 63809277 50343406 13434951 30920 5725 430525 28504889 22882222 9638227 12623496 3211747 2978661 1504954 6621 52282588 2463931 37086014 49818657 22355455 7122 256681 256681 1482885 22835578 104046577 111839563 9516742 10802788 0 0 30019361 35536280 13482302 10734195 53018405 57073263 X 51028172 54766300 0 51028172 54766300 104046577 111839563 -1873746 -1912227 7524101 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 917000 917000 38330590 1096874 37233716 179210 18079 161131 12685958 1348978 11336980 169830 169830 49818657 ACCRUED MALPRACTICE ASSET 1482885 COST REPORT SETTLEMENT RECEIVABLE -499156 RIGHT OF USE ASSETS 21851849 22835578 ACCRUED POST-RETIREMENT BENEFIT 720579 ACCRUED INSURANCE 2830720 ACCRUED MALPRACTICE LIABILITY 1550000 MEDICARE ACCELERATED PAYMENTS 257853 FMV OF INTEREST RATE SWAP 5375043 10734195 1 1 X 1 X 1 X 1 1 1 0 1 1 89492 89492 0.00140 11380501 15389000 0 0.00000 11469993 15389000 89492 0.00140 1636 23201 80960 80960 0.00130 133 301 220034 220034 0.00350 8471478 3835174 4636304 0.07400 9 17261 17261 0.00030 1778 23502 8789733 3835174 4954559 0.07910 1778 23502 20259726 19224174 5044051 0.08050 0 1168061 584031 7816575 4899489 2917086 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 WWW.MYMICHIGAN.ORG/LOCATIONS/PROFILE/M 1060000093 X X X MYMICHIGAN MEDICAL CENTER SAULT 1 0 0 1 X X X X X X X X X 19 1 0 1 1 X HTTPS://TINYURL.COM/MTRKRSRF X 1 19 1 HTTPS://TINYURL.COM/MTRKRSRF 0 1 X 200.000000000000 250.000000000000 X X X X 1 1 X X X X 1 X HTTPS://TINYURL.COM/5YVMFHUM X HTTPS://TINYURL.COM/5YVMFHUM X HTTPS://TINYURL.COM/5YVMFHUM X X X X X X 1 0 X X X X 1 X 0 0 MYMICHIGAN MEDICAL CENTER SAULT PART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/THE WESTERN UPPER PENINSULA HEALTH DEPARTMENT, WITH FUNDING FROM THE MICHIGAN HEALTH ENDOWMENT FUND, SPEARHEADED A COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE UPPER PENINSULA. ONCE AGAIN, MYMICHIGAN MEDICAL CENTER SAULT AND THE CHIPPEWA COUNTY HEALTH DEPARTMENT PARTNERED TO BRING THE OUTCOMES OF THE ASSESSMENT TO THE RESIDENTS OF CHIPPEWA COUNTY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REFLECTED DATA DERIVED DIRECTLY FROM QUESTIONNAIRES THAT WERE COMPLETED BY RANDOMLY SELECTED COUNTY RESIDENTS, AS WELL AS DATA COLLECTED THROUGH SECONDARY SURVEYS AND SOURCES.THE TOP FOUR PRIORITY ISSUES IDENTIFIED FROM AMONG 16LISTED CONCERNS WERE:-SUBSTANCE ABUSE-BEHAVIORAL HEALTH-GENERAL HEALTH - HEART DISEASE, CANCER, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE, AND STROKE.ACHIEVING "HEALTHY PEOPLE IN HEALTHY COMMUNITIES", A GOAL ARTICULATED BY THE CDC, WILL REQUIRE U.P. COMMUNITIES TO EMBRACE THE IDEA THAT HEALTH IS ABOUT MORE THAN PERSONAL BEHAVIORS, IT IS ABOUT THE HOMES WE GROW UP IN, THE FAMILIES WE ARE PART OF, THE SCHOOLS WE ATTEND AND THE NEIGHBORHOODS IN WHICH WE LIVE. HEALTH IS NOT SOMETHING WE ACHIEVE IN ISOLATION, HEALTH IS SOMETHING WE CAN AND MUST HELP EACH OTHER ATTAIN. MYMICHIGAN MEDICAL CENTER SAULT PART V, SECTION B, LINE 6B: CHIPPEWA