MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202331329349301733
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T08:36:31-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3000 TOWN CENTER SUITE 100	AddressLine1Txt
City	SOUTHFIELD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48075	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MYMICHIGAN MEDICAL CENTER MIDLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MYMI	BusinessNameControlTxt
Phone	9898379039	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JUDI GRAVES	PersonNm
Person Title	CORPORATE CONTROLLER	PersonTitleTxt
Phone	9898379039	PhoneNum
Signature	2023-05-12	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JUDI	PersonFirstNm
Person Last	GRAVES	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2023-04-27	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHUCK SHERWIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$998,481,546	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MYMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3521	TotalEmployeeCnt
Total Volunteers	202	TotalVolunteersCnt
Total Gross UBI	$5,994,901	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,818,723	PYContributionsGrantsAmt
CY Contributions Grants	$10,626,258	CYContributionsGrantsAmt
PY Program Service Revenue	$542,930,409	PYProgramServiceRevenueAmt
CY Program Service Revenue	$536,813,921	CYProgramServiceRevenueAmt
PY Investment Income	$18,936,128	PYInvestmentIncomeAmt
CY Investment Income	$179,482,090	CYInvestmentIncomeAmt
PY Other Revenue	$16,061,730	PYOtherRevenueAmt
CY Other Revenue	$17,819,799	CYOtherRevenueAmt
PY Total Revenue	$584,746,990	PYTotalRevenueAmt
CY Total Revenue	$744,742,068	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$189,929,437	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$196,846,804	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$490,361	CYTotalFundraisingExpenseAmt
PY Other Expenses	$356,296,182	PYOtherExpensesAmt
CY Other Expenses	$368,515,212	CYOtherExpensesAmt
PY Total Expenses	$546,225,619	PYTotalExpensesAmt
CY Total Expenses	$565,362,016	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,521,371	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$179,380,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,093,598,494	TotalAssetsBOYAmt
Total Assets EOY	$994,314,772	TotalAssetsEOYAmt
Total Liabilities BOY	$341,386,882	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$314,618,223	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$752,211,612	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$679,696,549	NetAssetsOrFundBalancesEOYAmt
Mission	CREATING HEALTHY COMMUNITIES - TOGETHER	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$499,914,521	ExpenseAmt
Revenue	$542,641,265	RevenueAmt
Desc	MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,668 INPATIENT ADMISSIONS AND 341,543 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2022. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY.	Desc
Total Program Service Expenses	$499,914,521	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3521	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JUDI GRAVES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9898379039	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
POSTLER-SLATTERY DIANE
DIRECTOR (PART YEAR)	2.00	50.00	Yes (X)	$0	$1,509,228	$306,077
ROGERS GREGORY
DIRECTOR (PART YEAR)	2.00	50.00	Yes (X)	$0	$1,103,048	$546,181
ROSE MICHAEL
SECRETARY/TREASURER	2.00	50.00		$0	$678,863	$129,969	Yes (X)
PADGETT FRANCINE
FORMER SENIOR VP/TREAS/SECRETARY	0.00	0.00		$0	$676,976	$0		Yes (X)
FIREMAN MD MARK
PHYSICIAN	50.00	0.00		$644,688	$0	$24,429			Yes (X)
SHERWIN CHUCK
PRESIDENT (PART YEAR)	2.00	50.00	Yes (X)	$0	$416,130	$215,635	Yes (X)
CROSS BRYAN
PRESIDENT (PART YEAR)	50.00	2.00		$485,699	$0	$80,672	Yes (X)
ERICKSON MICHAEL
VP	50.00	2.00		$396,194	$0	$63,348			Yes (X)
SHIVELY LAURIE
CRNA	50.00	0.00		$389,520	$0	$57,814			Yes (X)
LIEBERMAN DO JOHN
DIRECTOR	2.00	50.00	Yes (X)	$0	$379,466	$33,471
HILLS COURTNEY
CRNA	50.00	0.00		$346,547	$0	$45,702			Yes (X)
BISTOLARIDES MD PETER
CHIEF ACADEMIC AFFAIRS OFFICER	50.00	0.00		$348,309	$0	$32,222			Yes (X)
TERRELL TAMMY
CNO	50.00	2.00		$337,801	$0	$30,984				Yes (X)
BECKER MD ERIC
DIRECTOR	50.00	0.00	Yes (X)	$245,561	$0	$12,934
RAPP DONNA
FORMER SENIOR VP	0.00	0.00		$0	$100,549	$0		Yes (X)
NEWMAN MD JEFF
DIRECTOR	2.00	0.00	Yes (X)	$13,400	$0	$0
MORTENSEN SHARON
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
GRANSDEN BRIDGETTE
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
BLOCK CLIFFORD
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
CARMONEY CRAIG
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
COLLINS BILL
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
DORRIEN GREG
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
FORD NICOLE
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
KENDALL CHUCK
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
LAMB NANCY
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
NILLES PAULA
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
REARDON SANDY
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
