2024-05-15T07:48:41-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-07-01 380833014 MYMICHIGAN MEDICAL CENTER MIDLAND MYMI 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2024-05-15 JUDI GRAVES 999009999 1 DAVID LOWENTHAL P00378651 2483522500 2024-04-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHUCK SHERWIN 4000 WELLNESS DR MIDLAND MI 48670 986086097 0 X WWW.MYMICHIGAN.ORG X 1940 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 11 8 3765 214 6718779 0 10626258 12540434 536813921 582868987 179482090 9232807 17819799 15894934 744742068 620537162 0 0 0 0 196846804 217774675 0 0 578024 368515212 399937610 565362016 617712285 179380052 2824877 994314772 1038262746 314618223 288007929 679696549 750254817 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 553211977 589802079 MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,740 INPATIENT ADMISSIONS AND 341,363 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2023. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY. 553211977 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 3765 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X ROGERS GREGORY DIRECTOR (PART YEAR) 2.00 50.00 X 0 1558128 263807 SHERWIN CHUCK PRESIDENT 2.00 50.00 X X 0 639810 111973 ROSE MICHAEL SECRETARY/TREASURER 2.00 50.00 X 0 668449 45209 CROSS BRYAN DIRECTOR (PART YEAR) 2.00 50.00 X 0 630391 81554 FIREMAN MD MARK PHYSICIAN 50.00 0.00 X 644669 0 24436 PADGETT FRANCINE FORMER SENIOR VP/TREAS/SECRETARY 0.00 0.00 X 0 481585 0 RICHARDSON JONATHAN CRNA 50.00 0.00 X 421234 0 43654 HAMEL MD REMI PHYSICIAN 50.00 0.00 X 430105 0 22940 LIEBERMAN DO JOHN DIRECTOR 2.00 50.00 X 0 406436 33482 KUHN MD MARGUERITTE VP MEDICAL AFFAIRS 2.00 50.00 X 408888 0 30130 VADAKATH SUNITA SENIOR VP AND CSO 50.00 0.00 X 422781 0 11794 TERRELL TAMMY CNO 50.00 2.00 X 407770 0 25559 BECKER MD ERIC DIRECTOR (PART YEAR) 50.00 0.00 X 260839 0 13213 WOOD THOMAS VP OF NURSING 50.00 0.00 X 213900 0 8519 NEWMAN MD JEFF DIRECTOR (PART YEAR) 2.00 0.00 X 13600 0 0 MORTENSEN SHARON CHAIR 2.00 0.00 X X 0 0 0 GRANSDEN BRIDGETTE VICE CHAIR 2.00 0.00 X X 0 0 0 BACZEWSKI KIMBERLEE DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 CARMONEY CRAIG DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 DORRIEN GREG DIRECTOR 2.00 0.00 X 0 0 0 FORD NICOLE DIRECTOR 2.00 0.00 X 0 0 0 LAMB NANCY DIRECTOR 2.00 0.00 X 0 0 0 NILLES PAULA DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 REARDON SANDY DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 SOSOLIK MD RANDOLPH DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 STAMAS TONY DIRECTOR 2.00 2.00 X 0 0 0 THOMPSON MD MARGARET DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 3223786 4384799 716270 274 1 1 0 0 12540434 12540434 MEDICARE/MEDICAID PAYMENTS 621990 308618241 308618241 PATIENT REVENUE, NET 621990 251621425 251621425 SUBSIDIARY RELATED INCOME 900099 14719012 14719012 340B PHARMACY REVENUE 621500 6041225 6041225 CONTRACTED CLINICAL SERVICES 621990 1869084 1869084 582868987 7278907 228703 7050204 235668 0 235668 235668 235668 367307407 195428 364979150 569785 2328257 -374357 1953900 1953900 GREAT LAKES BAY SURGERY & ENDOSCO 621400 6290409 6290409 CAFETERIA/FOOD SERVICE 722514 1783471 1783471 OUTSIDE INCOME 541900 452627 452627 7132759 6704389 428370 15659266 620537162 589802079 6718779 11475870 1019557 1019557 