2026-05-14T09:13:42-05:00 2025-06-30 990 2024-07-01 381437919 MYMICHIGAN MEDICAL CENTER ALMA 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 155960702 0 X WWW.MYMICHIGAN.ORG X 1953 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 17 11 906 82 372118 88758 264272 378670 151666791 150371520 167718 2020687 1700846 1171611 153799627 153942488 0 0 0 0 53503010 59577810 0 0 0 102477835 100408311 155980845 159986121 -2181218 -6043633 136957511 130701756 54652838 51053939 82304673 79647817 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 134882510 151364240 MYMICHIGAN MEDICAL CENTER ALMA PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 4,730 PATIENT ADMISSIONS AND 82,228 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2025. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 134882510 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 0 906 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 HATTEM-SCHIFFMAN MARITA PRESIDENT 1.00 51.00 X X 0 573093 83111 GOGGIN MD STEPHANIE PHYSICIAN 50.00 0.00 X 602696 0 17962 LIU DO PETER PHYSICIAN 50.00 0.00 X 369432 0 23807 KLUGAS MD ARTURAS PHYSICIAN 50.00 0.00 X 351363 0 32068 SLOMINIS MD MARY PHYSICIAN 50.00 0.00 X 367155 0 1403 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YEAR) 1.00 51.00 X X 0 340860 16352 PADGETT FRANCINE FORMER TREASURER 0.00 0.00 X 0 348143 0 LAROUCHE MD VANESSA PHYSICIAN 50.00 0.00 X 288965 0 27340 LOSSIO MD FRANCISCO DIRECTOR 1.00 1.00 X 28808 0 0 NIMBLEY MD ERIK DIRECTOR 1.00 1.00 X 0 1250 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 2008419 3228335 551080 72 1 1 0 0 378670 378670 MEDICARE/MEDICAID PAYMENTS 621990 82469800 82469800 NET PATIENT REVENUE 621990 64739993 64739993 AFFILIATE RELATED INCOME 541900 2340183 2340183 340B 621500 557294 557294 CONTRACTED CLINICAL SERVICES 621110 264250 264250 150371520 907835 299185 335869 272781 384707 0 384707 384707 384707 3006916 1888156 5908 1118760 -5908 1112852 1112852 58375 36144 22231 22231 122895 88006 34889 34889 MEDS TO BEDS INCOME 621990 142525 142525 PERFORMANCE INCENTIVES 900099 71893 71893 OUTSIDE INCOME 900099 23053 23053 492313 456064 36249 729784 153942488 151364240 372118 1827460 X 52808 52808 50314424 43525177 6789247 2116142 1926960 189182 3515779 3018122 497657 3578657 3132681 445976 13704 13704 12619 12619 47584837 33369717 14215120 130866 9806 121060 1475230 1004534 470696 2106203 1144917 961286 129623 96648 32975 201629 111349 90280 1324191 1324191 8821973 8681235 140738 1146337 76074 1070263 MEDICAL SUPPLIES 12077523 12077523 BAD DEBT EXPENSE 10694415 10694415 PHYSICIAN PRACTICE INVE 7758630 7758630 QAAP FEES 6923191 6923191 7340 7340 159986121 134882510 25103611 0 1850 2116 119625 2630450 19389282 16557720 29676 29676 654264 654588 951585 1333259 195459181 113661910 80349485 81797271 20340043 14926565 15139693 12763413 -17992 6698 136957511 130701756 11252631 8213744 8965 4609 38334349 38343571 5056893 4492015 54652838 51053939 X 82304673 79647817 82304673 79647817 136957511 130701756 X -6043633 1640242 1746535 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 13704 13704 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER ALMA PAYS DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 2770867 2770867 123270058 61630040 61640018 5811739 3600071 2211668 62597562 48431799 14165763 1008955 1008955 81797271 HEDGE FUNDS 