STAMAS TONY
DIRECTOR (PART YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
THOMPSON MD MARGARET
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,207,719	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,864,260	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,579,438	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	206	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$10,626,258	GovernmentGrantsAmt
Total Contributions	$10,626,258	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS	621990	$291,480,266	$291,480,266
PATIENT REVENUE, NET	621990	$222,685,532	$222,685,532
SUBSIDIARY RELATED INCOME	900099	$12,051,249	$12,051,249
340B PHARMACY REVENUE	621500	$7,229,896	$7,229,896
CONTRACTED CLINICAL SERVICES	621990	$3,366,978	$3,366,978

Field	Value	IRS element (for citing)
Total Program Service Revenue	$536,813,921	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,405,125	TotalRevenueColumnAmt
Related Or Exempt Func Income	$122,956	RelatedOrExemptFuncIncomeAmt
Exclusion	$21,282,169	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$258,807	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$258,807	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$258,807	TotalRevenueColumnAmt
Exclusion	$258,807	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$411,646,443	SecuritiesAmt
Other	$170,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$253,376,561	SecuritiesAmt
Other	$362,917	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$158,269,882	SecuritiesAmt
Other	-$192,917	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$158,076,965	TotalRevenueColumnAmt
Exclusion	$158,076,965	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
GREAT LAKES BAY SURGERY & ENDOSCO	621400	$5,465,940	$5,465,940
INSURANCE PROCEEDS	524298	$4,342,828		$4,342,828
CAFETERIA/FOOD SERVICE	722514	$1,518,875		$1,518,875

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,233,349	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,704,388	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$528,961	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,560,992	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$744,742,068	TotalRevenueColumnAmt
Related Or Exempt Func Income	$542,641,265	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,994,901	UnrelatedBusinessRevenueAmt
Exclusion	$185,479,644	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,282,292	TotalAmt
Management And General	$1,282,292	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$169,831,742	TotalAmt
Program Services	$144,772,988	ProgramServicesAmt
Management And General	$24,782,383	ManagementAndGeneralAmt
Fundraising	$276,371	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,743,719	TotalAmt
Program Services	$7,375,428	ProgramServicesAmt
Management And General	$1,360,490	ManagementAndGeneralAmt
Fundraising	$7,801	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,737,165	TotalAmt
Program Services	$3,378,290	ProgramServicesAmt
Management And General	$1,307,207	ManagementAndGeneralAmt
Fundraising	$51,668	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,251,886	TotalAmt
Program Services	$10,532,507	ProgramServicesAmt
Management And General	$1,696,463	ManagementAndGeneralAmt
Fundraising	$22,916	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,850	TotalAmt
Management And General	$1,850	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,848	TotalAmt
Management And General	$17,848	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$222,640	TotalAmt
Management And General	$222,640	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,338,798	TotalAmt
Program Services	$28,933,505	ProgramServicesAmt
Management And General	$2,404,545	ManagementAndGeneralAmt
Fundraising	$748	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$152,350	TotalAmt
Program Services	$99,958	ProgramServicesAmt
Management And General	$52,392	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,287,647	TotalAmt
Program Services	$3,220,879	ProgramServicesAmt
Management And General	$3,065,702	ManagementAndGeneralAmt
Fundraising	$1,066	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$526,051	TotalAmt
Program Services	$474,627	ProgramServicesAmt
Management And General	$49,231	ManagementAndGeneralAmt
Fundraising	$2,193	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,423,795	TotalAmt
Program Services	$3,538,409	ProgramServicesAmt
Management And General	$1,885,386	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$411,566	TotalAmt
Program Services	$317,485	ProgramServicesAmt
Management And General	$88,667	ManagementAndGeneralAmt
Fundraising	$5,414	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$406,225	TotalAmt
Program Services	$273,973	ProgramServicesAmt
Management And General	$129,274	ManagementAndGeneralAmt
Fundraising	$2,978	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,635,000	TotalAmt
Program Services	$7,635,000	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$31,219,682	TotalAmt
Program Services	$28,873,852	ProgramServicesAmt
Management And General	$2,345,830	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,111,630	TotalAmt
Program Services	$117,718	ProgramServicesAmt