186277717 160221254 25699312 357151 9100080 7939742 1141967 18371 8116872 6043510 2010002 63360 13260449 11467621 1765163 27665 331439 331439 36228091 34713769 1512332 1990 127794 87521 40273 6125436 3324302 2797895 3239 406244 382138 23707 399 5700509 3741703 1958806 829833 730204 93548 6081 630082 356619 271505 1958 8007959 8007959 31247580 28923676 2323904 4406894 210443 4196451 PURCHASED SERVICES 107189037 89534048 17576401 78588 MEDICAL SUPPLIES 90123158 90123158 PHYSICIAN PRACTICE SUBS 81705667 81705667 BAD DEBT EXPENSE 22489887 22489887 4388000 3208756 1160022 19222 617712285 553211977 63922284 578024 12315 14116 14673464 5447520 58144424 64147102 6511476 6723095 19735171 21638850 535924819 294647047 223780592 241277772 358024318 380247074 295098240 302047086 10587267 9931078 7747505 6789053 994314772 1038262746 34810544 21759863 25704410 173750 18970299 16976899 214354243 214405845 20778727 34691572 314618223 288007929 X 679696549 750254817 679696549 750254817 994314772 1038262746 X 2824877 38127170 29606221 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 23746 23746 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER MIDLAND PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 2816352 2816352 330122648 179213223 150909425 24827865 18001565 6826300 136588196 97432259 39155937 41569758 41569758 241277772 HEDGE FUNDS 34863338 F BLACKROCK DOMESTIC EQUITY 94844718 F BLACKROCK INTERNATIONAL 54513136 F BLACKROCK FIXED INCOME 19141520 F CLARION & CORNERSTONE 98684374 F 302047086 DEFERRED COMP, SELF INSURANCE, AND OTHER 24015675 ASSET RETIREMENT OBLIGATION 7482201 OPERATING LEASE LIABILITY 3193696 34691572 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 6691327 0 6691327 0.01120 1 90569953 79301570 11268383 0.01890 1 97261280 79301570 17959710 0.03010 1865 61251 297483 33890 263593 0.00040 25 479 11498549 8008407 3490142 0.00590 3 24 1713 1713 0.00000 1893 61754 11797745 8042297 3755448 0.00630 1894 61754 109059025 87343867 21715158 0.03640 122 26151 26151 0.00000 1 302 302 0.00000 7 1162 1162 0.00000 49 758 2761 2761 0.00000 13 3648 3648 0.00000 10 68 2342 2342 0.00000 2 325 325 0.00000 204 826 36691 36691 0.00000 1 22489887 1124494 99896109 116865442 -16969333 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 WWW.MYMICHIGAN.ORG 1060000089 X X X X MYMICHIGAN MEDICAL CENTER MIDLAND 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MYMICHIGAN MEDICAL CENTER MIDLAND PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER MIDLAND'S COMMUNITY EDUCATION MANAGER IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY. MYMICHIGAN MEDICAL CENTER MIDLAND PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED AND PRIORITIZED BY REVIEWING QUANTITATIVE AND QUALITATIVE DATA, AND RANKING HEALTH ISSUES ACCORDING TO FOCUS. WE INVESTIGATED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES. A GRID OF OVER 200 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA OUT OF NORMAL RANGE AGAINST A BENCHMARK WAS COMPARED TO CURRENT STANDARDS, THOSE OF OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, AND THOSE OF OUR COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH; 2. CARE ACCESS; 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER MIDLAND LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.IN ORDER TO RESPOND AND IMPACT THE HEALTH CARE NEEDS THAT WERE