COUNTY HEALTH DEPARTMENT AND WESTERN UPPER PENINSULA HEALTH DEPARTMENT (WUPHD) MYMICHIGAN MEDICAL CENTER SAULT PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH - GOALS AND OBJECTIVESINCREASE ACCESS TO CARE FOR BEHAVIORAL HEALTH ISSUES AMONG ADULTS AND YOUTH WITHIN CHIPPEWA COUNTY BY:(1) PROVIDING MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WITH INFORMATION REGARDING AVAILABLE SERVICES;(2) PROVIDING COUNTY RESIDENTS WITH INFORMATION REGARDING THE BENEFITS OF EARLY TREATMENT AND RESOURCES FOR TREATMENT;(3) INCREASING THE PERCENTAGE OF CHIPPEWA COUNTY RESIDENTS ACCESSING CARE FOR BEHAVIORAL HEALTH.SUBSTANCE ABUSE - GOALS AND OBJECTIVESINCREASE KNOWLEDGE AND UNDERSTANDING SURROUNDING THE EFFECTS OF TREATMENT OPPORTUNITIES FOR SUBSTANCE MISUSE THROUGHOUT CHIPPEWA COUNTY THROUGH PREVENTION BY:(1) INCREASING EDUCATION AND AWARENESS OF SUD TO YOUTH AND GENERAL COMMUNITY MEMBERS;(2) INCREASING PRO-SOCIAL ACTIVITIES/OPPORTUNITIES FOR YOUTH; THROUGH SUPPORT BY:(A) INCREASING AWARENESS OF ADDICTION AND KNOWLEDGE OF SUPPORT RESOURCES FOR PERSONS WITH ADDICTION, THEIR FAMILY MEMBERS AND AREA EMPLOYERS; THROUGH RECOVERY BY:(B) INCREASING THE NUMBER OF REGISTERED WAIVERED MEDICATION-ASSISTED TREATMENT PROVIDERS IN CHIPPEWA COUNTY(C) INCREASING THE AWARENESS OF AVAILABLE TREATMENT OPTIONS WITHIN THE REGIONHEALTH - GOALS AND OBJECTIVESCREATE A HEALTHIER COMMUNITY THROUGH EDUCATION AND OPPORTUNITIES BY:(1) DECREASING TOBACCO USE AMONG PREGNANT WOMEN(2) INCREASING AWARENESS OF THE BENEFITS OF PHYSICAL ACTIVITY AS A PREVENTATIVE MEASURE OF CHRONIC DISEASEWHILE THE CHNA IDENTIFIED OTHER HEALTH NEEDS, THEY WERE SEEN TO BE BEYOND THE SCOPE OF OUR SERVICES OR WE COULD NOT MAKE A SIGNIFICANT IMPACT UPON THEM DUE TO LIMITED PERSONNEL AND/OR FINANCIAL RESOURCES.THE FULL COPY OF THE IMPLEMENTATION PLAN CAN BE FOUND AT A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ MYMICHIGAN MEDICAL CENTER SAULT PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16I - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE. MYMICHIGAN MEDICAL CENTER SAULT PART V, SECTION B, LINE 20E: THE HOSPITAL FACILITY MAILS A FINANCIAL ASSISTANCE POLICY APPLICATION WHEN SETTING UP A PAYMENT PLAN FOR A PATIENT AND WHEN SENDING PAST DUE LETTERS. 2 1 - LONG TERM CARE 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 SKILLED NURSING FACILITY 2 - BEHAVIORAL HEALTH CENTER 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 INPATIENT PSYCHIATRIC FACILITY PART I, LINE 3C: THE HOSPITAL, THROUGH ITS PARTNERSHIP WITH COMMUNITY HEALTH ACCESS COALITION (CHAC), UTILIZES 200% OF POVERTY GUIDELINES FOR INITIAL ACCESS AND APPLICATION FOR MEDICAID. FOR THOSE COMMUNITY MEMBERS THAT DO NOT QUALIFY, 250% OF POVERTY GUIDELINES ARE UTILIZED FOR ADDITIONAL OPTIONS FOR IMMEDIATE DISCOUNTS. ALL PATIENTS ARE ABLE TO REQUEST ADDITIONAL DISCOUNTS OR FREE CARE ON REMAINING BALANCES AND NON-COVERED SERVICES THROUGH THE HOSPITAL FINANCIAL ASSITANCE PROGRAM (FAP). PART I, LINE 7: A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G). PART I, LINE 7G: INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE: HOSPITAL AND TRAUMA BASED PROFESSIONAL SERVICES, SURGICAL ASSISTANT, BEHAVIORAL HEALTH, OB PROFESSIONAL, OB PROGRAM, AND DIALYSIS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,168,061. SCHEDULE H, PART I, LINE 7B: THE HOSPITAL PARTICIPATES IN THE MICHIGAN DISPROPORTIONATE SHARE PROGRAM (DSH) AS WELL AS THE MICHIGAN QUALITY ASSURANCE ASSESSMENT PROGRAMS (QAAP). THE DSH PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING INDIGENT POPULATIONS IN THE COMMUNITY (SELF-PAY, MEDICAID, MEDICAID ADVANTAGE). THE QAAP PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING MEDICAID PATIENTS. THE HOSPITAL PAID IN AMOUNTS TO FUND THE PROGRAM AND IN RETURN RECEIVED THEIR RESPECTIVE SHARE OF THE STATE DSH AND QAAP FUNDS. THE RESULT WAS A GAIN TO THE HOSPITAL, AS DETAILED BELOW: DSH PROGRAM QAAP PROGRAMREVENUE $66,434 $4,192,909EXPENSE - $1,896,141 --------- -----------GAIN $66,434 $2,296,768 IF THESE PROGRAMS DID NOT EXIST, THE HOSPITAL WOULD HAVE REPORTED A SHORTFALL FROM PROVIDING SERVICES TO MEDICAID PATIENTS. PART II, COMMUNITY BUILDING ACTIVITIES: MYMICHIGAN MEDICAL CENTER SAULT IS ACTIVE IN BOTH THE PROMOTION OF HEALTHY LIFESTYLES FOR BOTH ITS EMPLOYEES AND COMMUNITY MEMBERS. MYMICHIGAN MEDICAL CENTER SAULT WILL TAKE A LEAD ROLE IN MANY OF THESE ENDEAVORS, BUT ALSO IS WILLING TO BE A SUPPORTIVE PARTNER AND TEAM MEMBER AS WELL. PART III, LINE 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:PATIENT ACCOUNTS RECEIVABLE ARE STATED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHER INSURERS TO WHICH MYMICHIGAN HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MYMICHIGAN HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND IMPLICIT PRICE CONCESSIONS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY) TO RECORD RECEIVABLES AT THEIR ESTIMATED NET REALIZABLE VALUE. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), MYMICHIGAN HEALTH RECORDS SIGNIFICANT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE. PART III, LINE 8: THE MEDICARE SURPLUS (SHORTFALL) WAS CALCULATED BY UTILIZING COST ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. THE SURPLUS SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. PART III, LINE 9B: MYMICHIGAN MEDICAL CENTER SAULT UTILIZES AN ON-LINE INSURANCE VERIFICATION PROCESS TO INITIATE THE EDUCATION AND ELIGIBILITY FROM THE ON-SET OF SERVICES. UPFRONT COLLECTIONS ARE AN ACTIVE PART OF THE PROCESS TO BOTH EDUCATE THE PATIENT AND TO REDUCE BACK-END COSTS OF COLLECTIONS. AT ANY TIME DURING THE PROCESS STAFF ARE TRAINED TO ADDRESS THE PERCEIVED FINANCIAL ASSISTANT NEEDS AND PROVIDE ACCESS TO THE IN-HOUSE PATIENT FINANCIAL COUNSELOR, COMMUNITY HEALTH ACCESS COALITION, OR THE DEPARTMENT OF HEALTH SERVICES REPRESENTATIVE. IN THE BILLING PROCESS, PATIENTS ARE STILL OFFERED ANY EDUCATION NECESSARY TO OBTAIN ASSISTANCE. ONCE SERVICES ARE RECEIVED AND THE PATIENT CHARGES HAVE ACCUMULATED PRIMARY