Management And General	$4,993,912	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$107,112,420	$89,325,217	$17,701,166	$86,037
MEDICAL SUPPLIES	$84,230,208	$84,230,208
PHYSICIAN PRACTICE SUBS	$66,360,019	$66,360,019
BAD DEBT EXPENSE	$16,809,471	$16,809,471

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,248,012	TotalAmt
Program Services	$3,644,987	ProgramServicesAmt
Management And General	$1,569,856	ManagementAndGeneralAmt
Fundraising	$33,169	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$565,362,016	TotalAmt
Program Services	$499,914,521	ProgramServicesAmt
Management And General	$64,957,134	ManagementAndGeneralAmt
Fundraising	$490,361	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,916	BOYAmt
EOY	$12,315	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,310,514	BOYAmt
EOY	$14,673,464	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$52,735,330	BOYAmt
EOY	$58,144,424	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,541,949	BOYAmt
EOY	$6,511,476	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$26,985,954	BOYAmt
EOY	$19,735,171	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$509,575,596	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$285,795,004	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$214,266,212	BOYAmt
EOY	$223,780,592	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$312,224,392	BOYAmt
EOY	$358,024,318	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$449,606,634	BOYAmt
EOY	$295,098,240	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$11,209,636	BOYAmt
EOY	$10,587,267	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,705,957	BOYAmt
EOY	$7,747,505	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,093,598,494	BOYAmt
EOY	$994,314,772	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,007,514	BOYAmt
EOY	$34,810,544	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$53,429,494	BOYAmt
EOY	$25,704,410	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,963,699	BOYAmt
EOY	$18,970,299	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$214,302,642	BOYAmt
EOY	$214,354,243	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,683,533	BOYAmt
EOY	$20,778,727	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$341,386,882	BOYAmt
EOY	$314,618,223	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$752,211,612	BOYAmt
EOY	$679,696,549	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$752,211,612	BOYAmt
EOY	$679,696,549	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,093,598,494	BOYAmt
EOY	$994,314,772	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$179,380,052	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$248,146,534	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,748,581	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$17,848	OtherActivitiesAmt
Total Lobbying Expenditures	$17,848	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	MYMICHIGAN MEDICAL CENTER MIDLAND PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,673,153	OtherCostOrOtherBasisAmt
Book Value	$2,673,153	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$329,406,562	OtherCostOrOtherBasisAmt
Depreciation	$177,383,415	DepreciationAmt
Book Value	$158,916,589	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,830,350	OtherCostOrOtherBasisAmt
Depreciation	$17,120,591	DepreciationAmt
Book Value	$816,317	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$133,191,995	OtherCostOrOtherBasisAmt
Depreciation	$91,290,998	DepreciationAmt
Book Value	$41,900,998	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,473,536	OtherCostOrOtherBasisAmt
Book Value	$19,473,535	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$223,780,592	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$33,198,287	F
BLACKROCK DOMESTIC EQUITY	$111,712,351	F
BLACKROCK INTERNATIONAL	$75,951,603	F
BLACKROCK FIXED INCOME	$37,482,543	F
CLARION & CORNERSTONE	$36,753,456	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$295,098,240	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMP, SELF INSURANCE, AND OTHER	$9,935,894
ASSET RETIREMENT OBLIGATION	$7,169,412
CAPITAL LEASE OBLIGATION	$146,114
OPERATING LEASE LIABILITY	$3,527,307

Field	Value	IRS element (for citing)
Total Liability	$20,778,727	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,245,668	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,245,668	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$84,920,259	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,192,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,727,695	NetCommunityBenefitExpnsAmt
Total Expense	0.02140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$92,165,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,192,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,973,363	NetCommunityBenefitExpnsAmt
Total Expense	0.03460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	990	ActivitiesOrProgramsCnt
Persons Served	58295	PersonsServedCnt
Total Community Benefit Expns	$259,861	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$227,841	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	282	PersonsServedCnt