1637762 F BLACKROCK DOMESTIC 4432927 F BLACKROCK INTERNATIONAL 2421809 F CLARION & CORNERSTONE 4270915 F 12763413 SELF INSURANCE & DEF COMP 2771081 ASSET RETIREMENT OBLIGATION 842337 OPERATING LEASE LIABILITY 878597 4492015 GOLDEN TICKET FUNDRAISER 10000 10000 3000 100 LOGO WEAR SALE 35270 35270 19681 1 5600 5600 5800 50870 50870 3000 25581 28581 22289 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 3140669 3140669 0.02100 1 29795887 27157988 2637899 0.01770 1 32936556 27157988 5778568 0.03870 58 2140 189255 189255 0.00130 18 360 6239702 2801404 3438298 0.02300 6939953 4806610 2133343 0.01430 76 2500 13368910 7608014 5760896 0.03860 77 2500 46305466 34766002 11539464 0.07730 87 800 17069 17069 0.00010 2 174 174 0.00000 3 325 325 0.00000 57 25 6853 6853 0.00000 21 3039 100 2939 0.00000 3 139 139 0.00000 2 174 174 0.00000 175 825 27773 100 27673 0.00010 1 10694416 534721 27313156 22363875 4949281 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 WWW.MYMICHIGAN.ORG 1060000014 X X X X MYMICHIGAN MEDICAL CENTER ALMA 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 ALMA PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER ALMA'S COMMUNITY HEALTH SUPERVISOR CREATED AN EXTERNAL ADVISORY COUNCIL FOR THEIR NEEDS ASSESSMENT. THIS COMMITTEE IS COMPRISED OF LOCAL STAKEHOLDERS IN HEALTHCARE, PUBLIC HEALTH, COMMUNITY SERVICES, AND EDUCATION SECTORS. SOME ORGANIZATIONS THAT ARE REPRESENTED IN THIS COUNCIL INCLUDE MID MICHIGAN DISTRICT HEALTH DEPARTMENT, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TEN16, GREAT START COLLABORATIVE AND CENTRAL MICHIGAN COMMUNITY MENTAL HEALTH, TO NAME A FEW. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. MYMICHIGAN MEDICAL CENTER ALMA PART V, SECTION B, LINE 6B: MYMICHIGAN MEDICAL CENTER ALMA COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA:-GRATIOT-ISABELLA RESD -ALMA COLLEGE -CENTRAL MICHIGAN UNIVERSITY -COMMUNITY MENTAL HEALTH OF CENTRAL MICHIGAN -GRATIOT INTEGRATED HEALTH NETWORK -TEN16 RECOVERY NETWORK -GRATIOT COUNTY CHILD ADVOCACY -211 NORTHEAST MI -ST. LOUIS FARMERS MARKET -CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT -GREATER LANSING FOOD BANK-UNITED WAY OF GRATIOT & ISABELLA COUNTIES -GRATIOT COUNTY COMMUNITY FOUNDATION -ISABELLA COUNTY COMMISSION ON AGING MDHHS -GRATIOT AREA CHAMBER OF COMMERCE -MID-MICHIGAN DISTRICT HEALTH DEPARTMENT -MT. PLEASANT AREA CHAMBER OF COMMERCE -ISABELLA COUNTY CHILD ADVOCACY -MT. PLEASANT FARMERS MARKET -ISABELLA CITIZENS FOR HEALTH -MICHIGAN HEALTH & HOSPITAL ASSOCIATION MYMICHIGAN MEDICAL CENTER ALMA 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 CENTER ALMA 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 GRATIOT COUNTY 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/ 15 1 - MYMICHIGAN MEDICAL CENTER MT PLEASANT 4851 E PICKARD ST MT PLEASANT MI 48858 MEDICAL CENTER 2 - URGENT CARE - ALMA 321 E WARWICK DRIVE ALMA MI 48801 REGIONAL HEALTH CLINIC 3 - FAMILY PRACTICE CENTER 330 E WARWICK DRIVE ALMA MI 48801 REGIONAL HEALTH CLINIC 4 - CENTER FOR OBGYN - ALMA 315 E WARWICK DRIVE STE D ALMA MI 48801 REGIONAL HEALTH CLINIC 5 - FAMILY MEDICAL CARE - BRECKENRIDGE 302 W CHESTNUT BRECKENRIDGE MI 48615 REGIONAL HEALTH CLINIC 6 - MYMICHIGAN ALMA CANCER CENTER 315 E WARWICK DRIVE STE C ALMA MI 48801 CHEMOTHERAPY & INFUSION SERVICES 7 - FAMILY MEDICAL CARE ITHACA 121 NORTH PINE RIVER