2025-05-14T13:33:04-05:00 2024-06-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-07-01 382602147 MYMICHIGAN MEDICAL CENTER SAULT MYMI 9898379039 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2025-05-14 1 DAVID LOWENTHAL P00378651 2483522500 2025-05-14 2023 2025-03-06 01:10:19Z KEVIN KALCHIK 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 143513062 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 6 1090 58 7931 0 776277 329963 134644258 133905432 2522258 1051866 2102224 2046507 140045017 137333768 0 0 0 0 70261649 71855755 0 0 10713 72956993 74093319 143218642 145949074 -3173625 -8615306 106422368 100306116 32397137 31083375 74025231 69222741 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 131308871 134998129 MYMICHIGAN MEDICAL CENTER SAULT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE CITY OF SAULT STE MARIE AND ITS SURROUNDING COUNTIES. 2,131 TOTAL INPATIENT ADMISSIONS INCLUDING 1,737 ACUTE CARE, 271 NEWBORNS, AND 394 PSYCHIATRIC WERE PROVIDED. 16,806 VISITS IN OUR EMERGENCY ROOM, 4,728 OUTPATIENT SURGERY CASES AND 141,629 OTHER OUTPATIENT VISITS WERE ALSO PROVIDED. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 131308871 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 1 0 0 0 0 0 1 0 0 0 1 111 0 1 1090 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 6 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 WATSON PINNEY MD LYDIA DIRECTOR 2.00 50.00 X 0 1681217 331661 ROSE MICHAEL SECRETARY/TREASURER 2.00 50.00 X X 0 704385 141452 AMO MD SARAH DIRECTOR (PART YEAR) 50.00 0.00 X 490561 0 34138 RAYCRAFT MD KYLE DIRECTOR 50.00 0.00 X 456408 0 30203 KALCHIK KEVIN PRESIDENT 50.00 0.00 X X 370118 0 65670 CHANDER MD VISHNU DIRECTOR (PART YEAR) 50.00 0.00 X 371417 0 21083 ADAIR MD JAMIE DIRECTOR (PART YEAR) 2.00 0.00 X 761990 0 0 ANDERSON MAXINE DIRECTOR 2.00 0.00 X 6840 0 0 COATES THOMAS CHAIR 2.00 0.00 X X 7870 0 0 DUMAN MD RALPH DIRECTOR 2.00 0.00 X 3825 0 0 GOETZ AMY DIRECTOR 2.00 0.00 X 6705 0 0 JORGENSON JOHN DIRECTOR (PART YEAR) 2.00 0.00 X 2475 0 0 KIBBLE HOLLY DIRECTOR (PART YEAR) 2.00 0.00 X 5625 0 0 MACMASTER GARTH DIRECTOR 2.00 0.00 X 6795 0 0 PALMER CHARLES DIRECTOR 2.00 0.00 X 6705 0 0 SAVOIE MARK VICE CHAIR 2.00 2.00 X X 6705 1200 0 SCOTT-KRONEMEYER AMY DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 BUNKER MARLA VP NURSING (PART YEAR) 50.00 0.00 X 502556 0 16939 TURFE MD ZAAHIR PHYSICIAN 50.00 0.00 X 729500 0 30633 RECHNER MD PAULA PHYSICIAN 50.00 0.00 X 718838 0 34138 COTANT MD MICHAEL PHYSICIAN 50.00 0.00 X 667736 0 34608 SARDAR MD MUHAMMAD PHYSICIAN 50.00 0.00 X 597122 0 30437 PAPLAWSKI MD MICHAEL PHYSICIAN 50.00 0.00 X 547460 0 34138 JAHN DAVID FORMER PRESIDENT 0.00 0.00 X 256143 0 2689 6523394 2386802 807789 89 1 1 0 AMERICAN HEALTHCARE STAFFING 226 EAST SIXTEENTH STREET TRAVERSE CITY MI 49684 PROFESSIONAL FEES 3000372 VIRTUAL RADIOLOGIC PROFESSIONALS 25983 NETWORK PLACE CHICAGO IL 60673 PROFESSIONAL FEES 1271788 RIVERSIDE MEDICAL ASSOCIATES PC 601 OSBORN BOULEVARD SAULT STE MARIE MI 49783 PROFESSIONAL FEES 1157772 WOOLEVER SHANE DO PC 5012 WEST 5 MILE ROAD SAULT STE MARIE MI 49783 PROFESSIONAL FEES 1114583 MARQUETTE GENERAL HEALTH SYSTEMS 420 WEST MAGNETIC STREET MARQUETTE MI 49855 PROFESSIONAL SERVICES 783883 