Total Community Benefit Expns	$10,354,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,505,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,849,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,368	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1003	ActivitiesOrProgramsCnt
Persons Served	58577	PersonsServedCnt
Total Community Benefit Expns	$10,615,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,537,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,078,483	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1004	ActivitiesOrProgramsCnt
Persons Served	58577	PersonsServedCnt
Total Community Benefit Expns	$102,781,430	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,729,584	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,051,846	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$557	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,794	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,794	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$197	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$197	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$70	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	558	PersonsServedCnt
Total Community Benefit Expns	$1,305	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,305	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,241	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,241	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	70	ActivitiesOrProgramsCnt
Persons Served	558	PersonsServedCnt
Total Community Benefit Expns	$9,164	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,164	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,809,471	BadDebtExpenseAmt
Bad Debt Expense Attributable	$840,474	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$108,940,745	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$124,729,359	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,788,614	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MYMICHIGAN MEDICAL CENTER MIDLAND	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MYMICHIGAN.ORG	WebsiteAddressTxt
State License	1060000089	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MYMICHIGAN MEDICAL CENTER MIDLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MYMICHIGAN MEDICAL CENTER MIDLAND	PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER MIDLAND'S COMMUNITY EDUCATION MANAGER IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND 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 MIDLAND	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 MIDLAND LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.IN ORDER TO RESPOND AND IMPACT THE HEALTH CARE NEEDS THAT WERE IDENTIFIED, THE TOP PRIORITY AREAS FOR MYMICHIGAN HEALTH CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MYMICHIGAN HEALTH POPULATION HEALTH COLLABORATION TEAM AND MYMICHIGAN MEDICAL CENTER MIDLAND BOARD ON JUNE 28, 2019 FOLLOW; ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED:A. CHRONIC DISEASE PREVENTION AND TREATMENT. EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASED ACCESS TO HEALTH FOODS. PROJECTS THAT ALIGN WITH PREVENTION OF CHRONIC DISEASE FOLLOW: A. PRESCRIPTION FOR HEALTH PROGRAM IN PARTNERSHIP WITH MSU EXTENSION, MSU COLLEGE OF MEDICINE, AND THE MIDLAND FARMERS MARKET WHICH YIELDED 57 PARTICIPANTS; A VIRTUAL DIABETES PREVENTION PROGRAM IN PARTNERSHIP WITH THE MYMICHIGAN HEALTH DIABETES CENTER AND MYMICHIGAN MEDICAL GROUP OFFICES WHICH YIELDED 200 PARTICIPANTS; AND LOU E LOON EXERCISE POSTERS IN PARTNERSHIP WITH THE GREAT LAKES LOONS.B. MATERNAL/INFANT HEALTH. PREPARE, CARE AND SUPPORT CHILDBEARING FAMILIES IN ORDER TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDBEARING WOMEN AND INFANTS. 1. COFFECTIVE PREGNANCY EDUCATION THROUGH A MOBILE APPLICATION INTRODUCED TO ALL PREGNANT FAMILIES AT PRENATAL OFFICE VISITS IN PARTNERSHIP WITH MYMICHIGAN AND COMMUNITY PRIMARY CARE AND OBSTETRIC OFFICES, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE MIDLAND HEALTH DEPARTMENT AND WIC. 2. PROVIDING CHILDBIRTH CLASSES TO EXPECTANT FAMILIES IN PARTNERSHIP WITH BOTH HOSPITAL BASED AND COMMUNITY PRIMARY CARE AND OBSTETRIC OFFICES GREAT START COLLABORATIVE AND FAMILY AND CHILDREN'S SERVICES. THERE WERE 584 PARTICIPANTS IN CHILDBIRTH, FEEDING, SAFETY AND BABY CARE RELATED CLASSES; 365 PARTICIPANTS IN UNDERSTANDING BIRTH LIVE VIRTUAL CLASSES HELD IN FY2022 AND 259 PATIENTS WERE PROVIDED SUPPORT FROM CALLS TO THE BREASTFEEDING HELP LINE IN MIDLAND.C. MENTAL HEALTH AND SUBSTANCE USE. LEAD, PARTNER AND SUPPORT EFFORTS TO ENSURE A COMPREHENSIVE SYSTEM OF CARE TO MEET THE BEHAVIORAL HEALTH OF ALL AT THE RIGHT TIME, IN THE RIGHT PLACE, AND WITH THE RIGHT CARE. A. A BELONGING TO END LONELINESS PROJECT IN PARTNERSHIP WITH 211 AND THE MIDLAND AREA COUNCIL ON AGING HAD MORE THAN 1,000 REFERRALS FROM PRACTICES TO ADDRESS LONELINESS. B. PROMOTING MENTAL HEALTH SERVICES IN PARTNERSHIP WITH THE MENTAL HEALTH TEAM OF THE MIDLAND CHIP. C. CONTINUE PROJECT ASSET IN PARTNERSHIP WITH TEN16 RECOVERY NETWORK, AND A "TRAUMA-SUBSTANCE ABUSE-ADHD CONNECTION: INNOVATIVE DIAGNOSIS TREATMENT OF COMPLEX SUD ADOLESCENTS & YOUNG ADULTS," PROGRAM OFFERED VIRTUALLY WITH 41 PARTICIPANTS.