ITHACA MI 48847 REGIONAL HEALTH CLINIC 8 - INTERNAL MEDICINE ALMA 200 E WARWICK DRIVE ALMA MI 48801 REGIONAL HEALTH CLINIC 9 - GRATIOT WOUND TREATMENT CENTER 320 E WARWICK DRIVE ALMA MI 48801 WOUND TREATMENT SERVICES 10 - GRATIOT PHYSICAL REHABILITATION 328 E WARWICK DRIVE ALMA MI 48801 REHABILITATION SERVICES 11 - GRATIOT REHABILITATION SVS ITHACA 509 E CENTER ITHACA MI 48847 REHABILITATION SERVICES 12 - ANNEX BUILDING 160 E WARWICK DRIVE ALMA MI 48801 COAGULATION CLINIC & LABORATORY 13 - ALMA FAMILY PRACTICE 1335 N PINE AVE ALMA MI 48801 LABORATORY & DIAGNOSTIC IMAGING SERVICES 14 - PRISM PRIMARY CARE 311 E WARWICK DRIVE ALMA MI 48801 LABORATORY SERVICES 15 - MONTCALM HEALTH SERVICES 1021 E MAIN ST EDMORE MI 48829 LABORATORY SERVICES 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 $ 10,694,416. PART II, COMMUNITY BUILDING ACTIVITIES: MYMICHIGAN MEDICAL CENTER ALMA 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: GRATIOT INTEGRATED HEALTH NETWORK BOARD OF DIRECTORS, GRATIOT CHILD ADVOCACY BOARD OF DIRECTORS, ISABELLA HABITAT FOR HUMANITY BOARD OF DIRECTORS AND RESTORE COMMITTEE, GREAT LAKES BAY REGIONAL ALLIANCE BOARD OF DIRECTORS, AAAMG (GRATIOT COUNTY TOP EMPLOYERS) PLANNING COMMITTEE, MIDDLE MICHIGAN DEVELOPMENT CORPORATION BOARD OF DIRECTORS, UNITED WAY OF GRATIOT AND ISABELLA COUNTIES BOARD OF DIRECTORS, MT. PLEASANT AREA CHAMBER OF COMMERCE BOARD OF DIRECTORS, GRATIOT COUNTY COMMUNITY FOUNDATION BOARD AND SCHOLARSHIP COMMITTEE, GREATER GRATIOT DEVELOPMENT BOARD OF DIRECTORS, AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD OF DIRECTORS, ART REACH OF MID MICHIGAN'S BANNER SELECTION COMMITTEE AND GIRL SCOUTS OF MICHIGAN. IN-KIND FINANCIAL SUPPORT WAS PROVIDED TO MID MICHIGAN COMMUNITY COLLEGE, WITH A LARGE DONATION OF LAB AND MEDICAL SUPPLIES FOR STUDENT USE, AS WELL AS DONATIONS OF FURNITURE TO LUX FUNERAL HOME, ALMA HIGH SCHOOL AND ALMA RESALE STORE. IN ADDITION, A LITTLE FREE FOOD PANTRY WAS BUILT (FOR COMMUNITY USE) ON THE PROPERTY OF MYMICHIGAN MEDICAL CENTER ALMA. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER ALMA STAFF FOR THE ORGANIZATIONS THAT FOLLOW: CASTING FOR RECOVERY PROGRAM, LEGISLATIVE BREAKFASTS AND PROVIDING HEALTH EDUCATION AND VOLUNTEERISM AT MULTIPLE HEALTH FAIRS ACROSS THE REGION. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.BAD DEBT EXPENSE METHODOLOGY: OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. PART III, LINE 3: THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY IS 5% OF TOTAL BAD DEBTS. PART III, LINE 4: PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS PART III, LINE 8: THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICIARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD.COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. PART III, LINE 9B: MYMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MYMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." PART VI, LINE 2: IN 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 GRATIOT COUNTY COLLABORATIVE COUNCIL, LIVE WELL GRATIOT, 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 2025, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN GRATIOT AND ISABELLA COUNTIES. MYMICHIGAN HEALTH'S COMMUNITY HEALTH TEAM WORKED WITH THE GRATIOT COUNTY COLLABORATIVE COUNCIL AND THE LIVE WELL GRATIOT STEERING COMMITTEE 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 GRATIOT COUNTY, 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 ALMA, LOCATED IN GRATIOT COUNTY. THE SERVICE AREA IN GRATIOT COUNTY IS COMPRISED OF ZIP CODES: 48801 (ALMA), 48802 (ALMA), 48806 (ASHLEY), 48807 (BANNISTER), 48615 (BRECKENRIDGE), 48830 (ELM HALL), 48832 (ELWELL), 48847 (ITHACA), 48856 (MIDDLETON), 48862 (NORTH STAR), 48871 (PERRINTON), 48874 (POMPEII), 48877 (RIVERDALE), 48880 (SAINT LOUIS), 48889 (SUMNER), AND 48662 (WHEELER). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 41,368 RESIDENTS IN GRATIOT COUNTY. OF THOSE, 19.3 PERCENT ARE UNDER 18 YEARS OF AGE AND 18 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 45.8 PERCENT OF THE POPULATION WHILE MALES MAKE UP 54.2 PERCENT. THE MEDIAN AGE IN GRATIOT COUNTY IS 39.5 YEARS OF AGE. OF THE POPULATION, 83.8 PERCENT ARE WHITE (NON-HISPANIC) AND 15.4 PERCENT ARE NON-WHITE. IN GRATIOT COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 15 PERCENT. 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 $3,655,226 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER ALMA IN FISCAL YEAR 2025. VARIOUS COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE WERE PROVIDED. IN FISCAL YEAR 2025, THERE WERE 1,084 PEOPLE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE NUTRITION, CHRONIC DISEASE MANAGEMENT AND CPR/FIRST AID. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTERS ALMA 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 CENTERS ALMA 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 HATTEM-SCHIFFMAN MARITA PRESIDENT 0 408427 0 152651 0 12015 0 60036 0 23075 0 656204 0 0 GOGGIN MD STEPHANIE PHYSICIAN 543283 0 43951 0 15462 0 6900 0 11062 0 620658 0 0 0 LIU DO PETER PHYSICIAN 359887 0 8734 0 811 0 6900 0 16907 0 393239 0 0 0 KLUGAS MD ARTURAS PHYSICIAN 310483 0 39871 0 1009 0 6900 0 25168 0 383431 0 0 0 SLOMINIS MD MARY PHYSICIAN 340362 0 25000 0 1793 0 0 0 1403 0 368558 0 0 0 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YE 0 245530 0 92652 0 2678 0 15161 0 1191 0 357212 0 0 PADGETT FRANCINE FORMER TREASURER 0 0 0 0 0 348143 0 0 0 0 0 348143 0 0 LAROUCHE MD VANESSA PHYSICIAN 238510 0 35121 0 15334 0 5560 0 21780 0 316305 0 0 0 PART I, LINE 4B CROSS, ROSE, AND HATTEM-SCHIFFMAN 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 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 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 SURVEYS 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 ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, 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 IS 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 & OTHER FEES: PROGRAM SERVICE EXPENSES 7,609,432. MANAGEMENT AND GENERAL EXPENSES 562,971. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,172,403. PURCHASED & CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 11,655,613. MANAGEMENT AND GENERAL EXPENSES 7,612,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,267,972. ALLOCATED SERVICES (CORPORATE): PROGRAM SERVICE EXPENSES 14,104,672. MANAGEMENT AND GENERAL EXPENSES 6,039,790. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,144,462. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSET FROM RELATED 501(C)(3) - MYMICHIGAN HEALTH FOUNDATION 1,707,264. BOOK TAX DIFFERENCE FROM MPSC K-1 39,271. 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