2026-05-14T08:56:09-05:00 2025-06-30 990 2024-07-01 381518643 MYMICHIGAN MEDICAL CENTER CLARE MYMI 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2026-05-14 1 2024 2025-03-06 01:10:19Z CHUCK SHERWIN 4000 WELLNESS DR MIDLAND MI 48670 135581956 0 X WWW.MYMICHIGAN.ORG X 1951 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 17 11 616 50 106920 45511 357144 176965 111409391 128593480 -194045 2716046 1175457 452962 112747947 131939453 0 0 0 0 36217971 42620653 0 0 0 57559332 56170391 93777303 98791044 18970644 33148409 96969254 131318705 16403784 14649490 80565470 116669215 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 83757625 128926223 MYMICHIGAN MEDICAL CENTER CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1170 PATIENT ADMISSIONS AND 236,337 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2025. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 83757625 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 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 0 616 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X ROSE MICHAEL SR VP, CFO & TREASURER 1.00 51.00 X X 0 1032806 150373 CROSS BRYAN DIRECTOR 1.00 51.00 X 0 932183 198664 PACIS DO RONALD PHYSICIAN 50.00 0.00 X 787807 0 29131 HATTEM-SCHIFFMAN MARITA PRESIDENT 1.00 51.00 X X 0 573093 83111 STOVER RAYMOND FORMER DIRECTOR 0.00 0.00 X 0 523315 80101 MUNOZ EDWARDO CRNA 50.00 0.00 X 331992 0 25331 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YEAR) 1.00 51.00 X X 0 340860 16352 MATHISON KELLY CRNA 50.00 0.00 X 311475 0 37863 PADGETT FRANCINE FORMER TREASURER/SECRETARY 0.00 0.00 X 0 348143 0 HOUK ERIC CRNA 50.00 0.00 X 302722 0 41808 DEFLUITER RICHARD CRNA 50.00 0.00 X 285104 0 33417 KING GLENN VP OF NURSING 50.00 0.00 X 248350 0 31815 LOSSIO MD FRANCISCO DIRECTOR 1.00 1.00 X 0 28808 0 NIMBLEY MD ERIK DIRECTOR 1.00 1.00 X 1250 0 0 WHITE AL CHAIR 1.00 1.00 X X 0 0 0 MORA KATI VICE CHAIR 1.00 1.00 X X 0 0 0 BROWN DAMON DIRECTOR 1.00 1.00 X 0 0 0 GEERS ADAM DIRECTOR 1.00 1.00 X 0 0 0 LANCASTER PAULA DIRECTOR 1.00 1.00 X 0 0 0 NOWLIN HARMONY DIRECTOR 1.00 1.00 X 0 0 0 OLIVIERI TODD DIRECTOR 1.00 1.00 X 0 0 0 ROGERS NATHAN DIRECTOR (PART YEAR) 1.00 1.00 X 0 0 0 SCHURR DON DIRECTOR 1.00 1.00 X 0 0 0 SIEFKER JENNIFER DIRECTOR (PART YEAR) 1.00 1.00 X 0 0 0 SPINDLER ERIK DIRECTOR 1.00 1.00 X 0 0 0 2268700 3779208 727966 42 1 1 0 0 176965 176965 NET PATIENT REVENUE 621990 67791972 67791972 MEDICARE/MEDICAID PAYMENTS 621990 57177767 57177767 AFFILIATE RELATED INCOME 900099 3418339 3418339 CONTRACTED CLINICAL SERVICES 621990 205402 205402 128593480 573083 573083 18061 0 18061 18061 18061 5733790 11000 3600463 1364 2133327 9636 2142963 2142963 28129 14830 13299 13299 44148 25846 18302 18302 PHARMACY 456110 204920 204920 REFERENCE LABORATORY 621500 106920 106920 MANAGED CARE INCOME 900099 19827 19827 71633 71633 403300 131939453 128926223 106920 2729345 X 299798 299798 35448068 33173561 2274507 1495181 1435565 59616 2923244 2616221 307023 2454362 2290099 164263 5599 5599 20142 20142 25788846 17419022 8369824 180527 145114 35413 845773 664623 181150 1904227 64928 1839299 80426 78834 1592 184492 184492 1838516 1167700 670816 800814 800814 MEDICAL SUPPLIES 13749067 13745504 3563 BAD DEBT EXPENSE 6720493 6720493 QAAP FEES 3054862 3054862 PHYSICIAN PRACTICE INVE 996607 996607 98791044 83757625 15033419 0 525 525 15187200 27361683 13006578 14465330 393249 428546 734024 1096846 66820306 39088213 12839580 27732093 31851985 34226638 22941264 25965376 14849 41668 96969254 131318705 4098908 3587884 29783 0 5340894 5342179 6934199 5719427 