PART V, SECTION B, LINES 7A AND 10A	HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/

Field	Value	IRS element (for citing)
Facility	38	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (38 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MYMICHIGAN MEDICAL CENTER MIDLAND - CAR
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
2 - BAY CITY HEALTH PARK - REHAB SERVICES
3051 KIESEL ROAD	BAY CITY	MI	48706	REHABILITATION SERVICES (PT, OT)
3 - RIECKER SURGERY CENTER
4400 WELLNESS DRIVE	MIDLAND	MI	48640	AMBULATORY SURGERY CENTER
4 - MYMICHIGAN MEDICAL OFFICES - MIDLAND FA
4611 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
5 - MYMICHIGAN MEDICAL OFFICES - SPINE & PAI
555 W WACKERLY ROAD STE 3625	MIDLAND	MI	48640	PHYSICIAN OFFICE
6 - CAMPUS RIDGE FAMILY PRACTICE
4401 CAMPUS RIDGE SUITE D2100	MIDLAND	MI	48640	PHYSICIAN OFFICE
7 - MYMICHIGAN MEDICAL CENTER - ORTHOPEDIC
4401 CAMPUS RIDGE DRIVE SUITE 2200	MIDLAND	MI	48640	PHYSICIAN OFFICE
8 - MYMICHIGAN URGENT CARE - MIDLAND
3009 NORTH SAGINAW ROAD	MIDLAND	MI	48657	URGENT CARE CLINIC
9 - MYMICHIGAN MEDICAL CENTER MIDLAND - OBS
4401 CAMPUS RIDGE DRIVE SUITE LL110	MIDLAND	MI	48640	PHYSICIAN OFFICE
10 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
11 - MYMICHIGAN MEDICAL CENTER - MIDLAND RHE
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48640	PHYSICIAN OFFICE
12 - MYMICHIGAN MEDICAL CENTER MIDLAND WOUND
4300 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	WOUND TREATMENT, HYPERBARIC
13 - MYMICHIGAN MEDICAL CENTER PEDIATRICS
4401 CAMPUS RIDGE DRIVE SUITE 2000	MIDLAND	MI	48640	PHYSICIAN OFFICE
14 - MYMICHIGAN MEDICAL CENTER MIDLAND - INT
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48670	PHYSICIAN OFFICE
15 - PULMONARY & CRITICAL CARE MEDICINE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
16 - MYMICHIGAN MEDICAL CENTER MIDLAND - PSY
3007 NORTH SAGINAW ROAD	MIDLAND	MI	48640	PHYSICIAN OFFICE
17 - MYMICHIGAN MEDICAL CENTER REHAB SERVICE
304 WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
18 - WELL SPORT
4401 CAMPUS RIDGE DRIVE SUITE 1000	MIDLAND	MI	48640	SPORTS MEDICINE PROGRAM
19 - MYMICHIGAN HEMATOLOGYONCOLOGY
4500 CAMPUS RIDGE DRIVE BUILDING 2	MIDLAND	MI	48640	PHYSICIAN OFFICE
20 - MYMICHIGAN MEDICAL CENTER - SURGERY SPE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
21 - MYMICHIGAN MEDICAL CENTER MIDLAND - NEU
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
22 - MYMICHIGAN HEALTH MEDICAL OFFICES EAST
715 EAST MAIN STREET SUITE 100	MIDLAND	MI	48640	PHYSICIAN OFFICE
23 - MYMICHIGAN MEDICAL OFFICES - FAMILY MEDICI
555 W WACKERLY ROAD STE 1600	MIDLAND	MI	48640	PHYSICIAN OFFICE
24 - MYMICHIGAN URGENT CARE - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	URGENT CARE CLINIC
25 - MYMICHIGAN MEDICAL GROUP - FAMILY PRAC
5694 MIDLAND ROAD	FREELAND	MI	48623	PHYSICIAN OFFICE
26 - MYMICHIGAN MEDICAL CENTER MIDLAND VASCU
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
27 - MYMICHIGAN MEDICAL CENTER MIDLAND - END
301 WEST WACKERLY ROAD	MIDLAND	MI	48640	PHYSICIAN OFFICE
28 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
555 W WACKERLY ROAD STE 1600 AND	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)	2600
29 - MYMICHIGAN MEDICAL GROUP - SANFORD F
40 WEST SAGINAW ROAD	SANFORD	MI	48657	PHYSICIAN OFFICE
30 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
424 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
31 - MYMICHIGAN MEDICAL OFFICES - ENT
4310 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
32 - MYMICHIGAN MEDICAL CENTER HEART FAILURE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
