2023-05-11T14:51:24-05:00 2022-06-30 990 2021-07-01 381459397 MYMICHIGAN HOME CARE MYMI 9898379039 3007 N SAGINAW RD MIDLAND MI 486404555 JUDI GRAVES CORPORATE CONTROLLER 9898393181 2023-05-11 JUDI GRAVES 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DANA GARAFALO 3007 N SAGINAW RD MIDLAND MI 486404555 26670759 0 X WWW.MYMICHIGAN.ORG X 1941 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 12 0 222 54 0 0 1040134 544190 23249855 20903740 226304 2155529 843735 33231 25360028 23636690 0 0 0 0 12656332 12263488 0 0 0 11682945 12067765 24339277 24331253 1020751 -694563 16975956 11586086 3769820 1930042 13206136 9656044 X CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 7058742 6439786 HOME HEALTH SERVICES - TO ENABLE PATIENTS TO BE AT HOME WHILE RECUPERATING AND RECEIVING QUALITY MEDICAL CARE. THIS INCLUDES NURSING SERVICES, SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES, AND SOCIAL WORK. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 47,463. 5232140 5783175 HOSPICE - PROVIDES PALLIATIVE CARE AND SUPPORTIVE SERVICES (PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL CARE) FOR DYING PATIENTS AND THEIR FAMILIES. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 19,266. 7596915 8424501 HOME INFUSION - OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES. 768327 289509 HOME MEDICAL EQUIPMENT- 11,855AFFILIATED RELATED INCOME- 242,145CONTRACTED CLINICAL SERVICES-2,278OTHER REVENUE-33,231 768327 289509 20656124 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 222 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X ROGERS GREGORY DIRECTOR (PART YEAR) 2.00 50.00 X 0 1103048 546181 ROSE MICHAEL SECRETARY/TREASURER 2.00 50.00 X 0 678863 129969 PADGETT FRANCINE FORMER SECRETARY/TREASURER 0.00 0.00 X 0 676976 0 JANDWANI MD PANKAJ DIRECTOR 2.00 50.00 X 0 570850 16370 BERG MD PAUL DIRECTOR 2.00 50.00 X 0 488270 87048 CROSS BRYAN CHAIR (PART YEAR) 2.00 50.00 X X 0 485699 80672 GREELEY MARY DIRECTOR 2.00 50.00 X 0 370206 122277 POKORZYNSKI DEB DIRECTOR (PART YEAR) 2.00 50.00 X 0 192942 277147 TERRELL TAMMY DIRECTOR 2.00 50.00 X 0 337801 30984 KING GLENN DIRECTOR 2.00 50.00 X 0 228091 36092 GILLETTE NICOLE DIRECTOR (PART YEAR) 2.00 50.00 X 0 216325 31287 CHADWICK LEEANN DIRECTOR 2.00 50.00 X 0 193345 28246 AULTMAN RACHEL DIRECTOR 2.00 50.00 X 0 187323 28796 DULL ANN DIRECTOR 2.00 50.00 X 0 177685 37443 GARAFALO DANA INTERIM PRESIDENT/VICE CHAIR 50.00 0.00 X X 188774 0 11150 GISSE MARY PHARMACIST 50.00 0.00 X 139719 0 22443 PARKS AMBER RN 50.00 0.00 X 120088 0 8396 KELLOGG AMANDA NP 50.00 0.00 X 115692 0 6781 SMALLEY MARLENE MANAGER RN 50.00 0.00 X 106752 0 10109 HALE REBECKA MANAGER OF HOME CARE 50.00 0.00 X 105089 0 6347 RAPP DONNA FORMER SECRETARY 0.00 0.00 X 0 100549 0 BROWN LANELLE DIRECTOR (PART YEAR) 2.00 50.00 X 0 96666 21543 KANE THOMAS DIRECTOR (PART YEAR) 2.00 50.00 X 0 9150 0 776114 6113789 1539281 9 1 1 0 0 544190 544190 NET PATIENT REVENUE 621610 13870354 13870354 MEDICARE/MEDICAID 621610 6788963 6788963 AFFILIATE RELATED INCOME 900099 242145 242145 CONTRACTED CLINICAL SERVICES 621610 2278 2278 20903740 260319 260319 4929279 3034069 1895210 1895210 1895210 OTHER INCOME 900099 33231 33231 33231 23636690 20936971 0 2155529 197424 197424 10549937 9699974 849963 457125 177847 279278 275053 248556 26497 783949 720326 63623 631 631 2615 2615 201292 158207 43085 2915 462 2453 158714 126537 32177 51211 38907 12304 643306 636899 6407 8119 6721 1398 88375 30693 57682 117926 117926 COST OF GOODS SOLD 7434701 7434701 SUBSIDIARY EXPENSES 1933021 1933021 CONTRACT SERVICES 1032273 982997 49276 PATIENT CARE EXPENSE 392666 392666 24331253 20656124 3675129 0 99 100 4343382 1616491 2269585 2702987 247528 141455 1263516 328742 904446 934774 3646111 3285555 5564805 2904724 16975956 11586086 940189 1127109 2263982 356477 565649 446456 3769820 1930042 X 13206136 9656044 13206136 9656044 16975956 11586086 -694563 -2855529 0 X X 0 1 X 1 1 1 X 1040134 544190 1584324 22214860 23631875 24353727 23013698 20661595 113875755 22214860 23631875 24353727 24053832 21205785 115460079 0 2545872 2545872 2545872 2545872 112914207 81052 99820 156762 158538 260319 756491 81052 99820 156762 158538 260319 756491 255543 173085 226924 236157 275375 1167084 22551455 23904780 24737413 24448527 21741479 117383654 0.96190 0.98490 0.00640 0.00520 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FUNDS RELEASED FROM RESTRICTION FOR CHARITY CARE - 2017 AMOUNT: $ 255,543. 