SOURCES OF COVEAGE ARE BILLED. AFTER ALL EFFORTS OF COLLECTION FROM PRIMARY PAYOR (INSURANCE) THE PATIENT IS BALANCED BILL AND PROVIDED THE OPPORTUNITY FOR PAYMENT IN FULL OR OTHER PAYMENT OPTIONS. SCHEDULE H, PART III, LINES 5 AND 6: OTHER INFORMATION: AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: 11,608,470TOTAL REIMBURSEMENT: 10,602,095COST IN EXCESS OF REIMBURSEMENT 1,006,375 PART VI, LINE 2: MYMICHIGAN MEDICAL CENTER SAULT WORKS IN CONJUNCTION WITH MANY OF THE HOSPITALS IN THE NORTHERN MICHIGAN AND THE UPPER PENINSULA. IN THESE EFFORTS "NEEDS" OF THE COMMUNITIES ARE ASSESSED THROUGH WORK WITH OTHER HOSPITALS, HEALTH RELATED ORGANIZATIONS, AND IN COMMUNITY FORUMS. IN ADDITION, MYMICHIGAN MEDICAL CENTER SAULT HAS ENGAGED OUTSIDE ASSISTANCE IN THE PLANNING FOR "NEEDS" OF BOTH SERVICES AND PHYSICIANS TO BEST PLAN FOR CAPITAL AND RECRUITMENT APPROPRIATIONS. PART VI, LINE 3: MYMICHIGAN MEDICAL CENTER SAULT PRIDES ITSELF ON PROVIDING NEEDED CARE TO THE INDIGENT OF THE EASTERN UPPER PENINSULA IN A DIGNIFIED MANNER. THIS EDUCATION AND ASSISTANCE IS DONE THROUGH PARTNERSHIPS WITH OTHER "ACCESS" POINTS. SPECIFICALLY, MYMICHIGAN MEDICAL CENTER SAULT HAS PROVIDED RESOURCES TO THE CHAC (COMMUNITY HEALTH ACCESS COALTION) AND MYMICHIGAN MEDICAL CENTER SAULT HAS ENTERED INTO AN AGREEMENT WITH THE STATE OF MICHIGAN TO PROVIDE A DHS (DEPARTMENT OF HEALTH SERVICES) WORKER ON-SITE FOR READY ACCESS FOR OUR PATIENTS. THROUGH THE COLLABORATION OF THESE RELATIONSHIPS OUR PATIENTS ARE FIRST NOTIFIED AND REFERRED TO THE APPROPRIATE RESOURCE FROM THE ON-SET OF RECEIVING HEALTH CARE SERVICES. PART VI, LINE 4: MYMICHIGAN MEDICAL CENTER SAULT'S PRIMARY SERVICE AREA IS THE EASTERN UPPER PENINSULA OF MICHIGAN. IN THIS AREA THERE ARE THREE COUNTIES WHICH CONSIST OF CHIPPEWA, MACKINAC, AND LUCE. MYMICHIGAN MEDICAL CENTER SAULT PRIDES ITSELF ON THE QUALITY OF SERVICES IT PROVIDES AS A RURAL SOLE COMMUNITY HOSPITAL. THE CLOSEST HOSPITAL IS 50 MILES AWAY AND IS A CRITICAL CARE HOSPITAL. THE CLOSEST TERTIARY FACILITY IS OVER 90 MILES AWAY. MYMICHIGAN MEDICAL CENTER SAULT STRIVES FOR PROVIDING SERVICES TO THE COMMUNITY FOR WHICH OTHERWISE THE COMMUNITY MEMBER WOULD MOST LIKELY HAVE TO TRAVEL TO A TERTIARY FACILITY. THROUGH ITS OWN EFFORTS AND JOINT VENTURES AREAS OF CARE SUCH AS OBSTETRICS AND DELIVERY, DIALYSIS, ONCOLOGY, CARDIOLOGY, PULMONOLOGY, INFECTIOUS DISEASE, AND I/P PSYCHIATRIC SERVICES WOULD NOT BE AVAILABLE.MYMICHIGAN MEDICAL CENTER SAULT IS ONE OF THE TOP THREE LARGEST EMPLOYERS IN OUR REGION. WE EMPLOY MORE THAN 900 PEOPLE AND HAVE AN ANNUAL PAYROLL OF APPROXIMATELY $50 MILLION; PROVIDING A POSITIVE ECONOMIC IMPACT IN THE COMMUNITY. PART VI, LINE 5: MYMICHIGAN MEDICAL CENTER SAULT PROVIDES MANY POINTS OF ACCESS THAT ARE NOT PROFITABLE, BUT OTHERWISE WOULD REQUIRE OUR COMMUNITY MEMBERS TO TRAVEL GREAT DISTANCES. THE HOSPITAL MANAGEMENT AND STAFF PARTICIPATE ACTIVELY IN MANY HEALTH AND EDUCATIONAL ENDEAVORS. AN EXAMPLE IS PROVIDING CLINICAL STAFF TO THE LOCAL