2026-05-14T09:27:25-05:00 2025-06-30 331498605 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2024-07-01 381443395 MYMICHIGAN MEDICAL CENTER TAWAS MYMI 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2026-05-14 1 DAVID LOWENTHAL P00378651 2483522500 2026-05-14 2024 2025-03-06 01:10:19Z MICHAEL ERICKSON 4000 WELLNESS DR MIDLAND MI 48670 63011522 0 X WWW.MYMICHIGAN.ORG X 1955 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 17 10 307 25 17989 0 1862876 0 58718518 62797032 10774 2804 163577 198421 60755745 62998257 113579 0 0 0 25477568 28410664 0 0 0 29877968 34703080 55469115 63113744 5286630 -115487 25976513 20101766 28618179 8153345 -2641666 11948421 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 54493035 62897097 MYMICHIGAN MEDICAL CENTER TAWAS PROVIDED NURSING AND PROFESSIONAL SERVICES FOR ACUTE INPATIENTS, EMERGENCY, AND OUTPATIENTS IN A RURAL AREA DURING THE FISCAL YEAR ENDING JUNE 30, 2025. INPATIENT SERVICES WERE PROVIDED TO 1,118 PATIENTS TOTALING 3,024 DAYS OF CARE. 67,070 PATIENTS RECEIVED OUTPATIENTS SERVICES, WITH EMERGENCY ROOM VISITS TOTALING 13,825. 54493035 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 307 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 10 0 0 1 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 X SCHMIDT CAROL MINISTRY MARKET EXECUTIVE/PRESIDENT (PART YEAR) 0.50 51.50 X X 0 2780463 45856 WATSON PINNEY MD LYDIA DIRECTOR (PART YEAR) 0.50 51.50 X 0 1733827 372993 ROSE MICHAEL SR VP, CFO & TREASURER (PART YEAR) 0.50 51.50 X X 0 1032806 150373 MCCULLOGH MICHAEL CFO, MINISTRY MARKET (PART YEAR) 0.50 51.50 X X 0 1099580 46446 NALLI JONATHAN SAMUEL FORMER OFFICER 0.00 0.00 X 0 0 949654 LEMOS MD DAVID PHYSICIAN 50.00 0.00 X 623532 0 69205 ERICKSON MICHAEL PRESIDENT (PART YEAR) 0.50 51.50 X X 0 568097 90525 HAYWOOD NANCY FORMER OFFICER 0.00 0.00 X 0 566991 49072 LYNCH MD BRODI DIRECTOR (PART YEAR) 0.50 51.50 X 0 444363 45856 ELLIS MD DONALD PHYSICIAN 50.00 0.00 X 367318 0 51431 ORAVITZ MD CHRISTOPHER PHYSICIAN 50.00 0.00 X 381865 0 25019 MYERS DOUGLAS TODD FORMER OFFICER 0.00 0.00 X 0 383721 0 LANDREY DO CHRISTOPHER PHYSICIAN 50.00 0.00 X 348554 0 31203 KLOSKA MD BRADLEY PHYSICIAN 50.00 0.00 X 318864 0 52792 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YEAR) 0.50 51.50 X X 0 340860 16352 MAY MD JO STUDLEY DIRECTOR (PART YEAR) 51.50 0.50 X 241710 0 18048 BABEL MD JAMES BAILEY DIRECTOR (PART YEAR) 0.50 1.50 X 0 12056 0 BAYS MD RONALD DIRECTOR (PART YEAR) 0.50 1.50 X 0 9325 0 BOLES MD JAMES SECRETARY/TREASURER (PART YEAR) 0.50 1.50 X X 0 0 0 MEYER STEVE CHAIR (PART YEAR) 0.50 1.50 X X 0 0 0 MURPHY LESLIE CHAIR (PART YEAR) 0.50 1.50 X X 0 0 0 BRANCH CANADY RENEE VICE CHAIR (PART YEAR) 0.50 1.50 X X 0 0 0 CATHERINE HANNAH MARY VICE CHAIR (PART YEAR) 0.50 1.50 X X 0 0 0 BAUMAN HEATHER DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 BETHUNE ANDREW DIRECTOR (PART YEAR) 0.50 3.50 X 0 0 0 FLEGENHEIMER MARK DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 FREEL JOHN DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 GREENE JIMMY DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 MAGANTI MD BAPINEEDU DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 MASTRACCI DITMYER MARCIA DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 MEADOWS PHYLLIS DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 MOORE TERRY DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 O'BRIEN AVEC DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 POZO SUSAN DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 SAUNDERS DAVID DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 STREIBEL KENNETH DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 ZAKS JEFFERY DIRECTOR (PART YEAR) 0.50 1.50 X 0 0 0 2281843 8972089 2014825 45 1 1 0 0 PATIENT SERVICE REVENUE 621990 46057808 