2024-05-15T08:42:17-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2022-07-01 382602147 MYMICHIGAN MEDICAL CENTER SAULT MYMI 9898379039 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2024-05-15 JUDI GRAVES 999009999 1 DAVID LOWENTHAL P00378651 2483522500 2024-05-15 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEVIN KALCHIK 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 156966086 0 X WWW.MYMICHIGAN.ORG X 1985 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 12 9 1093 56 0 0 555502 776277 60225909 134644258 947781 2522258 206339 2102224 61935531 140045017 0 0 0 0 35091299 70261649 0 0 95654 28717978 72956993 63809277 143218642 -1873746 -3173625 111839563 106422368 57073263 32397137 54766300 74025231 X CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 76583733 112239327 HOSPITAL INPATIENT AND OUTPATIENT SERVICES - MYMICHIGAN MEDICAL CENTER SAULT PROVIDED INPATIENT CARE TO 2,089 PATIENTS AND THERE WERE OVER 260,255 PATIENT REGISTRATIONS FOR THE HOSPITAL'S MULTIPLE OUTPATIENT SERVICE DEPARTMENTS (LAB, RADIOLOGY, CARDIOPULMONARY, REHABILITATION, NUCLEAR MEDICINE, SURGICAL SERVICES).OUR OBSTETRICS/NURSERY UNIT REPORTED 302 BIRTHS AND OUR SURGICAL SERVICES DEPARTMENT PROVIDED SURGICAL CARE FOR 5,306 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 352,580 REHABILITATION TREATMENTS WERE REPORTED IN THE DISCIPLINES OF PHYSCIAL THERAPY, SPEACH THEREAPY, OCCUPATIONAL THERAPY AND AUGIOLOGY SERVICES. 30968399 17770072 PROFESSIONAL SERVICES - THE HOSPITAL'S TWENTY FOUR HOUR EMERGENCY DEPARTMENT AND THE COMMUNITY CARE CLINIC (WALK-IN URGENT CARE CENTER) RECORDED 17,170 VISITS AND 10,846 VISITS RESPECTIVELY FOR A TOTAL CARE PROVIDED TO 28,016 PATIENTS.VISITS BY PHYSICIAN CLINIC:WMH CARDIOLOGY CLINIC 2,480WMH DERMATOLOGY CLINIC 1,950WMH DRUMMOND ISLAND MEDICAL 1,984WMH EAR, NOSE & THROAT 2,303WMH ENDOCRINOLOGY 1,530WMH FAMILY MEDICINE CEDARVILLE 3,309WMH FAST CARE - MEIJER 4,629WMH FOOT & ANKLE 2,136WMH GENERAL SURGICAL CARE 4,440WMH MAT COMMUNITY CARE CLINIC 2,932WMH NEPHROLOGY 1,726WMH NEUROLOGY 1,770WMH OCCUPATIONAL HEALTH 521WMH ORTHO NEWBERRY OUTPUT CLINIC 197WMH ORHOPEDICS 5,229WMH ORHOPEDICS & SPINE 2,377WMH OUTPATIENT PSYCHIATRY 3,297WMH PAIN MANAGEMENT 518WMH PAIN MANAGEMENT SSM 1,981WMH PRIMARY CARE SSM CMC 10,547WMH PRIMARY CARE SSM HERITAGE 14,074WMH PRIMARY CARE SSM MAGAZINE 8,150WMH PULMONOLGY 1,403WMH SLEEP DISORDERS CENTER 2,952WMH SSM COMMUNITY CARE CLINIC 10,846WMH UROLOGY 4,253WMH WOMENS HEALTH 8,370WMH WOMENS NEWBERRY OUTPT CLINIC 222 4091779 3534489 INPATIENT/OUTPAIENT PSYCH WITH 436 ADMISSIONS AND 3,437 PATIENT DAYS. 3937381 2172360 OTHER PROGRAM SERVICES - WHICH INCLUDE BUT IS NOT LIMITED TO, OBSTERICS WITH 34 ADMISSIONS AND 645 PATIENT DAYS. 3937381 2172360 115581292 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 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 113 0 1 1093 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 ROGERS GREGORY DIRECTOR (PART YEAR) 2.00 50.00 X 0 1558128 263807 WATSON PINNEY MD LYDIA DIRECTOR (PART YEAR) 2.00 50.00 X 0 738855 68919 ADAIR MD JAMIE DIRECTOR 2.00 0.00 X 806658 0 0 RECHNER MD PAULA PHYSICIAN 50.00 0.00 X 759306 0 36875 COTANT MD MICHAEL PHYSICIAN 50.00 0.00 X 714208 0 37951 ROSE MICHAEL SECRETARY/TREASURER 2.00 50.00 X 0 668449 45209 TAN MD ZACHARY PHYSICIAN 50.00 0.00 X 653675 0 20964 TURFE MD ZAAHIR PHYSICIAN 50.00 0.00 X 637930 0 33250 AMO MD SARAH DIRECTOR 50.00 0.00 X 552487 0 36875 RAYCRAFT MD KYLE DIRECTOR (PART YEAR) 50.00 0.00 X 529050 0 32278 WARREN MD MICHAEL PHYSICIAN 50.00 0.00 X 487889 0 35679 JAHN DAVID FORMER PRESIDENT 0.00 0.00 X 458282 0 18634 KALCHIK KEVIN PRESIDENT 50.00 0.00 X X 302339 0 38426 BUNKER MARLA VP NURSING (PART YEAR) 50.00 0.00 X 231621 0 33264 COATES THOMAS CHAIR 2.00 0.00 X X 5930 0 0 ANDERSON MAXINE