STATE UNIVERSITY TO ASSIST IN THE EDUCATION OF REGISTERED NURSES. OTHER EXAMPLES INCLUDE INFORMAL PARTNERSHIPS WITH TWO LOCALLY RECOGNIZED NATIVE AMERICAN TRIBES AND FULL SUPPORT OF COUNTY HEALTH INITIATIVES. PROGRAM EXAMPLES WOULD INCLUDE INDIGENT HEALTH ACCESS, FLU-CLINIC, DIALYSIS, DIABETIC EDUCATION, COUNTY HEALTH DEPARTMENT COLON SCREENING, PHYSICALS FOR STUDENT ATHLETES, AND REGIONAL CHARITY CARE INITIATIVES.MYMICHIGAN MEDICAL CENTER SAULT CONTINUES TO PARTNER WITH TERTIARY FACILITIES TO PROVIDE CONSISTENT ACCESS TO PROVIDERS OF CARDIOLOGY. DUE TO THE HOSPITAL'S GEOGRAPHIC LOCATION AND COMMUNITY SIZE, THE HOSPITAL HAS CONTINUED TO INDEPENDENTLY RECRUIT OTHER SPECIALISTS TO ENSURE THAT COMMUNITY ACCESS TO SERVICES AND PROVIDERS IS ACCOMPLISHED THROUGH PROVIDER BASED CLINICS. THE HOSPITAL CONTINUES ITS EFFORTS IN PROVIDING PRIMARY CARE IN OUTREACH AREAS OF THE EASTERN UPPER PENINSULA. WITH THESE EFFORTS AND PARTNERSHIPS THE HOSPITAL HAS BEEN SUCCESSFUL IN MAINTAINING ALL OTHER SERVICES.MYMICHIGAN MEDICAL CENTER SAULT CONTINUED ITS LEADERSHIP AND INVOLVEMENT WITHIN THE COMMUNITY AND THE HEALTHCARE PROVIDER COMMUNITY BY PROVIDING EDUCATION AND TRAINING. EXAMPLES OF COMMUNITY EDUCATION AND/OR HEALTH SCREENINGS INCLUDED A SENIOR HEALTH FAIR, EARLY PRE-NATAL EDUCATION AND CHILDBIRTH CLASSES. THE HOSPITAL'S INVOLVEMENT IN HEALTHCARE PROVIDER EDUCATION AND TRAINING INCLUDED NURSE AIDE TRAINING PROGRAMS AND SERVING AS CLINICAL INTERNSHIP SITE FOR MANY COLLEGE AND UNIVERSITY TRAINING PROGRAMS FOR STUDENTS IN REGISTERED NURSING, PHARMACY, MEDICAL TECHNOLOGY, HEALTH INFORMATION MANAGEMENT, AND PHYSICIAN ASSISTANT PROGRAMS. THE HOSPITAL IS ALSO DESIGNATED AS A COMMUNITY TRAINING CENTER OFFERING TRAINING TO AREA PHYSICIANS AND STAFF ON PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND BASIC LIFE SUPPORT. THE HOSPITAL IS ALSO CERTIFIED TO PROVIDE CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND STAFF AND CONDUCTS MORE THAN 25 ON-SITE PROGRAMS PER YEAR. VIDEO CONFERENCING CAPABILITIES ALSO PROVIDE ACCESS TO COMMUNITY AND HEALTHCARE PROVIDER TRAINING THROUGHOUT THE YEAR.MYMICHIGAN MEDICAL CENTER SAULT EMPLOYEES HAVE EMPLOYMENT BENEFITS WHICH INCLUDE PAYMENT FOR EXPENSES FOR THE COMPLETION OF A BACHELOR OF SCIENCE IN NURSING FOR CURRENT REGISTERED NURSES. ADDITIONALLY, OTHER EMPLOYEES HAVE ANNUAL EDUCATION BENEFITS FOR CONTINUING OR ADVANCING THEIR EDUCATION IN A HEALTHCARE FIELD. THE HOSPITAL ALSO OFFERS AN EDUCATIONAL LOAN PROGRAM WITH A PERIOD OF NO-INTEREST LOANS WHILE ENROLLED IN AN EDUCATIONAL PROGRAM. FOR NEWLY HIRED EMPLOYEES IN JOB SHORTAGE CLASSIFICATIONS, EMPLOYEES CAN RECEIVE FUNDS FOR STUDENT LOAN REPAYMENT FOR A COMMITMENT TO SERVE MYMICHIGAN MEDICAL CENTER SAULT FOR A SPECIFIED NUMBER OF YEARS. PART VI, LINE 6: NOT AFFILIATED. PART VI, LINE 7, REPORTS FILED WITH STATES MI CEDAR STRAITS RADIOLOGY OWNED MORE THAN 35% BY RALPH DUMAN, A BOARD MEMBER 288667 PAYMENT FOR PROFESSIONAL RADIOLOGIST 0 FORM 990, PART VI, SECTION A, LINE 4 THE