46057808 MEDICARE/MEDICAID PAYMENTS 621990 15808873 15808873 340B REVENUE 621500 808512 808512 SUBSIDIARY RELATED INCOME 900099 121839 121839 62797032 2804 2804 65403 0 65403 65403 65403 7579 599 6980 6980 13103 12666 437 437 OUTSIDE INCOME 900099 99628 99628 REFERENCE LAB INCOME 621500 17989 17989 CAFETERIA 722514 7984 7984 125601 62998257 62897097 17989 83171 X 240137 240137 22452698 21945181 507517 866773 837780 28993 3228658 2930185 298473 1622398 1569961 52437 728 728 1100 1100 16090034 9362503 6727531 7170 113 7057 669327 631242 38085 749837 691048 58789 158967 151168 7799 22492 22107 385 1905180 1418724 486456 485134 321563 163571 MEDICAL SUPPLIES 7981572 7979921 1651 BAD DEBT EXPENSE 4884493 4884493 QAAP 1747046 1747046 63113744 54493035 8620709 0 300 75090 9235604 6041596 861138 749410 231868 14795134 1716242 11164067 13078892 4640314 25976513 20101766 3041829 3505792 25576350 4647553 28618179 8153345 X -2641666 11948421 -2641666 11948421 25976513 20101766 X -115487 14705574 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 1100 1100 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER TAWAS PAYS DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 1539233 1539233 8905169 478440 8426729 126735 9505 117230 3586081 1228297 2357784 637916 637916 13078892 SELF-INS., DEFERRED COMP, OTHER 285000 OPERATING LEASE LIABILITY 193476 ASSET RETIREMENT OBLIGATION 288732 RELATED PARTY PAYABLE 3880345 4647553 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 1032604 1032604 0.01770 1 6286557 6840236 0 0.00000 1 7319161 6840236 1032604 0.01770 12 108 45930 45930 0.00080 4 22 2994021 2029778 964243 0.01660 16 130 3039951 2029778 1010173 0.01740 17 130 10359112 8870014 2042777 0.03510 2 80 789 789 0.00000 2 80 789 789 0.00000 1 4884493 244225 11389368 10805503 583865 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER TAWAS 200 HEMLOCK ROAD TAWAS CITY MI 48763 WWW. MYMICHIGAN.ORG 1060000050 X X X MYMICHIGAN MEDICAL CENTER TAWAS 1 0 0 1 X X X X X X X X X 25 1 0 1 1 X SEE PART V, PAGE 8 X 1 25 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 TAWAS PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER TAWAS'S COMMUNITY HEALTH SUPERVISOR CREATED AN EXTERNAL ADVISORY COUNCIL FOR THEIR NEEDS ASSESSMENT. THIS COMMITTEE IS COMPRISED OF LOCAL STAKEHOLDERS IN HEALTH CARE, PUBLIC HEALTH, COMMUNITY SERVICES AND EDUCATION SECTORS. SOME ORGANIZATIONS THAT ARE REPRESENTED IN THIS COUNCIL INCLUDE: CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TEN16 RECOVERY NETWORK AND CENTRAL MICHIGAN COMMUNITY MENTAL HEALTH. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER TAWAS 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 TAWAS PART V, SECTION B, LINE 6B: MYMICHIGAN MEDICAL CENTER TAWAS COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA:-ALPENA-MONTMORENCY-ALCONA EDUCATIONAL SERVICE DISTRICT-AREA AGENCY ON AGING OF NORTHWEST MICHIGAN-AUSABLE VALLEY COMMUNITY MENTAL HEALTH-BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT-CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT-COREWELL HEALTH-DISABILITY NETWORK WEST MICHIGAN-DISTRICT HEALTH DEPARTMENT #2-DISTRICT HEALTH DEPARTMENT #4-DISTRICT HEALTH DEPARTMENT #10-GRAND TRAVERSE COUNTY HEALTH DEPARTMENT-GREAT START COLLABORATIVE-GROUNDWORK CENTER FOR RESILIENT COMMUNITIES-HEALTH DEPARTMENT OF NORTHWEST MICHIGAN-ISABELLA CITIZENS FOR HEALTH, INC-MCLAREN NORTHERN MICHIGAN-MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES-MUNSON HEALTHCARE-NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY-PARTNERS IN PREVENTION-STRANGERS NO LONGER-TRAVERSE CITY HEALTH CLINIC-WEST MICHIGAN COMMUNITY MENTAL HEALTH MYMICHIGAN MEDICAL CENTER TAWAS 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 150 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA THAT FELL OUTSIDE THE BENCHMARK RANGE WERE COMPARED WITH CURRENT STANDARDS, AND EVALUATED BY OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH, 2. ACCESS TO CARE, 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, LOCAL QUANTITATIVE DATA INDICATORS WERE COMPARED TO MICHIGAN STATE BENCHMARKS, REVEALING AREAS OF POOR PERFORMANCE. SECOND, QUALITATIVE DATA ANALYSIS IDENTIFIED RECURRING THEMES OF UNACCEPTABLE HEALTH OUTCOMES. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER TAWAS LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS. IN ORDER TO RESPOND AND IMPACT THE IDENTIFIED HEALTH CARE NEEDS, THE TOP PRIORITY AREAS FOR MYMICHIGAN MEDICAL CENTER TAWAS CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MYMICHIGAN HEALTH POPULATION COLLABORATION TEAM AND MYMICHIGAN MEDICAL CENTER TAWAS BOARD OF DIRECTORS ON FEBRUARY 26, 2025 FOLLOW, ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED: A. CHRONIC DISEASE PREVENTION. PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND PREVENT CHRONIC DISEASE. MYMICHIGAN MEDICAL CENTER TAWAS HAS IMPLEMENTED LIFESTYLE MEDICINE TO BOTH STAFF AND COMMUNITY MEMBERS AS A WAY TO PREVENT CHRONIC DISEASE. A TOBACCO CESSATION TIP SHEET HAS BEEN DEVELOPED TO SHARE WITH COMMUNITY MEMBERS AND MYMICHIGAN IS LOOKING FOR ADDITIONAL TOBACCO CESSATION PROGRAMS TO OFFER. MYMICHIGAN HAS ALSO IMPLEMENTED THE USE OF COMMUNITY HEALTH WORKERS TO HELP BRIDGE THE GAP FOR PATIENTS BETWEEN COMMUNITY, HEALTH CARE AND PUBLIC HEALTH. B. MENTAL WELLNESS. IMPROVE MENTAL HEALTH AND SUBSTANCE USE THROUGH PREVENTION AND BY INCREASING ACCESS TO APPROPRIATE SERVICES AND SUPPORTS. MYMICHIGAN MEDICAL CENTER TAWAS IS EXPLORING OPTIONS FOR SUICIDE PREVENTION TRAINING FOR STAFF AS WELL AS A YOUTH ASSET PROGRAM TO OFFER IN THE COMMUNITY. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 8 1 - MYMICHIGAN OBSTETRICS & GYNECOLOGY 25 E M-55 TAWAS CITY MI 48763 OBSTETRICS & GYNECOLOGY 2 - MEDICAL ARTS CENTER 295 MAPLE STREET TAWAS CITY MI 48763 PULMONARY, CRITICAL CARE, SURGERY, NEUROSURGERY, INTERNAL MEDICINE, CARDIOVA 3 - MYMICHIGAN ORTHOPEDICS & SPORTS MEDIC 110 BEECH STREET TAWAS CITY MI 48763 ORTHOPEDICS, SPORTS MEDICINE, PEDIATRICS, REHABILITATION 4 - MYMICHIGAN FAMILY MEDICINE TAWAS 700 GERMAN STREET TAWAS CITY MI 48763 FAMILY MEDICINE 5 - WALK-IN CARE TAWAS 325 M-55 TAWAS CITY MI 48763 URGENT CARE 6 - MYMICHIGAN FAMILY MEDICINE HALE 116 S CHURCH STREET HALE MI 48739 PHYSICIAN OFFICES 7 - MYMICHIGAN FAMILY MEDICINE AUGRES 3210 E HURON ROAD AUGRES MI 48703 PHYSICIAN OFFICES 8 - MYMICHIGAN FAMILY MEDICINE OSCODA 5939 N HURON ROAD OSCODA MI 48750 PHYSICIAN OFFICES 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 $ 4,884,493. 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 TAWAS 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: ARENAC COUNTY PREVENTION COALITION, EDC ECONOMIC DEVELOPMENT CORPORATION, NECHIR STEERING COMMITTEE AND NMORC BOARD. 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 FISCAL YEAR 2025, 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 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 REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYORS MAKE DECISIONS FOR BEST PRACTICES 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. A 2024 WELL-BEING SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH NEEDS AND THE VITALITY OF THE COMMUNITIES SERVED. THE COMMUNITY SERVED IS IOSCO COUNTY. THE SURVEY WAS PRESENTED TO THE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY COLLABORATIVE TEAM FOR APPROVAL AND FOR FINAL SUGGESTIONS TO ENSURE THE SURVEY MET THE NEEDS OF THE HSCC AND OTHER COUNTY AGENCIES IN EACH OF THE COMMUNITIES SERVED. THE COLLABORATIVE TEAM THEN AIMED TO COLLECT DATA FROM ACROSS THE COUNTY. EFFORTS WERE MADE TO OBTAIN A SAMPLE OF DATA THAT WAS REPRESENTATIVE OF EACH COUNTY AND EACH ZIP CODE. DATA COLLECTION OCCURRED BOTH ONLINE AND VIA PAPER SURVEYS. MICROSOFT FORMS WAS USED TO ADMINISTER THE ONLINE SURVEY AND THE LINK WAS SENT VIA E-MAIL TO AGENCIES, ORGANIZATIONS AND E-MAIL CONTACT LISTS FROM EACH ORGANIZATION. THE SURVEY WAS ALSO ADVERTISED ON SOCIAL MEDIA PAGES AND LOCAL NEWSPAPERS. THE SURVEY WAS ALSO ADMINISTERED AT VARIOUS LOCATIONS THROUGHOUT EACH COUNTY AND MAILED TO ORGANIZATIONS WITH HARDER TO REACH POPULATIONS WITH LIMITED ACCESS TO INTERNET. PARTICIPANTS COMPLETED THE PAPER SURVEYS AT HOME AND RETURNED IT IN A POSTAGE PAID ENVELOPE. 