16403784 14649490 X 80565470 116669215 80565470 116669215 96969254 131318705 33148409 2955336 0 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 5599 5599 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER CLARE PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 2105180 2105180 25443514 20515472 4928042 2667071 1005830 1661241 21780368 17566911 4213457 14824173 14824173 27732093 HEDGE FUNDS 3331797 F BLACKROCK DOMESTIC EQUITY 9018168 F BLACKROCK INTERNATIONAL 4926830 F CLARION & CORNERSTONE 8688581 F 25965376 SELF-INSURANCE, DEFERRED COMP, OTHER 4169927 OPERATING LEASE LIABILITY 1376123 ASSET RETIREMENT OBLIGATION 173377 5719427 POT'O'GOLD RAFFLE 8800 8800 2000 LOGO WEAR SALES 16461 16461 10946 25261 25261 2000 10946 12946 12315 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 2783055 2783055 0.03020 1 18222284 21117400 0 0.00000 1 21005339 21117400 2783055 0.03020 48 4053 125223 125223 0.00140 9 73 2992631 1549733 1442898 0.01570 57 4126 3117854 1549733 1568121 0.01710 58 4126 24123193 22667133 4351176 0.04730 1 70 70 0.00000 77 4202 9981 9981 0.00010 2 313 313 0.00000 2 40 572 572 0.00000 8 5997 5997 0.00010 1 841 841 0.00000 1 46 46 0.00000 92 4242 17820 17820 0.00020 1 6720493 336025 13320267 12468765 851502 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 WWW.MYMICHIGAN.ORG 1060000076 X X X MYMICHIGAN MEDICAL CENTER CLARE 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 CLARE PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER CLARE'S COMMUNITY HEALTH TEAM IS A MEMBER OF THE CLARE COUNTY HUMAN SERVICES COORDINATING BODY. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: TEN16 RECOVERY NETWORK, CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, COMMUNITY MENTAL HEALTH OF CENTRAL MICHIGAN, MSU EXTENSION, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND THE CLARE/GLADWIN RESD. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. REPRESENTATIVES FROM EACH OF THE AGENCIES LISTED ABOVE ASSISTED IN THE DATA COLLECTION, REVIEW AND PRIORITIZATION OVER THE COURSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. MYMICHIGAN MEDICAL CENTER CLARE PART V, SECTION B, LINE 6B: MYMICHIGAN MEDICAL CENTER CLARE 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 CLARE 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 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 CENTERS CLARE AND MT. PLEASANT LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND COMMUNITY GROUPS.FURTHER PRIORITIZATION CONTINUES TO DEVELOP THE FINAL FOCUS AREAS. ADVISORY COMMITTEES WORK TOGETHER TO NARROW DOWN FOCUS AREAS BASED ON MODIFIABLE RISK FACTORS THAT HEALTH NEEDS HAVE IN COMMON. THE HIGH RATES OF OBESITY, DIABETES, HYPERTENSION AND CANCER INCIDENCE RATES COUPLED WITH DECREASING RATES OF CANCER SCREENINGS IN BOTH CLARE AND ISABELLA COUNTIES LED TO CHRONIC DISEASE PREVENTION AS AN AREA OF FOCUS. THESE CHRONIC DISEASES HAVE SIMILAR MODIFIABLE RISK FACTORS THAT ALLOW US TO DEVELOP STRATEGIES TO IMPACT MANY CHRONIC DISEASES. SIMILARLY, INCREASING RATES OF SUICIDE, SUBSTANCE USE DISORDER AND TOBACCO AND VAPE USE, PARTICULARLY IN THE YOUTH POPULATION, FALL WITHIN THE UMBRELLA OF MENTAL HEALTH AND SUBSTANCE USE WITH SIMILAR RISK FACTORS IN YOUTH ASSETS AND MENTAL HEALTH NEEDS. IN ADDITION, THE GROWING NEED RELATED TO HEALTH CARE ACCESS AND UNDERSTANDING, PREVENTATIVE CARE ACCESS AND OTHER SOCIAL SERVICES RELATED TO SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING, FOOD SECURITY AND TRANSPORTATION ALL FALL WITHIN THE UMBRELLA OF ACCESS TO CARE AND SOCIAL SERVICES ISSUES. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 9 1 - MYMICHIGAN MEDICAL CENTER MT PLEASANT 4851 E PICKARD ST MT PLEASANT MI 48858 MEDICAL CENTER 2 - CLARE MMO RHC 602 BEECH STREET CLARE MI 48617 RURAL HEALTH CLINIC 3 - MYMICHIGAN HEALTH PARK-HOUGHTON LAKE 9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629 REHABILITATION SERVICES, LABORATORY AND MAMMOGRAPHY 4 - MYMICHIGAN URGENT CARE-CLARE 700 WEST FIFTH ST CLARE MI 48617 URGENT CARE, OCCUPATIONAL MEDICINE 5 - MYMICHIGAN HEALTH PARK-HARRISON 815 NORTH CLARE AVENUE HARRISON MI 48625 RURAL HEALTH CLINIC, REHABILITATION SERVICES, LABORATORY 6 - 6TH AND MAPLE STREET 212 W SIXTH STREET CLARE MI 48617 RURAL HEALTH CLINIC 7 - REHABILITATION SERVICES BEAVERTON CENTER 106 TONKIN ST BEAVERTON MI 48612 REHABILITATION SERVICES, LABORATORY AND MAMMOGRAPHY 8 - FARWELL RHC 2812 WEST CADILLAC DRIVE FARWELL MI 48622 RURAL HEALTH CLINIC 9 - MIDMICHIGAN COMMUNITY HLTH SVCS PHARMACY 241 LAKE STREET ROSCOMMON MI 48653 PHARMACY 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 $ 6,720,493. 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 CENTERS CLARE AND MT. PLEASANT 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: CLARE COMMUNITY LEADER BOARD, THE UNITED WAY OF CLARE AND GLADWIN COUNTIES BOARD OF DIRECTORS, ROTARY CLUB AND MT. PLEASANT AREA CHAMBER OF COMMERCE BOARD OF DIRECTORS. COMMUNITY SUPPORT WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER CLARE STAFF THROUGH VOLUNTEERISM AT LOCAL MOBILE FOOD DISTRIBUTIONS (SERVING A TOTAL OF 1,061 COMMUNITY MEMBERS), LOCAL HEALTH AND SAFETY FAIR EVENTS, LOCAL HOLIDAY PARADES, NON-PROFIT EVENTS, MT. PLEASANT SPECIAL OLYMPICS AND HOSTING FREE SPORTS PHYSICAL CLINICS. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER CLARE STAFF FOR ORGANIZATIONS SUCH AS THE CITY OF HARRISON AND NORTHERN MICHIGAN ALLIANCE FOR CHILDREN. 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 PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE THE CLARE COUNTY HUMAN SERVICES COORDINATING BODY, ISABELLA COLLABORATIVE COUNCIL, CENTRAL MICHIGAN RURAL HEALTH NETWORK AND THE NORTH CENTRAL COMMUNITY HEALTH INNOVATION REGION. WE ALSO PARTNER WITH THE MICHIGAN HEALTH IMPROVEMENT ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM AND A REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST 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. IN 2024, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN CLARE COUNTY. MYMICHIGAN HEALTH'S COMMUNITY HEALTH TEAM WORKED WITH THE MITHRIVE WORK GROUP, THROUGH THE COMMUNITY HEALTH INNOVATIONS REGIONS, TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE COUNTIES AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE MYMICHIGAN HEALTH COMMUNITY HEALTH TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS CLARE AND ISABELLA COUNTIES, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITIES AND COUNTY AREAS. THE TEAM USED EXISTING U.S. CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN EACH COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF EACH COUNTY'S 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 CLARE, LOCATED IN CLARE COUNTY AND MYMICHIGAN MEDICAL CENTER MT. PLEASANT, LOCATED IN ISABELLA COUNTY. THE SERVICE AREA IN CLARE COUNTY IS COMPRISED OF ZIP CODES: 48617 (CLARE), 48622 (FARWELL), 48625 (HARRISON), 48632 (LAKE), 48633 (LAKE GEORGE) AND 48632 (LAKE STATION). THE SERVICE AREA IN ROSCOMMON COUNTY IS COMPRISED OF ZIP CODES: 48627 (HIGGINS LAKE), 48629 (HOUGHTON LAKE), 48630 (HOUGHTON LAKE HEIGHTS), 48651 (PRUDENVILLE), 48653 (ROSCOMMON) AND 48656 (SAINT