NAME OF THE CORPORATION IS MYMICHIGAN MEDICAL CENTER SAULT ARTICLE V SECTION 1. THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH F/K/A MIDMICHIGAN HEALTH, A MICHIGAN NONPROFIT CORPORATION. ARTICLE VI SECTION 1. THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING A BENEFIT TO ITS MEMBER, AND THE CORPORATION MAY PAY DIVIDENDS OR DISTRIBUTE ITS INCOME OR PROFIT TO MYMICHIGAN HEALTH, ITS SOLE MEMBER AND A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, PROVIDED ANY SUCH PAYMENTS OR DISTRIBUTIONS ARE OTHERWISE CONSISTENT WITH THE CORPORATION'S PURPOSES AND ARE OTHERWISE PERMITTED UNDER THE MICHIGAN NONPROFIT CORPORATION ACT, AS AMENDED. SECTION 2. THE CORPORATION SHALL NOT TAKE ANY ACTION THAT, IF TAKEN DIRECTLY BY MYMICHIGAN HEALTH, WOULD REQUIRE APPROVAL OF ALL MEMBER CLASSES OF MYMICHIGAN HEALTH, UNLESS SUCH ACTION IS APPROVED BY MYMICHIGAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION. SECTION 3. NO PART OF THE NET EARNINGS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF OR BE DISTRIBUTABLE TO ITS DIRECTORS, OFFICERS, OR OTHER PRIVATE PERSONS, EXCEPT THAT THE CORPORATION SHALL BE AUTHORIZED AND EMPOWERED TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH IN ARTICLE II HEREOF. NO SUBSTANTIAL PART OF THE ACTIVITIES OF THE CORPORATION SHALL BE THE CARRYING ON OF PROPAGANDA, OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND THE CORPORATION SHALL NOT PARTICIPATE IN, OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF ANY CANDIDATE FOR PUBLIC OFFICE. NOTWITHSTANDING ANY OTHER PROVISION OF THESE ARTICLES, THE CORPORATION SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON (I) BY A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR (II) BY A CORPORATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE INTERNAL REVENUE CODE OF 1986, OR CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW. ARTICLE VII SECTION 1. THE CORPORATION SHALL, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, INDEMNIFY ANY PERSON THAT WAS OR IS A PARTY OR IS THREATENED TO BE MADE A PARTY TO A THREATENED, PENDING OR COMPLETED ACTION OR SUIT BY REASON OF THE FACT THAT THE PERSON IS OR WAS A DIRECTOR, OFFICER, EMPLOYEE, NONDIRECTOR VOLUNTEER, OR AGENT OF THE CORPORATION, OR IS OR WAS SERVING AT THE REQUEST OF THE CORPORATION AS A DIRECTOR, OFFICER, PARTNER, TRUSTEE, EMPLOYEE, NONDIRECTOR VOLUNTEER, OR AGENT OF ANOTHER FOREIGN OR DOMESTIC CORPORATION, BUSINESS CORPORATION, PARTNERSHIP, JOINT VENTURE, TRUST, OR OTHER ENTERPRISE, WHETHER FOR PROFIT OR NOT. HOWEVER, THE CORPORATION WILL NOT PAY OR REIMBURSE THE EXPENSES OF A PARTY ENTITLED TO INDEMNIFICATION UNDER THE PRECEDING SENTENCE IN ADVANCE OF FINAL DISPOSITION OF THE PROCEEDING UNLESS (I) THE CORPORATION AUTHORIZES THE ADVANCE CONSISTENT WITH THE REQUIREMENTS OF THE ACT, AND (II) THE PERSON FURNISHES THE CORPORATION A WRITTEN AGREEMENT, CONSISTENT WITH THE REQUIREMENTS OF THE ACT, TO REPAY THE ADVANCE IF IT IS ULTIMATELY DETERMINED THAT THE PERSON DID NOT MEET THE