33 - MYMICHIGAN REHAB - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	REHABILITATION SERVICES (PT, OT)
34 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOL
555 W WACKERLY ROAD	MIDLAND	MI	48640	LAB DRAW STATION, IMAGING SERVICES
35 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN
32 HOMER ROAD	MIDLAND	MI	48642	REHABILITATION SERVICES (PT, OT)
36 - MYMICHIGAN MEDICAL OFFICES - AUBURN
939 WEST MIDLAND ROAD	AUBURN	MI	48611	PHYSICIAN OFFICE
37 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
728 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
38 - MICHIGAN MEDICINE GYN SPECIALTY
4320 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $ 16,809,471.
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 MIDLAND 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: MIDLAND CHILD ADVOCACY BOARD OF DIRECTORS; MIDLAND HABITAT FOR HUMANITY BOARD OF DIRECTORS; GREAT LAKES BAY REGIONAL ALLIANCE BOARD OF DIRECTORS; UNITED WAY OF MIDLAND COUNTY BOARD OF DIRECTORS; MIDLAND BUSINESS ALLIANCE BOARD OF DIRECTORS; MIDLAND COUNTY COMMUNITY FOUNDATION BOARD AND SCHOLARSHIP COMMITTEE; AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD OF DIRECTORS; MIDLAND CENTER FOR THE ARTS BOARD OF DIRECTORS; COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE; AND GIRL SCOUTS OF MICHIGAN. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER MIDLAND STAFF FOR THE ORGANIZATIONS THAT FOLLOW: CANCER SERVICES, NORTHWOOD UNIVERSITY, NORTHWOOD HEALTH FAIR, CITY OF MIDLAND, SENIOR SERVICES, MIDLAND'S OPEN DOOR, THE ARNOLD CENTER AND THE MIDLAND COMMUNITY CENTER 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 FY2022, 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 MIDLAND CANCER SERVICES. WE ALSO PARTNER WITH THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY 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 PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. IN 2019, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN MIDLAND COUNTY. A SAGINAW VALLEY STATE UNIVERSITY TEAM WORKED WITH THE HEALTH AND HUMAN SERVICES COUNCIL (HHSC) OF MIDLAND COUNTY TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE HHSC AND MIDLAND COUNTY AGENCIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE SAGINAW VALLEY STATE UNIVERSITY TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS MIDLAND COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITY AND COUNTY AREAS. THE TEAM USED EXISTING US CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN MIDLAND COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF THE MIDLAND COUNTY POPULATION (AGE, RACE, EDUCATION, INCOME). THE SAMPLE GENERATED A TOTAL OF 759 SURVEYS TO BE USED FOR ANALYSES (603 ONLINE SURVEYS AND 156 PAPER SURVEYS).
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 CIDLAND, LOCATED IN MIDLAND, MI. THE SERVICE AREA IN MIDLAND COUNTY IS COMPRISED OF ZIP CODES: 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND), 48657(SANFORD), 48667 (MIDLAND), (48670)MIDLAND), 48674 (MIDLAND) AND 48686 (MIDLAND). SERVICE FOR MYMICHIGAN MEDICAL CENTER MIDLAND EXTENDS TO: 48706 (BAY) 48708 (BAY), 48611 (AUBURN) AND 48623 (FREELAND). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,411 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 17.9 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.7 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.3 PERCENT. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.7 YEARS OF AGE. OF THE POPULATION, 91.5 PERCENT ARE WHITE (NON-HISPANIC) AND 8.5 PERCENT ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE EXCELLENT WAS 11.4 PERCENT AND FAIR OR POOR WAS 12 PERCENT.