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 TAWAS, LOCATED IN TAWAS, MI. THE SERVICE AREA IN IOSCO COUNTY IS COMPRISED OF ZIP CODES: 48730 (EAST TAWAS), 48739 (HALE), 48743 (LONG LAKE), 48748 (NATIONAL CITY), 48750 (OSCODA), 48763 (TAWAS CITY), 48764 (TAWAS CITY), 48765 (TURNER) AND 48770 (WHITTEMORE). ACCORDING TO COUNTY HEALTH RANKINGS, THERE ARE 25,373 RESIDENTS IN IOSCO COUNTY. OF THOSE, 17% ARE UNDER 18 YEARS OF AGE AND 31.5% ARE 65 AND OLDER. FEMALES MAKE UP 49.8% OF THE POPULATION, WHILE MALES MAKE UP 50.2% OF THE POPULATION, 92.7% ARE WHITE (NON-HISPANIC) AND 7.3% ARE NON-WHITE. IN IOSCO COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 19%. PART VI, LINE 5: EACH MYMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELL-BEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL HEALTH 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 $46,719 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER TAWAS IN FISCAL YEAR 2025 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FISCAL YEAR 2025, 210 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE CPR/FIRST AID, CHILDREN'S SAFETY DAY AND A SUMMER KICK-OFF EVENT. THERE WERE ALSO TWO BLOOD DRIVES PROVIDED, SERVING 10 PEOPLE. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER TAWAS IN FISCAL YEAR 2025 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $242 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 TAWAS 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 SCHMIDT CAROL MINISTRY MARKET EXECUTIVE/PRESIDENT 0 885611 0 1652000 0 242852 0 22425 0 23431 0 2826319 0 0 WATSON PINNEY MD LYDIA DIRECTOR (PART YEAR) 0 1139315 0 577529 0 16983 0 350032 0 22961 0 2106820 0 0 ROSE MICHAEL SR VP, CFO & TREASURER (PART YEAR) 0 618147 0 227830 0 186829 0 121651 0 28722 0 1183179 0 180289 MCCULLOGH MICHAEL CFO, MINISTRY MARKET (PART YEAR) 0 488527 0 510500 0 100553 0 18975 0 27471 0 1146026 0 0 NALLI JONATHAN SAMUEL FORMER OFFICER 0 0 0 0 0 0 0 943404 0 6250 0 949654 0 0 LEMOS MD DAVID PHYSICIAN 616323 0 0 0 7209 0 27565 0 41640 0 692737 0 0 0 ERICKSON MICHAEL PRESIDENT (PART YEAR) 0 411167 0 143653 0 13277 0 62248 0 28277 0 658622 0 0 HAYWOOD NANCY FORMER OFFICER 0 312451 0 166281 0 88259 0 22067 0 27005 0 616063 0 0 LYNCH MD BRODI DIRECTOR (PART YEAR) 0 278814 0 163310 0 2239 0 26532 0 19324 0 490219 0 0 ELLIS MD DONALD PHYSICIAN 220068 0 144065 0 3185 0 21914 0 29517 0 418749 0 0 0 ORAVITZ MD CHRISTOPHER PHYSICIAN 361421 0 14650 0 5794 0 20430 0 4589 0 406884 0 0 0 MYERS DOUGLAS TODD FORMER OFFICER 0 0 0 0 0 383721 0 0 0 0 0 383721 0 0 LANDREY DO CHRISTOPHER PHYSICIAN 334112 0 11700 0 2742 0 19371 0 11832 0 379757 0 0 0 KLOSKA MD BRADLEY PHYSICIAN 244779 0 72034 0 2051 0 19846 0 32946 0 371656 0 0 0 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YE 0 245530 0 92652 0 2678 0 15161 0 1191 0 357212 0 0 MAY MD JO STUDLEY DIRECTOR (PART YEAR) 151651 0 88152 0 1907 0 15006 0 3042 0 259758 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2024: NANCY HAYWOOD: $43,702 DOUGLAS TODD MYERS: $375,000 JONATHAN SAMUEL NALLI: $933,000 WATSON-PINNEY, ROSE, AND ERICKSON ARE PARTICIPANTS IN A 457(F) PLAN. ROSE RECEIVED A PAYMENT IN 2024 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. 