HELEN). ACCORDING TO COUNTY HEALTH RANKINGS, THERE ARE 31,316 RESIDENTS IN CLARE COUNTY. OF THOSE, 19.4% ARE UNDER 18 YEARS OF AGE AND 25.9% ARE 65 AND OLDER. FEMALES MAKE UP 50% OF THE POPULATION WHILE MALES MAKE UP 50%. OF THE POPULATION, 94% ARE WHITE (NON-HISPANIC) AND 6% ARE NON-WHITE. IN CLARE COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 19%. THE SERVICE AREA IN ISABELLA COUNTY IS COMPRISED OF ZIP CODES: 49310 (BLANCHARD), 48893 (LAKE ISABELLA), 49310 (MILLBROOK), 48804 (MT. PLEASANT), 48858 (MT. PLEASANT), 48859 (MT. PLEASANT), 48878 (SHEPHERD), 48893 (WEIDMAN) AND 48896 (WINN). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 64,118 RESIDENTS IN ISABELLA COUNTY. OF THOSE, 17.8% ARE UNDER 18 YEARS OF AGE AND 14.5% ARE 65 AND OLDER. FEMALES MAKE UP 51% OF THE POPULATION WHILE MALES MAKE UP 49%. OF THE POPULATION, 93.2% ARE WHITE (NON-HISPANIC) AND 6.8% ARE NON-WHITE. IN ISABELLA COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 19%. THERE IS ONE ADDITIONAL ACUTE CARE HOSPITAL LOCATED IN ISABELLA COUNTY. PART VI, LINE 5: EACH MYMICHIGAN HEALTH MEMBER HOSPITAL ADDRESSES HEALTH AND WELL-BEING 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 $143,043 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTERS CLARE AND MT. PLEASANT IN FISCAL YEAR 2025. VARIOUS COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE WERE PROVIDED. IN FISCAL YEAR 2025, THERE WERE 3,921 PEOPLE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE NUTRITION, MENTAL HEALTH, DRUG AND ALCOHOL EDUCATION AND HEALTH FAIRS. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER CLARE 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 MEMBER 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 CLARE 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 ROSE MICHAEL SR VP, CFO & TREASURER 0 618147 0 227830 0 186829 0 121651 0 28722 0 1183179 0 180289 CROSS BRYAN DIRECTOR 0 633961 0 276382 0 21840 0 169408 0 29256 0 1130847 0 0 PACIS DO RONALD PHYSICIAN 583494 0 202603 0 1710 0 6900 0 22231 0 816938 0 0 0 HATTEM-SCHIFFMAN MARITA PRESIDENT 0 408427 0 152651 0 12015 0 60036 0 23075 0 656204 0 0 STOVER RAYMOND FORMER DIRECTOR 0 367967 0 139269 0 16079 0 58953 0 21148 0 603416 0 0 MUNOZ EDWARDO CRNA 309062 0 11000 0 11930 0 16504 0 8827 0 357323 0 0 0 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YE 0 245530 0 92652 0 2678 0 15161 0 1191 0 357212 0 0 MATHISON KELLY CRNA 299684 0 11000 0 791 0 12737 0 25126 0 349338 0 0 0 PADGETT FRANCINE FORMER TREASURER/SECRETARY 0 0 0 0 0 348143 0 0 0 0 0 348143 0 0 HOUK ERIC CRNA 289511 0 11000 0 2211 0 16668 0 25140 0 344530 0 0 0 DEFLUITER RICHARD CRNA 277221 0 1000 0 6883 0 14454 0 18963 0 318521 0 0 0 KING GLENN VP OF NURSING 194799 0 45998 0 7553 0 12059 0 19756 0 280165 0 0 0 PART I, LINE 4B ROSE, CROSS, HATTEM-SCHIFFMAN, AND STOVER 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 2 THE FOLLOWING DIRECTOR HAS A BUSINESS RELATIONSHIP WITH ANOTHER DIRECTOR: AL WHITE'S BUSINESS ATTORNEY IS JJ KLAUS, DIRECTOR. 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 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 ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVED 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 7,779,539. MANAGEMENT AND GENERAL EXPENSES 7,198,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,978,063. PURCHASED/CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 9,639,483. MANAGEMENT AND GENERAL EXPENSES 1,171,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,810,783. 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