PART VI, LINE 5:	EACH MYMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELLBEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL AND BEHAVIORAL HEALTH; SOCIAL AND SPIRITUAL WELL-BEING; COMMUNITY HEALTH AND WELL-BEING AND COMMUNITIES OF SOLUTIONS. PORTFOLIO ONE AIMS AT IMPROVING THE PHYSICAL AND OR MENTAL HEALTH OF INDIVIDUALS SERVED THROUGH QUALITY MEASUREMENT AND PERFORMANCE IMPROVEMENT INITIATIVES, AS WELL AS THE USE OF PATIENT CARE NAVIGATORS AND CARE MANAGERS IN PRIMARY CARE OFFICES AND INITIATIVES TO IMPROVE ACCESS TO CARE, LIKE INCREASED OPPORTUNITIES FOR TELEMEDICINE. PORTFOLIO TWO ADDRESSES SOCIAL AND SPIRITUAL DRIVERS OF HEALTH AND WELL-BEING, MANY OF WHICH ARE IDENTIFIED THROUGH SYSTEMATIC EVALUATION OF SOCIAL DETERMINANTS OF HEALTH COMPLETED AT SEVERAL POINTS OF CONTACT INCLUDING: NEW PATIENTS, EMERGENCY DEPARTMENT PATIENTS, ANNUAL PHYSICALS, POST HOSPITAL DISCHARGES, REFERRALS TO CARE MANAGERS AND PATIENTS WHO CONSISTENTLY DO NOT SHOW UP FOR APPOINTMENTS TO DETERMINE WHAT BARRIERS THEY MAY BE ENCOUNTERING. PORTFOLIO THREE ACTIVITIES AIM TO IMPROVE COMMUNITY HEALTH AND WELL-BEING BY COMMUNITY PARTNERS WORKING TOGETHER TO ASSESS DATA, DETERMINE FOCUS AREAS OF HEALTH AND POOL STAFF AND RESOURCES TO IMPLEMENT HEALTH IMPROVEMENT PROJECTS LIKE INCREASING PHYSICAL ACTIVITY, ACCESS TO HEALTHY FOODS AND REDUCING OPIOID USAGE. PORTFOLIO FOUR ADDRESSES OUR ROLE AS AN ANCHOR INSTITUTION. WE ARE THE MAJOR EMPLOYER IN EACH COMMUNITY WE SERVE AND AS SUCH, WE PROMOTE HEALTH AND WELL-BEING BY CAPITALIZING ON COMMUNITY ASSETS AND ACTIVE ENGAGEMENT WITH REGIONAL INITIATIVES. A TOTAL OF $3,087,647 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN 2022 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FY 2022 3,435 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 277 PEOPLE REACHED WITH EDUCATION ON MENTAL HEALTH AND DEPRESSION AND 50 FOR DRUG AND ALCOHOL EDUCATION. ADDITIONALLY, 299 PEOPLE WERE REACHED FOR HEART DISEASE AND HEART HEALTH EDUCATION AND 0 FOR PERIPHERAL ARTERY DISEASE (PAD) EDUCATION. THERE WERE 68 INDIVIDUALS WHO PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR BLOOD PRESSURE, CANCER AND BALANCE. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDED DIABETES EDUCATION TO 200 PEOPLE AND REPORTED 259 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. CHILDBIRTH RELATED EDUCATION WAS PROVIDED TO 584 INDIVIDUALS. THERE WERE 652 INDIVIDUALS WHO RECEIVED SUPPORT THROUGH MEETING GROUPS LIKE: BREATHING, CARDIAC/HEART, NUTRITION/WEIGHT MANAGEMENT, ALS, PARENTING AND PARKINSON'S.