STANDARD OF CONDUCT, IF ANY, REQUIRED BY THE ACT FOR THE INDEMNIFICATION. SECTION 2. THE CORPORATION MAY, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW (INCLUDING BUT NOT LIMITED TO THE LAWS GOVERNING THE CORPORATION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE), PURCHASE AND MAINTAIN INSURANCE ON BEHALF OF ANY PERSON DESCRIBED IN SECTION 1 OF THIS ARTICLE VII AGAINST ANY LIABILITY ASSERTED AGAINST THE PERSON AND INCURRED BY THE PERSON IN THAT CAPACITY OR ARISING OUT OF THE PERSON'S STATUS AS SUCH, WHETHER OR NOT THE CORPORATION HAS THE POWER TO INDEMNIFY THE PERSON AGAINST LIABILITY. ARTICLE VIII SECTION 1. EXCEPT AS OTHERWISE PROVIDED BY LAW AND IN ACCORDANCE WITH A DISSOLUTION PLAN APPROVED BY MYMICHIGAN HEALTH AS MAY BE REQUIRED BY THE CORPORATION'S BYLAWS, UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS OF THE CORPORATION SHALL, AFTER PAYING OR MAKING PROVISIONS FOR THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION, DISTRIBUTE ALL OF THE ASSETS OF THE CORPORATION TO MYMICHIGAN HEALTH, A 501(C)(3) ORGANIZATION, SO LONG AS IT REMAINS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR TO A NONPROFIT FUND, FOUNDATION, OR CORPORATION WHICH IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES AND WHICH HAS ESTABLISHED ITS TAX EXEMPT STATUS UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR SHALL BE DISTRIBUTED TO THE FEDERAL GOVERNMENT, OR TO A STATE OR LOCAL GOVERNMENT FOR PUBLIC PURPOSE. ANY SUCH ASSETS NOT SO DISPOSED OF SHALL BE DISPOSED OF BY THE CIRCUIT COURT FOR THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS, AS SAID COURT SHALL DETERMINE, WHICH IS OR ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MYMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DEPARTMENT WORKS WITH THE APPROPRIATE DEPARTMENTS TO PROVIDE RELEVANT INFORMATION TO THE PREPARER OF THE 990 (AN OUTSIDE FIRM SPECIALIZING IN TAX PREPARATION). REVIEW AND DISCUSSION OF ALL INFORMATION TAKES PLACE BETWEEN THE FINANCE DEPARTMENT AND THE CFO. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD, BEFORE FILING, WHERE THEY ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY FOR ALL BOARD MEMBERS AND SENIOR LEVEL ADMINISTRATION. ANY CONFLICTS WOULD BE REVIEWED AND KEPT UNDER CONSIDERATION ON AN ONGOING BASIS. BOARD MEMBERS AND ADMINISTRATION INFORM OR REMIND THE ATTENDEES IN THESE SITUATIONS AND ABSTAIN FROM BOTH DISCUSSION AND VOTE ON THE ITEM UNDER DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15 MANAGEMENT: THE HOSPITAL IS COMMITTED TO COMPENSATING ALL EMPLOYEES AN EQUITABLE AND FAIR WAGE. THE HOSPITAL HAS CONSULTED AND CONTINUES TO WORK WITH AN INDEPENDENT SPECIALIST TO REVIEW ALL JOB DESCRIPTIONS TO ASSIST IN THE CLASSIFICATION OF WAGES BASED ON LOCAL, REGIONAL, AND NATIONAL STANDARDS. THE CLASSIFICATION AND COMPARISON OF LOCALITY IS BASED ON THE ABILITY TO RECRUIT AND TRAIN THE SPECIFIC JOB CLASSIFICATION. THIS SAME PROCESS IS FIRST UTILIZED FOR MANAGEMENT AND SENIOR LEADERS. IN ADDITION, SENIOR LEADERS