IDENTIFIED, THE TOP PRIORITY AREAS FOR MYMICHIGAN HEALTH CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MYMICHIGAN HEALTH POPULATION HEALTH COLLABORATION TEAM AND MYMICHIGAN MEDICAL CENTER MIDLAND BOARD ON APRIL 29, 2022 FOLLOW; ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED:A. CHRONIC DISEASE. PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND PREVENT CHRONIC CONDITIONS. EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASED ACCESS TO HEALTH FOODS. PROJECTS THAT ALIGN WITH PREVENTION OF CHRONIC DISEASE FOLLOW: 1. IMPLEMENT AND PROVIDE CHRONIC DISEASE SELF MANAGEMENT PROGRAM; 2. IMPLEMENT AND EXPAND LIFESTYLE MEDICINE; 3. PROVIDE CANCER SCREENING OPPORTUNITIES; 4. INTEGRATE THE USE OF COMMUNITY HEALTH WORKERS.B. BEHAVIORAL HEALTH. ENSURE A COMPREHENSIVE SYSTEM OF CARE TO MEET THE BEHAVIORAL HEALTH NEEDS OF ALL. LEAD, PARTNER AND SUPPORT EFFORTS TO ENSURE CARE IS GIVEN AT THE RIGHT TIME, IN THE RIGHT PLACE AND WITH THE RIGHT CARE. 1. IMPLEMENT A "BLUE ENVELOPE PROGRAM OR SOMETHING SIMILAR WITHIN MYMICHIGAN HEALTH OUTPATIENT CLINICS IN MIDLAND COUNTY. 2. DEVELOP A TOBACCO CESSATION STRATEGY. 3. IMPLEMENT SUICIDE PREVENTION TRAINING FOR ALL STAFF EMPLOYED AT MYMICHIGAN MEDICAL CENTER MIDLAND AND COMMUNITY MEMBERS. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 39 1 - BAY CITY HEALTH PARK 3051 KIESEL ROAD BAY CITY MI 48706 EMERGENCY SERVICES, REHABILITATION SERVICES, LAB, AND IMAGING 2 - MYMICHIGAN MEDICAL CENTER MIDLAND - CAR 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 3 - RIECKER SURGERY CENTER 4400 WELLNESS DRIVE MIDLAND MI 48640 AMBULATORY SURGERY CENTER 4 - MYMICHIGAN MEDICAL OFFICES - SPINE & PAIN 555 W WACKERLY ROAD STE 3625 MIDLAND MI 48640 PHYSICIAN OFFICE 5 - MYMICHIGAN MEDICAL OFFICES - MIDLAND FA 4611 CAMPUS RIDGE DRIVE MIDLAND MI 48670 PHYSICIAN OFFICE 6 - MYMICHIGAN URGENT CARE - MIDLAND 3009 NORTH SAGINAW ROAD MIDLAND MI 48657 URGENT CARE CLINIC 7 - MYMICHIGAN MEDICAL CENTER - MIDLAND RHE 4401 CAMPUS RIDGE DRIVE SUITE 1100 MIDLAND MI 48640 PHYSICIAN OFFICE 8 - CAMPUS RIDGE FAMILY PRACTICE 4401 CAMPUS RIDGE SUITE D2100 MIDLAND MI 48640 PHYSICIAN OFFICE 9 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 10 - MYMICHIGAN MEDICAL CENTER - ORTHOPEDIC 4401 CAMPUS RIDGE DRIVE SUITE 2200 MIDLAND MI 48640 PHYSICIAN OFFICE 11 - MYMICHIGAN MEDICAL CENTER MIDLAND - OBS 4401 CAMPUS RIDGE DRIVE SUITE LL110 MIDLAND MI 48640 PHYSICIAN OFFICE 12 - WELL SPORT 4401 CAMPUS RIDGE DRIVE SUITE 1000 MIDLAND MI 48640 SPORTS MEDICINE PROGRAM 13 - MYMICHIGAN MEDICAL CENTER PEDIATRICS 4401 CAMPUS RIDGE DRIVE SUITE 2000 MIDLAND MI 48640 PHYSICIAN OFFICE 14 - MYMICHIGAN MEDICAL CENTER MIDLAND WOUND 4300 CAMPUS RIDGE DRIVE MIDLAND MI 48640 WOUND TREATMENT, HYPERBARIC 15 - PULMONARY & CRITICAL CARE MEDICINE 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 16 - MYMICHIGAN MEDICAL CENTER MIDLAND - INT 4401 CAMPUS RIDGE DRIVE SUITE 1100 MIDLAND MI 48670 PHYSICIAN OFFICE 17 - MYMICHIGAN MEDICAL CENTER MIDLAND - PSY 3007 NORTH SAGINAW ROAD MIDLAND MI 48640 PHYSICIAN OFFICE 18 - MYMICHIGAN MEDICAL CENTER REHAB SERVICE 304 WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 19 - MYMICHIGAN MEDICAL OFFICES - ENT 4310 CAMPUS RIDGE DRIVE MIDLAND MI 48640 PHYSICIAN OFFICE 20 - MYMICHIGAN MEDICAL OFFICES - FAMILY MEDICI 555 W WACKERLY ROAD STE 1600 MIDLAND MI 48640 PHYSICIAN