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. FORM 990, PART VI, SECTION A, LINE 4 THE NAME OF THE CORPORATION WAS CHANGED TO MYMICHIGAN MEDICAL CENTER TAWAS AND MYMICHIGAN HEALTH WAS NAMED AS THE SOLE MEMBER. THE ARTICLES OF INCORPORATION WERE AMENDED AND RESTATED INCLUDING THE PURPOSE TO FURTHER ANY AND ALL CHARITABLE AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) IN THE DELIVERY OF HEALTH CARE THROUGH OPERATING A HOSPITAL AND ALSO REMOVING ANY REFERENCES TO CATHOLIC MINISTRY AND ETHICAL AND RELIGIOUS DIRECTIVES. BYLAWS WERE UPDATED TO DEFINE VOTING AND SPECIFIC RESERVED POWERS OF THE SOLE MEMBER AND TO DEFINE THE ORGANIZATION'S GOVERNANCE STRUCTURE, BOARD COMPOSITION, CONFLICT OF INTEREST, BOARD COMMITTEES, VOTING RIGHTS, MEETING PROCEDURES, AND RESPONSIBILITIES OF DIRECTORS AND OFFICERS. 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 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 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 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 IX, LINE 11G ASSOCIATION DUES AND OTHER FEES: PROGRAM SERVICE EXPENSES 205,069. MANAGEMENT AND GENERAL EXPENSES 40,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,788. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 567,519. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 567,519. PURCHASED AND CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,549,867. MANAGEMENT AND GENERAL EXPENSES 6,686,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,236,679. PHYSICAN FEES: PROGRAM SERVICE EXPENSES 40,048. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,048. FORM 990, PART XI, LINE 9: INHERENT CONTRIBUTION FROM ACQUISITION 12,190,978. TRANSFERS FROM AFFILIATES 128,279. CHANGE IN OWNERSHIP ADJUSTMENT 2,386,317. FORM 990, PART XII, LINE 2C THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. 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 4000 WELLNESS DR MIDLAND MI 48670 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER CLARE 4000 WELLNESS DR MIDLAND MI 48670 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 4000 WELLNESS DR MIDLAND MI 48670 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALPENA 4000 WELLNESS DR MIDLAND MI 48670 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HOME CARE 4000 WELLNESS DR MIDLAND MI 48670 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 4000 WELLNESS DR MIDLAND MI 48670 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12C, III-FI N/A 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 4000 WELLNESS DR MIDLAND MI 48670 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 4000 WELLNESS DR MIDLAND MI 48670 382602147 HOSPITAL MI 501(C)(3) LINE 3 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 SAGINAW 4000 WELLNESS DR MIDLAND MI 48670 380997730 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER STANDISH 4000 WELLNESS DR MIDLAND MI 48670 381671120 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 382246366 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER TAWAS FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 010790428 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DR MIDLAND MI 48670 382790703 SUPPORT MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 ASCENSION BORGESS HOSPITAL PO BOX 45998 ST LOUIS MO 631455998 381360526 HOSPITAL MI 501(C)(3) LINE 3 ASCENSION MICHIGAN 0 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 631455998 381360526 SUPPORT MO 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI N/A 0 0 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 MT PLEASANT SURGERY CENTER LLC 4851 E PICKARD ST SUITE 1100 MT PLEASANT MI 48858 300872082 AMBULATORY SURGERY MI N/A 0 0 TOWNE CENTRE SURGERY CENTER LLC 4599 TOWNE CENTRE SAGINAW MI 48604 204943843 AMBULATORY SURGERY MI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0