2018 AMOUNT: $ 173,085. 2019 AMOUNT: $ 226,924. 2020 AMOUNT: $ 236,157. 2021 AMOUNT: $ 242,145. OTHER REVENUE - 2021 AMOUNT: $ 33,230. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 160000 160000 693400 210350 483050 11806 2886 8920 380760 115506 265254 17550 17550 934774 HEDGE FUNDS 326779 F BLACKROCK DOMESTIC EQUITY 1099612 F BLACKROCK INTL EQUITY 747610 F BLACKROCK FIXED INCOME 368950 F CLARION & CORNERSTONE 361773 F 2904724 SELF-INSURANCE, DEFERRED COMP, OTHER 446456 446456 X X X X 0 1 0 0 0 0 0 1 0 ROGERS GREGORY DIRECTOR (PART YEAR) 0 613085 0 273178 0 216785 0 527107 0 19074 0 1649229 0 185189 ROSE MICHAEL SECRETARY/TREASURER 0 513812 0 162500 0 2551 0 99470 0 30499 0 808832 0 0 PADGETT FRANCINE FORMER SECRETARY/TREASURER 0 0 0 0 0 676976 0 0 0 0 0 676976 0 78227 JANDWANI MD PANKAJ DIRECTOR 0 438587 0 130822 0 1441 0 14500 0 1870 0 587220 0 0 BERG MD PAUL DIRECTOR 0 376523 0 110978 0 769 0 56327 0 30721 0 575318 0 0 CROSS BRYAN CHAIR (PART YEAR) 0 343122 0 131251 0 11326 0 60941 0 19731 0 566371 0 0 GREELEY MARY DIRECTOR 0 266806 0 100948 0 2452 0 95501 0 26776 0 492483 0 0 POKORZYNSKI DEB DIRECTOR (PART YEAR) 0 149929 0 35011 0 8002 0 254614 0 22533 0 470089 0 0 TERRELL TAMMY DIRECTOR 0 258257 0 76028 0 3516 0 17400 0 13584 0 368785 0 0 KING GLENN DIRECTOR 0 176975 0 41549 0 9567 0 11724 0 24368 0 264183 0 0 GILLETTE NICOLE DIRECTOR (PART YEAR) 0 174990 0 40501 0 834 0 11088 0 20199 0 247612 0 0 CHADWICK LEEANN DIRECTOR 0 152949 0 35180 0 5216 0 9860 0 18386 0 221591 0 0 AULTMAN RACHEL DIRECTOR 0 151968 0 35049 0 306 0 11514 0 17282 0 216119 0 0 DULL ANN DIRECTOR 0 139508 0 32063 0 6114 0 18924 0 18519 0 215128 0 0 GARAFALO DANA INTERIM PRESIDENT/VICE CHAIR 153655 0 34431 0 688 0 9426 0 1724 0 199924 0 0 0 GISSE MARY PHARMACIST 136510 0 2125 0 1084 0 7245 0 15198 0 162162 0 0 0 RAPP DONNA FORMER SECRETARY 0 0 0 0 0 100549 0 0 0 0 0 100549 0 100549 PART I, LINE 4B ROGERS, ROSE, BERG, AND GREELEY ARE PARTICIPANTS IN A 457(F) PLAN. ROGERS RECEIVED A PAYMENT IN 2021. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE. PART I, LINE 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPESNATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. 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 6 THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MYMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GAURANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION 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 NOT MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS BECAUSE THE BOARD IS COMPRISED OF INTERNAL EMPLOYEES OF MYMICHIGAN HEALTH, THE SOLE MEMBER, THEREFORE THESE RETURNS ARE REVIEWED BY THE MYMICHIGAN HEALTH CEO AND CFO PRIOR TO FILING. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND CFO. 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. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT 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 IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE 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. 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. MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I 0 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES 4000 WELLNESS DR MIDLAND MI 48670 382459947 OPERATIONS MI 501(C)(2) MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 382602147 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0