OFFICE 21 - MYMICHIGAN HEMATOLOGYONCOLOGY 4500 CAMPUS RIDGE DRIVE BUILDING 2 MIDLAND MI 48640 PHYSICIAN OFFICE 22 - MYMICHIGAN HEALTH MEDICAL OFFICES EAST 715 EAST MAIN STREET SUITE 100 MIDLAND MI 48640 PHYSICIAN OFFICE 23 - MYMICHIGAN MEDICAL CENTER MIDLAND - NEU 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 24 - MYMICHIGAN MEDICAL GROUP - FAMILY PRAC 5694 MIDLAND ROAD FREELAND MI 48623 PHYSICIAN OFFICE 25 - MYMICHIGAN URGENT CARE - FREELAND 5694 MIDLAND ROAD FREELAND MI 48623 URGENT CARE CLINIC 26 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 424 WEST WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 27 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 555 W WACKERLY ROAD STE 1600 AND 2600 MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 28 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 728 WEST WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 29 - MYMICHIGAN MEDICAL CENTER MIDLAND - END 301 WEST WACKERLY ROAD MIDLAND MI 48640 PHYSICIAN OFFICE 30 - MYMICHIGAN MEDICAL GROUP - SANFORD F 40 WEST SAGINAW ROAD SANFORD MI 48657 PHYSICIAN OFFICE 31 - MYMICHIGAN REHAB - FREELAND 5694 MIDLAND ROAD FREELAND MI 48623 REHABILITATION SERVICES (PT, OT) 32 - MYMICHIGAN MEDICAL CENTER - SURGERY SPE 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 33 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOL 555 W WACKERLY ROAD MIDLAND MI 48640 LAB DRAW STATION, IMAGING SERVICES 34 - MICHIGAN MEDICINE GYN SPECIALTY 4320 CAMPUS RIDGE DRIVE MIDLAND MI 48640 PHYSICIAN OFFICE 35 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN 32 HOMER ROAD MIDLAND MI 48642 REHABILITATION SERVICES (PT, OT) 36 - MYMICHIGAN MEDICAL OFFICES - AUBURN 939 WEST MIDLAND ROAD AUBURN MI 48611 PHYSICIAN OFFICE 37 - MYMICHIGAN MEDICAL CENTER MIDLAND VASCU 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 38 - MYMICHIGAN MEDICAL CENTER HEART FAILURE 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 39 - MYMICHIGAN MEDICAL OFFICES GASTRO 4230 BAY CITY ROAD MIDLAND MI 48642 PHYSICIAN OFFICE PART I, LINE 3C: AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 350% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 22,489,887. PART I, LINE 7 NOT ONLY DO THE INDIVIDUAL HOSPITALS PROVIDE COMMUNITY BENEFITS, BUT BASED ON THE NEEDS ASSESSMENTS PROVIDED BY THE HOSPITALS, THE PARENT ORGANIZATION ALSO PROVIDES EDUCATION AND OUTREACH TO COMMUNITY MEMBERS, WHICH IS NOT REFLECTED IN EACH HOSPITALS' COST OF COMMUNITY BENEFIT. PART II, COMMUNITY BUILDING ACTIVITIES: MYMICHIGAN MEDICAL CENTER MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS ATTRIBUTED TO COALITION BUILDING AS MEMBERS FOR COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MIDLAND CHILD ADVOCACY BOARD OF DIRECTORS; MIDLAND HABITAT FOR HUMANITY BOARD OF DIRECTORS; GREAT LAKES BAY REGIONAL ALLIANCE BOARD OF DIRECTORS; UNITED WAY OF MIDLAND COUNTY BOARD OF DIRECTORS; MIDLAND BUSINESS ALLIANCE BOARD OF DIRECTORS; MIDLAND COUNTY COMMUNITY FOUNDATION BOARD AND SCHOLARSHIP COMMITTEE; AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD OF DIRECTORS; MIDLAND CENTER FOR THE ARTS BOARD OF DIRECTORS; COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE; AND GIRL SCOUTS OF MICHIGAN. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER MIDLAND STAFF FOR THE ORGANIZATIONS THAT FOLLOW: CANCER SERVICES, NORTHWOOD UNIVERSITY, NORTHWOOD HEALTH FAIR, CITY OF MIDLAND, SENIOR SERVICES, MIDLAND'S OPEN DOOR, THE ARNOLD CENTER AND THE MIDLAND COMMUNITY CENTER AND PROVIDING HEALTH EDUCATION AND VOLUNTEERISM AT MULTIPLE HEALTH FAIRS ACROSS THE REGION. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.BAD DEBT EXPENSE METHODOLOGY: OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. PART III, LINE 3: THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY IS 5% OF TOTAL BAD DEBTS. PART III, LINE 4: PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS PART III, LINE 8: THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICIARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD.COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. PART III, LINE 9B: MYMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MYMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." PART VI, LINE 2: IN FY2023, MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. ADDITIONALLY, WE PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE MIDLAND CANCER SERVICES. WE ALSO PARTNER WITH THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM AND A REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. IN 2022, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN MIDLAND COUNTY. A SAGINAW VALLEY STATE UNIVERSITY TEAM WORKED WITH THE HEALTH AND HUMAN SERVICES COUNCIL (HHSC) OF MIDLAND COUNTY TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE HHSC AND MIDLAND COUNTY AGENCIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE SAGINAW VALLEY STATE UNIVERSITY TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS MIDLAND COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITY AND COUNTY AREAS. THE TEAM USED EXISTING US CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN MIDLAND COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF THE MIDLAND COUNTY POPULATION (AGE, RACE, EDUCATION, INCOME). THE SAMPLE GENERATED A TOTAL OF 745 SURVEYS TO BE USED FOR ANALYSES (636 ONLINE SURVEYS AND 109 PAPER SURVEYS). PART VI, LINE 3: INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IS COMMUNICATED TO THE PUBLIC THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. MYMICHIGAN HEALTH PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. IN ADDITION, MYMICHIGAN HEALTH MAY BE ABLE TO HELP PATIENTS RECEIVE FREE OR LOW-COST HEALTH INSURANCE OR WORK WITH THE PATIENT TO ARRANGE A MANAGEABLE PAYMENT PLAN. ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID. PART VI, LINE 4: THE COMMUNITY SERVED FOCUSES ON MYMICHIGAN MEDICAL CENTER MIDLAND, LOCATED IN MIDLAND, MI. THE SERVICE AREA IN MIDLAND COUNTY IS COMPRISED OF ZIP CODES: 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND), 48657(SANFORD), 48667 (MIDLAND), (48670)MIDLAND), 48674 (MIDLAND) AND 48686 (MIDLAND). SERVICE FOR MYMICHIGAN MEDICAL CENTER MIDLAND EXTENDS TO: 48706 (BAY) 48708 (BAY), 48611 (AUBURN) AND 48623 (FREELAND). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,411 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 17.9 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.7 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.3 PERCENT. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.7 YEARS OF AGE. OF THE POPULATION, 91.5 PERCENT ARE WHITE (NON-HISPANIC) AND 8.5 PERCENT ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE EXCELLENT WAS 11.4 PERCENT AND FAIR OR POOR WAS 12 PERCENT. PART VI, LINE 5: EACH MYMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELLBEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL AND BEHAVIORAL HEALTH; SOCIAL AND SPIRITUAL WELL-BEING; COMMUNITY HEALTH AND WELL-BEING AND COMMUNITIES OF SOLUTIONS. PORTFOLIO ONE AIMS AT IMPROVING THE PHYSICAL AND OR MENTAL HEALTH OF INDIVIDUALS SERVED THROUGH QUALITY MEASUREMENT AND PERFORMANCE IMPROVEMENT INITIATIVES, AS WELL AS THE USE OF PATIENT CARE NAVIGATORS AND CARE MANAGERS IN PRIMARY CARE OFFICES AND INITIATIVES TO IMPROVE ACCESS TO CARE, LIKE INCREASED OPPORTUNITIES FOR TELEMEDICINE. PORTFOLIO TWO ADDRESSES SOCIAL AND SPIRITUAL DRIVERS OF HEALTH AND WELL-BEING, MANY OF WHICH ARE IDENTIFIED THROUGH SYSTEMATIC EVALUATION OF SOCIAL DETERMINANTS OF HEALTH COMPLETED AT SEVERAL POINTS OF CONTACT INCLUDING: NEW PATIENTS, EMERGENCY DEPARTMENT PATIENTS, ANNUAL PHYSICALS, POST HOSPITAL DISCHARGES, REFERRALS TO CARE MANAGERS AND PATIENTS WHO CONSISTENTLY DO NOT SHOW UP FOR APPOINTMENTS TO DETERMINE WHAT BARRIERS THEY MAY BE ENCOUNTERING. PORTFOLIO THREE ACTIVITIES AIM TO IMPROVE COMMUNITY HEALTH AND WELL-BEING BY COMMUNITY PARTNERS WORKING TOGETHER TO ASSESS DATA, DETERMINE FOCUS AREAS OF HEALTH AND POOL STAFF AND RESOURCES TO IMPLEMENT HEALTH IMPROVEMENT PROJECTS LIKE INCREASING PHYSICAL ACTIVITY, ACCESS TO HEALTHY FOODS AND REDUCING OPIOID USAGE. PORTFOLIO FOUR ADDRESSES OUR ROLE AS AN ANCHOR INSTITUTION. WE ARE THE MAJOR EMPLOYER IN EACH COMMUNITY WE SERVE AND AS SUCH, WE PROMOTE HEALTH AND WELL-BEING BY CAPITALIZING ON COMMUNITY ASSETS AND ACTIVE ENGAGEMENT WITH REGIONAL INITIATIVES. A TOTAL OF $3,792,139 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN 2023 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FY 2023 6,942 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 263 PEOPLE REACHED WITH EDUCATION ON MENTAL HEALTH AND DEPRESSION AND FOR DRUG AND ALCOHOL EDUCATION. ADDITIONALLY, 81 PEOPLE WERE REACHED FOR HEART DISEASE AND HEART HEALTH EDUCATION AND 1,807 REACHED REGARDING ADVANCED DIRECTIVES. THERE WERE 25 INDIVIDUALS WHO PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR BLOOD PRESSURE, CANCER AND BALANCE. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDED DIABETES EDUCATION TO 251 PEOPLE AND REPORTED 225 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. CHILDBIRTH RELATED EDUCATION WAS PROVIDED TO 699 INDIVIDUALS. THERE WERE 545 INDIVIDUALS WHO RECEIVED SUPPORT THROUGH MEETING GROUPS LIKE: BREATHING, CARDIAC/HEART, NUTRITION/WEIGHT MANAGEMENT, ALS, PARENTING AND PARKINSON'S. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN FISCAL YEAR 2023 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. $128 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH SUBSIDIARY IS SHARED OWNERSHIP FOR COMMUNITY HEALTH. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MYMICHIGAN MEDICAL CENTER MIDLAND AND MYMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS. PART VI, LINE 7, REPORTS FILED WITH STATES MI X 1 1 X X X X 0 1 0 0 0 0 0 1 0 ROGERS GREGORY DIRECTOR (PART YEAR) 0 915684 0 315256 0 327188 0 245132 0 18675 0 1821935 0 310514 SHERWIN CHUCK PRESIDENT 0 420721 0 101252 0 117837 0 79888 0 32085 0 751783 0 92853 ROSE MICHAEL SECRETARY/TREASURER 0 562951 0 99132 0 6366 0 13943 0 31266 0 713658 0 0 CROSS BRYAN