DIRECTOR 2.00 0.00 X 5265 0 0 JORGENSON JOHN DIRECTOR (PART YEAR) 2.00 0.00 X 5265 0 0 PALMER CHARLES DIRECTOR 2.00 0.00 X 5220 0 0 SAVOIE MARK VICE CHAIR 2.00 0.00 X X 5220 0 0 KIBBLE HOLLY DIRECTOR 2.00 0.00 X 5130 0 0 MACMASTER GARTH DIRECTOR 2.00 0.00 X 4725 0 0 GOETZ AMY DIRECTOR 2.00 0.00 X 3510 0 0 DUMAN MD RALPH DIRECTOR (PART YEAR) 2.00 0.00 X 540 0 0 6174250 2965432 702131 88 1 1 0 AMERICAN HEALTHCARE STAFFING 226 EAST SIXTEENTH STREET TRAVERSE CITY MI 49684 PROFESSIONAL FEES 2363091 RIVERSIDE MEDICAL ASSOCIATES PC 601 OSBORN BOULEVARD SAULT STE MARIE MI 49783 PROFESSIONAL FEES 1127375 WOOLEVER SHANE DO PC 5012 WEST 5 MILE ROAD SAULT STE MARIE MI 49783 PROFESSIONAL FEES 1090660 MARQUETTE GENERAL HEALTH SYSTEMS 420 WEST MAGNETIC STREET MARQUETTE MI 49855 PROFESSIONAL SERVICES 1007724 PHILIPS MEDICAL SYSTEMS NA COMPANY 3000 MINUTEMAN ROAD ANDOVER MA 01810 PROFESSIONAL SERVICES 782588 46 682853 93424 776277 PATIENT SERVICE REVENUE 621400 130258372 130258372 AFFILIATE RELATED INCOME 621400 2304124 2304124 340B REVENUE 621500 2081762 2081762 134644258 2100777 2100777 271233 217821 53412 53412 53412 17124729 16703248 421481 421481 421481 OUTSIDE INCOME 541900 704444 704444 INCENTIVE REVENUE 900099 549194 549194 CAFETERIA REVENUE 624210 325790 325790 469384 469384 2048812 140045017 135716248 0 3552492 X 2458584 2024303 434281 56102285 43319029 12783256 1857178 1857178 5924913 4531968 1392945 3918689 3216813 701876 610630 6337 604293 136425 136425 7694 7694 18725200 16523917 2200633 650 6935198 5239844 1648127 47227 2699024 2456743 236889 5392 373808 313669 60139 334953 245238 89715 1569451 1053727 510193 5531 4909665 3296340 1596021 17304 1006030 201224 804806 MEDICAL SUPPLIES 19392117 19392117 PROVISION FOR BAD DEBTS 8397467 8397467 QUALITY ASSESSMENT FEES 3639327 3639327 REPAIRS AND MAINTENANCE 3558924 1654177 1904747 661080 69052 580172 11856 143218642 115581292 27541696 95654 430525 5676 22882222 4316485 12623496 15161945 2978661 1203506 6621 22842192 38282668 9535187 49818657 28747481 7122 18425349 256681 15463053 256681 22835578 111839563 106422368 10802788 15941316 35536280 9469331 10734195 6986490 57073263 32397137 X 54766300 73581799 443432 54766300 74025231 111839563 106422368 X -3173625 1559880 20872676 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 7694 7694 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER SAULT PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITES. 917000 917000 22869260 5462851 17406409 179210 40132 139078 13791422 4032204 9759218 525776 525776 28747481 HEDGE FUNDS 1784800 F BLACKROCK DOMESTIC EQUITY FUNDS 4855498 F BLACK ROCK INTERNATION EQUITY FUNDS 2790755 F BLACK ROCK FIXED INCOME 979934 F CLARION & CORNERSTONE REAL ESTATE FUND 5052066 F 15463053 ASSET RETIREMENT OBLIGATION 2145369 DEFERRED COMP, SELF INSURANCE, AND OTHER 4442917 CAPITAL LEASE OBLIGATION 23207 OPERATING LEASE LIABILITY 374997 6986490 1 1 X 1 X 1 X 1 1 0 1 1 266378 266378 0.00200 22652303 27902118 0 0.00000 22918681 27902118 266378 0.00200 4675 25865 163122 163122 0.00120 295 677 476771 476771 0.00350 18288440 8776782 9511658 0.07060 19 43936 43936 0.00030 4989 26542 18972269 8776782 10195487 0.07560 4989 26542 41890950 36678900 10461865 0.07760 1 8397467 419873 15100667 10365966 4734701 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 WWW.MYMICHIGAN.ORG 1060000093 X X X MYMICHIGAN MEDICAL CENTER SAULT 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X 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 SAULT PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER SAULT HAS STAFF MEMBERS THAT PARTICIPATE IN THE CHIPPEWA COUNTY COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF CHIPPEWA HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: LOCAL HEALTH DEPARTMENTS; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH; AND THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER SAULT IS A PARTNER WITH RURAL NETWORK OF MICHIGAN, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 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 SAULT PART V, SECTION B, LINE 6B: CHIPPEWA COUNTY HEALTH DEPARTMENT AND WEST UPPER PENINSULA HEALTH DEPARTMENT (WUPHD) MYMICHIGAN MEDICAL CENTER SAULT 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 SAULT 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 SAULT BOARD ALONG WITH THE STRATEGIES TO IMPLEMENT WERE APPROVED ON OCTOBER 24TH, 2022; 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 CHIPPEWA COUNTY. 2. DEVELOP A TOBACCO CESSATION STRATEGY. 3. IMPLEMENT SUICIDE PREVENTION TRAINING FOR ALL STAFF EMPLOYED AT MYMICHIGAN MEDICAL CENTER SAULT AND COMMUNITY MEMBERS.C. ACCESS TO CARE & SOCIAL SERVICES. IMPROVE ACCESS TO CARE AND SOCIAL SERVICES BY INCREASING ACCESS TO PREVENTIVE SCREENINGS AND REMOVING BARRIERS IDENTIFIED BY COMMUNITY MEMBERS. 1. INTEGRATE USE OF COMMUNITY HEALTH WORKERS. 2. INCREASE ACCESS TO HEALTH AND WELLNESS SCREENINGS WITHIN THE COMMUNITY. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 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 ASSISTANCE PROGRAM (FAP). 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 $ 8,397,467. 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 SAULT 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: CHIPPEWA CHILD ADVOCACY BOARD OF DIRECTORS; CHIPPEWA HABITAT FOR HUMANITY BOARD OF DIRECTORS; UNITED WAY OF CHIPPEWA COUNTY BOARD OF DIRECTORS; CHIPPEWA COUNTY COMMUNITY FOUNDATION BOARD AND SCHOLARSHIP COMMITTEE; AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY 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 SAULT STAFF FOR ORGANIZATIONS THAT FOLLOW: CANCER SERVICES, CITY OF SAULT, COUNCIL ON AGING, 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 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 ASSISTANCE 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 COVERAGE ARE BILLED. AFTER ALL EFFORTS OF COLLECTION FROM PRIMARY PAYOR (INSURANCE), THE PATIENT IS BALANCE BILLED AND PROVIDED THE OPPORTUNITY FOR PAYMENT IN FULL OR OTHER PAYMENT OPTIONS. PART VI, LINE 2: MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNER 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 SAULT 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 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 CHIPPEWA COUNTY. WESTERN UPPER PENINSULA HEALTH DEPARTMENT LEAD OTHER HEALTH DEPARTMENTS ACROSS THE UPPER PENINSULA OF MICHIGAN TO ADAPT A SURVEY TO ENSURE IT MET THE NEEDS OF THE HHSC AND CHIPPEWA COUNTY AGENCIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS THE ENTIRE UPPER PENINSULA, INCLUDING CHIPPEWA COUNTY AND 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 CHIPPEWA COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF THE CHIPPEWA COUNTY POPULATION (AGE, RACE, EDUCATION, INCOME). 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 SAULT, LOCATED IN SAULT ST. MARIE, MI. THE SERVICE AREA IN CHIPPEWA COUNTY IS COMPRISED OF ZIP CODES: 49710 (BARBEAU), 49715 (RACO), 49715 (BRIMLEY), 49724 (DAFTER), 49725 (DE TOUR VILLAGE) 49726 (DRUMMOND ISLAND) 49728 (ECKERMAN), 49736 (GOETZVILLE, STALWART), 49748 (HULBERT), 49752 (KINROSS), 49768 (PARADISE), 49774 (PICKFORD), 49778 (BRIMLEY), 49780 (FIBRE, RUDYARD), 49783 (SAULT ST. MARIE), 49788 (KINCHELOE, SAULT ST. MARIE), 49790 (STRONGS, ECKERMAN), 49793 (TROUT LAKE). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 36,816 RESIDENTS IN CHIPPEWA COUNTY. OF THOSE, 18.1 PERCENT ARE UNDER 18 YEARS OF AGE AND 18.9 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 44.4 PERCENT OF THE POPULATION WHILE MALES MAKE UP 55.6 PERCENT. THE MEDIAN AGE IN CHIPPEWA COUNTY IS 39.1 YEARS OF AGE. OF THE POPULATION, 68.5 PERCENT ARE WHITE (NON-HISPANIC), 16.7 PERCENT ARE AMERICAN INDIAN OR ALASKA NATIVE AND 7.1 PERCENT ARE NON-HISPANIC BLACK. IN CHIPPEWA COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE POOR OR FAIR WAS 16 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 $683,829 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER SAULT IN 2022 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS, HEALTH EXPERTISE AND HEALTH PROFESSIONS EDUCATION. IN FY 2023 5,492 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 978 PERSONS REACHED THROUGH REFERRALS TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, 454 REACHED FOR ASSISTENCE TO ENROLL IN PUBLIC MEDICAL PROGRAMS AND 2,728 PERSONS REACHED THROUGH PATIENT AND FAMILY MEALS. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER SAULT IN FISCAL YEAR 2022 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. MORE THAN $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 SAULT 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 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 WATSON PINNEY MD LYDIA DIRECTOR (PART YEAR) 0 623137 0 105998 0 9720 0 39569 0 29350 0 807774 0 0 ADAIR MD JAMIE DIRECTOR 0 0 0 0 806658 0 0 0 0 0 806658 0 0 0 RECHNER MD PAULA PHYSICIAN 734306 0 25000 0 0 0 15250 0 21625 0 796181 0 0 0 COTANT MD MICHAEL PHYSICIAN 660998 0 0 0 53210 0 15250 0 22701 0 752159 0 0 0 ROSE MICHAEL SECRETARY/TREASURER 0 562951 0 99132 0 6366 0 13943 0 31266 0 713658 0 0 TAN MD ZACHARY PHYSICIAN 600001 0 0 0 53674 0 0 0 20964 0 674639 0 0 0 TURFE MD ZAAHIR PHYSICIAN 590962 0 0 0 46968 0 15250 0 18000 0 671180 0 0 0 AMO MD SARAH DIRECTOR 432999 0 119488 0 0 0 15250 0 21625 0 589362 0 0 0 RAYCRAFT MD KYLE DIRECTOR (PART YEAR) 504550 0 20000 0 4500 0 15250 0 17028 0 561328 0 0 0 WARREN MD MICHAEL PHYSICIAN 455302 0 0 0 32587 0 14054 0 21625 0 523568 0 0 0 JAHN DAVID FORMER PRESIDENT 231833 0 226449 0 0 0 11566 0 7068 0 476916 0 0 0 KALCHIK KEVIN PRESIDENT 278139 0 0 0 24200 0 16801 0 21625 0 340765 0 0 0 BUNKER MARLA VP NURSING (PART YEAR) 214467 0 0 0 17154 0 16126 0 17138 0 264885 0 0 0 PART I, LINE 4B ROGERS, WATSON PINNEY, AND ROSE ARE PARTICIPANTS IN A 457(F) PLAN. ROGERS 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. CEDAR STRAITS RADIOLOGY OWNED MORE THAN 35% 312840 PAYMENT FOR PROFESSIONAL RADIOLOGIST 0 MICHAEL GOETZ BOARD MEMBER'S SON 45125 WAGES 0 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 AN OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND CFO. 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 REVIEW 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 CFO. 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 IDENTIFIED. 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 CONFLCIT 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 IS REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUES 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 IX, LINE 11G DIETARY: PROGRAM SERVICE EXPENSES 19,591. MANAGEMENT AND GENERAL EXPENSES 847,992. FUNDRAISING EXPENSES 293. TOTAL EXPENSES 867,876. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,426,156. MANAGEMENT AND GENERAL EXPENSES 1,186,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,612,991. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 78,170. MANAGEMENT AND GENERAL EXPENSES 165,806. FUNDRAISING EXPENSES 357. TOTAL EXPENSES 244,333. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)-MYMICHIGAN HEALTH FOUNDATION 28,906. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)-MYMICHIGAN HEALTH 20,843,770. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 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 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 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0