ARE COMPARED TO THE MHA SURVEY THAT IS PUBLICIZED. ANY INCREASES IN SENIOR LEADERS IS PROPOSED BY THE PRESIDENT/CEO AND APPROVED BY THE BOARD OF TRUSTEES. THE CEO AND HUMAN RESOURCES DIRECTOR PROVIDES THE BOARD WITH CEO WAGE INFORMATION AND THE BOARD (CEO IS REQUESTED TO LEAVE THE MEETING AND IS NOT INVOLVED IN THE VOTE) APPROVES AND MAKES ANY CHANGES THAT ARE NECESSARY. THESE RECOMMENDATIONS ARE NOT ANNUAL AS THEY ARE ALSO BASED ON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE CONTRACTUAL ARRANGEMENT OF THE CEO. THESE RECOMMENDATIONS ARE FURTHER COMPARED TO LIKE SIZE" HOSPITAL'S WITHIN THE MHA SURVEY. HUMAN RESOURCES MONITORS THIS PROCESS ANNUALLY AT VARIOUS LEVELS AND WAS LAST COMPLETED IN 2021. PHYSICIANS: AS A RURAL HOSPITAL AND DESIGNATED AS UNDERSERVED, MYMICHIGAN MEDICAL CENTER SAULT HAS BEEN FACED WITH THE NEED TO EMPLOY PHYSICIANS IN ORDER TO RECRUIT AND RETAIN PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE BASED ON INDEPENDENT EVALUATIONS AND COMMUNITY SURVEYS. BASED ON THESE NEEDS THE HOSPITAL UTILIZES MGMA DATA BASED ON SPECIALTY FOR ALL PROVIDERS IN THE UNITED STATES. THIS DATA PROVIDES INFORMATION SUCH AS RELATIVE VALUE UNITS, ENCOUNTER, AND COMPENSATION. THE INFORMATION IS CLASSIFIED BY THE 25TH, MEDIAN, 75TH, AND 90TH PERCENTILE AND IS USED TO DESIGNATE THE PHYSICIAN COMPENSATION AS THE HOSPITAL ESTABLISHES COMPENSATION DURING RECRUITMENT AND RETENTION EFFORTS. MEDIAN BASED COMPENSATION IS MOST TYPICAL FOR PHYSICIAN CONTRACTS WITH THE ABILITY FOR THE PROVIDER TO EARN ADDITIONAL COMPENSATION BASED ON THEIR ACTUAL WORKLOAD/ PRODUCTIVITY (RVU AND ENCOUNTER) WITH NO RELATIONSHIP TO REFERRALS TO THE HOSPITAL. IN RETENTION CONTRACTS THE BASE COMPENSATION IS SOMETIMES INCREASED BASED ON HISTORICAL WORKLOADS/ PRODUCTIVITY AND BASED ON THE MARKET COMPETITIVENESS FOR THE RESPECTIVE SPECIALTY. FORM 990, PART VI, SECTION C, LINE 19 THE 990 AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH A DISSEMINATION AGENT AND UPON REQUEST. FORM 990, PART IX, LINE 11G DIETARY: PROGRAM SERVICE EXPENSES 7,916. MANAGEMENT AND GENERAL EXPENSES 360,520. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,436. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,661,621. MANAGEMENT AND GENERAL EXPENSES 905,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,567,342. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 165,350. MANAGEMENT AND GENERAL EXPENSES 90,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 255,500. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR. MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 1 MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES 4000 WELLNESS DR MIDLAND MI 48670 382459947 OPERATIONS MI 501(C)(2) MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS 4000 WELLNESS DR MIDLAND MI 48670 061723993 SUPPORT MI 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BREANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI N/A 0 0 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0