47 329963 329963 PATIENT SERVICE REVENUE 621400 126205292 126205292 AFFILIATE RELATED INCOME 621400 4803334 4803334 340B REVENUE 621500 2896806 2896806 133905432 1531627 1531627 113027 0 113027 113027 113027 5618986 80547 6055460 123834 -436474 -43287 -479761 -479761 INCENTIVE REVENUE 900099 741305 741305 OUTSIDE INCOME 541900 554017 554017 CAFETERIA REVENUE 624210 391862 391862 246296 238365 7931 1933480 137333768 134998129 7931 1997745 X 3539055 2636858 902197 56047339 52584545 3462794 1984844 1984844 6509406 5802624 706782 3775111 3498694 276417 42875 42875 44250 44250 9433 9433 2066 2066 24558557 19273774 5284783 42753 1171 41582 3097957 2262666 834011 1280 3358428 1614350 1744078 426508 404933 21575 300329 296019 4310 410940 410940 5733032 4679630 1053402 456879 248511 208368 MEDICAL SUPPLIES 23686357 23686357 PROVISION FOR BAD DEBTS 6356273 6356273 QUALITY ASSESSMENT FEES 5566682 5566682 145949074 131308871 14629490 10713 5676 5600 4316485 850861 15161945 14035704 1203506 571282 22842192 2756689 64298773 15021389 28747481 49277384 18425349 18509264 15463053 14042651 256681 256681 106422368 100306116 15941316 12999082 9469331 8766101 6986490 9318192 32397137 31083375 X 73581799 69222741 443432 0 74025231 69222741 106422368 100306116 X -8615306 4168197 -355381 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 9433 9433 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 ACTVITIES. 1330000 1330000 45753860 8185790 37568070 293696 74819 218877 15164885 6760780 8404105 1756332 1756332 49277384 HEDGE FUNDS 1761459 F BLACKROCK DOMESTIC EQUITY FUNDS 4910544 F BLACK ROCK INTERNATION EQUITY FUNDS 2542958 F CLARION & CORNERSTONE REAL ESTATE FUND 4827690 F 14042651 ASSET RETIREMENT OBLIGATION 2143810 DEFERRED COMP, SELF INSURANCE, AND OTHER 6697321 CAPITAL LEASE OBLIGATION 3706 OPERATING LEASE LIABILITY 473355 9318192 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 551189 551189 0.00390 1 24587632 28634015 0 0.00000 1 25138821 28634015 551189 0.00390 4557 26169 173104 173104 0.00120 298 872 480771 480771 0.00340 18827210 15775491 3051719 0.02190 9 250 60156 60156 0.00040 4864 27291 19541241 15775491 3765750 0.02690 4865 27291 44680062 44409506 4316939 0.03080 14 5080 5221 2000 3221 0.00000 2 405 405 0.00000 29 35 1560 1560 0.00000 45 5115 7186 2000 5186 0.00000 1 6356273 190688 16452908 17252302 -799394 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 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 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 300% OF POVERTY GUIDELINES FOR INITIAL ACCESS AND APPLICATION FOR MEDICAID. FOR THOSE COMMUNITY MEMBERS THAT DO NOT QUALIFY, 350% 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 $ 6,356,273. 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 $714,031 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER SAULT IN 2024 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS, HEALTH EXPERTISE AND HEALTH PROFESSIONS EDUCATION. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER SAULT IN FISCAL YEAR 2024 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. MORE THAN $103 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 1 1 0 0 0 0 0 1 0 WATSON PINNEY MD LYDIA DIRECTOR 0 982848 0 268801 0 429568 0 301402 0 30259 0 2012878 0 419535 ROSE MICHAEL SECRETARY/TREASURER 0 580831 0 116692 0 6862 0 107604 0 33848 0 845837 0 0 ADAIR MD JAMIE DIRECTOR (PART YEAR) 0 0 0 0 761990 0 0 0 0 0 761990 0 0 0 TURFE MD ZAAHIR PHYSICIAN 688674 0 0 0 40826 0 16500 0 14133 0 760133 0 0 0 RECHNER MD PAULA PHYSICIAN 696550 0 22288 0 0 0 16500 0 17638 0 752976 0 0 0 COTANT MD MICHAEL PHYSICIAN 663302 0 0 0 4434 0 16500 0 18108 0 702344 0 0 0 SARDAR MD MUHAMMAD PHYSICIAN 550000 0 1425 0 45697 0 16500 0 13937 0 627559 0 0 0 PAPLAWSKI MD MICHAEL PHYSICIAN 500001 0 2400 0 45059 0 16500 0 17638 0 581598 0 0 0 AMO MD SARAH DIRECTOR (PART YEAR) 402349 0 88212 0 0 0 16500 0 17638 0 524699 0 0 0 BUNKER MARLA VP NURSING (PART YEAR) 51983 0 423491 0 27082 0 3002 0 13937 0 519495 0 0 0 RAYCRAFT MD KYLE DIRECTOR 446923 0 2825 0 6660 0 16500 0 13703 0 486611 0 0 0 KALCHIK KEVIN PRESIDENT 297772 0 58500 0 13846 0 48032 0 17638 0 435788 0 0 0 CHANDER MD VISHNU DIRECTOR (PART YEAR) 334222 0 25000 0 12195 0 15000 0 6083 0 392500 0 0 0 JAHN DAVID FORMER PRESIDENT 195150 0 0 0 60993 0 0 0 2689 0 258832 0 0 0 PART I, LINES 4A-B PART I, LINE 4A BUNKER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $311,993 DURING TAX YEAR 2023. PART I, LINE 4B WATSON PINNEY AND ROSE ARE PARTICIPANTS IN A 457(F) PLAN. WATSON PINNEY RECEIVED A PAYMENT IN 2023 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. 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: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL. 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% 215000 PAYMENT FOR PROFESSIONAL RADIOLOGIST 0 MICHAEL GOETZ FAMILY MEMBER OF AMY GOETZ, DIRECTOR 57918 EMPLOYMENT 0 JENNIFER MACMASTER FAMILY MEMBER OF GARTH MACMASTER, DIRECTOR 148424 EMPLOYMENT 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 CORPORATION'S PURPOSES; B) APPROVE ANY CHANGE IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, JOINT VENTURE, OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR OTHER 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 AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MYMICHIGAN HEALTH BOARD; 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 MYMICHIGAN HEALTH BOARD. 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 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 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 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 ARE 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 PURCHASED/CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 10,491,515. MANAGEMENT AND GENERAL EXPENSES 1,800,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,292,157. ASSOCIATION DUES/OTHER FEES: PROGRAM SERVICE EXPENSES 8,782,259. MANAGEMENT AND GENERAL EXPENSES 3,429,594. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,211,853. OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 54,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,547. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO RELATED 501(C)(3)-MYMICHIGAN HEALTH FOUNDATION -388,885. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)-MYMICHIGAN HEALTH FOUNDATION 33,504. 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 12C, III-FI 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0