DIRECTOR (PART YEAR) 0 474203 0 133925 0 22263 0 59690 0 21864 0 711945 0 0 FIREMAN MD MARK PHYSICIAN 394833 0 100000 0 149836 0 6100 0 18336 0 669105 0 0 0 PADGETT FRANCINE FORMER SENIOR VP/TREAS/SECRETARY 0 0 0 0 0 481585 0 0 0 0 0 481585 0 262500 RICHARDSON JONATHAN CRNA 411321 0 500 0 9413 0 14239 0 29415 0 464888 0 0 0 HAMEL MD REMI PHYSICIAN 319648 0 100000 0 10457 0 6100 0 16840 0 453045 0 0 0 LIEBERMAN DO JOHN DIRECTOR 0 332719 0 72329 0 1388 0 6100 0 27382 0 439918 0 0 KUHN MD MARGUERITTE VP MEDICAL AFFAIRS 324259 0 79875 0 4754 0 11252 0 18878 0 439018 0 0 0 VADAKATH SUNITA SENIOR VP AND CSO 337922 0 74454 0 10405 0 10686 0 1108 0 434575 0 0 0 TERRELL TAMMY CNO 299741 0 52745 0 55284 0 11961 0 13598 0 433329 0 39771 0 BECKER MD ERIC DIRECTOR (PART YEAR) 238160 0 13056 0 9623 0 5240 0 7973 0 274052 0 0 0 WOOD THOMAS VP OF NURSING 187776 0 25834 0 290 0 7609 0 910 0 222419 0 0 0 PART I, LINE 1A THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $196 PER MONTH. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. SHERWIN, CHUCK PRESIDENT PART I, LINE 4B ROGERS, ROSE, CROSS, SHERWIN, AND TERRELL ARE PARTICIPANTS IN A 457(F) PLAN. ROGERS, SHERWIN, AND TERRELL RECEIVED A PAYMENT IN 2022 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE. PART I, LINE 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES. THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. PHYSICIAN COMPENSATION OFFERS EXCEEDING THE 90TH PERCENTILE MUST BE APPROVED BY THE COMPENSATION COMMITTEE. PART III: MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. A MICHIGAN FINANCE AUTHORITY 2016 800596186 2016-12-15 30000000 CAPITAL PROJECTS 0 0 0 A 13000000 30000000 200000 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY 2016 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2017 FORM 990 - ADDITIONAL INFORMATION THIS FORM 990 TAX RETURN INCLUDES DATA FROM GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER WHICH IS A DISREGARDED ENTITY OWNED 100% BY MY MICHIGAN MEDICAL CENTER MIDLAND. 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 STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MYMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MYMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MYMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD, BUT MAY BE COMPENSATED FOR OTHER SERVICES PROVIDED TO THE ORGANIZATION. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MYMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MYMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. FORM 990, PART XI, LINE 9: POST RETIREMENT LIABILITY ADJUSTMENT 1,181,924. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HEALTH FOUNDATION 20,504,541. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HOME CARE 7,919,756. NPS ASSOCIATES LLC - DBA GREAT LAKES SURGERY & ENDOSCOPY CENTER 4228 BAY CITY RD BAY CITY MI 486426014 208500953 AMBULATORY SURGERY MI -522879 9477116 MYMICHIGAN MEDICAL CENTER MIDLAND 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 0 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 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 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 382602147 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI MYMICHIGAN MEDICAL CENTER MIDLAND RELATED 12033 4367 0 0 0.00500 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1