PART VI, LINE 6:	THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN FISCAL YEAR 2022 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. $132 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 MIDLAND 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
POSTLER-SLATTERY DIANE
DIRECTOR (PART YEAR)	$0	$973,417	$0	$510,000	$0	$25,811	$0	$277,001	$0	$29,076	$0	$1,815,305	$0	$0
ROGERS GREGORY
DIRECTOR (PART YEAR)	$0	$613,085	$0	$273,178	$0	$216,785	$0	$527,107	$0	$19,074	$0	$1,649,229	$0	$185,189
ROSE MICHAEL
SECRETARY/TREASURER	$0	$513,812	$0	$162,500	$0	$2,551	$0	$99,470	$0	$30,499	$0	$808,832	$0	$0
PADGETT FRANCINE
FORMER SENIOR VP/TREAS/SECRETARY	$0	$0	$0	$0	$0	$676,976	$0	$0	$0	$0	$0	$676,976	$0	$78,227
FIREMAN MD MARK
PHYSICIAN	$394,912	$0	$101,000	$0	$148,776	$0	$5,800	$0	$18,629	$0	$669,117	$0	$0	$0
SHERWIN CHUCK
PRESIDENT (PART YEAR)	$0	$294,054	$0	$108,319	$0	$13,757	$0	$183,305	$0	$32,330	$0	$631,765	$0	$0
CROSS BRYAN
PRESIDENT (PART YEAR)	$343,122	$0	$131,251	$0	$11,326	$0	$60,941	$0	$19,731	$0	$566,371	$0	$0	$0
ERICKSON MICHAEL
VP	$292,568	$0	$91,085	$0	$12,541	$0	$33,036	$0	$30,312	$0	$459,542	$0	$0	$0
SHIVELY LAURIE
CRNA	$377,914	$0	$1,175	$0	$10,431	$0	$30,450	$0	$27,364	$0	$447,334	$0	$0	$0
LIEBERMAN DO JOHN
DIRECTOR	$0	$322,117	$0	$56,019	$0	$1,330	$0	$5,800	$0	$27,671	$0	$412,937	$0	$0
HILLS COURTNEY
CRNA	$336,377	$0	$1,075	$0	$9,095	$0	$17,400	$0	$28,302	$0	$392,249	$0	$0	$0
BISTOLARIDES MD PETER
CHIEF ACADEMIC AFFAIRS OFFICER	$261,722	$0	$79,485	$0	$7,102	$0	$14,500	$0	$17,722	$0	$380,531	$0	$0	$0
TERRELL TAMMY
CNO	$258,257	$0	$76,028	$0	$3,516	$0	$17,400	$0	$13,584	$0	$368,785	$0	$0	$0
BECKER MD ERIC
DIRECTOR	$228,593	$0	$7,400	$0	$9,568	$0	$4,935	$0	$7,999	$0	$258,495	$0	$0	$0
RAPP DONNA
FORMER SENIOR VP	$0	$0	$0	$0	$0	$100,549	$0	$0	$0	$0	$0	$100,549	$0	$100,549

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $183 PER MONTH. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. CROSS, BRYAN PRESIDENT (PART YEAR) ERICKSON, MICHAEL VP
PART I, LINE 4B	POSTLER-SLATTERY, ROGERS, ROSE, CROSS, SHERWIN, AND ERICKSON 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 COMPENSATION 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MICHIGAN FINANCE AUTHORITY 2016	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	800596186	BondIssuerEIN
Bond Issued	2016-12-15	BondIssuedDt
Issue Price	$30,000,000	IssuePriceAmt
Purpose	CAPITAL PROJECTS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$11,000,000	RetiredAmt
Total Proceeds	$30,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$200,000	IssuanceCostsFromProceedsAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: MICHIGAN FINANCE AUTHORITY 2016 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2017	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ADDITIONAL INFORMATION	THIS FORM 990 TAX RETURN INCLUDES DATA FROM GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER WHICH IS A DISREGARDED ENTITY OWNED 100% BY MY MICHIGAN MEDICAL CENTER MIDLAND.
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 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 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 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 ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). COMPENSATION PROCESS FOR OFFICERS ALL OFFICER 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.
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 XI, LINE 9:	POST RETIREMENT LIABILITY ADJUSTMENT -3,848,975. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HEALTH FOUNDATION 100,394.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NPS ASSOCIATES LLC - DBA GREAT LAKES SURGERY & ENDOSCOPY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4228 BAY CITY RD	AddressLine1Txt
City	BAY CITY	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	486426014	ZIPCd

Field	Value	IRS element (for citing)
EIN	208500953	EIN
Primary Activities	AMBULATORY SURGERY	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	-$641,053	TotalIncomeAmt
End Of Year Assets	$10,018,533	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MYMICHIGAN MEDICAL CENTER MIDLAND	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MYMICHIGAN HEALTH
4000 WELLNESS DR	MIDLAND	MI	48670	382459948	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MYMICHIGAN MEDICAL CENTER ALMA
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER CLARE
703 N MCEWAN ST	CLARE	MI	48617	381518643	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER GLADWIN
515 QUARTER ST	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER ALPENA
1501 W CHISHOLM ST	ALPENA	MI	49707	386000029	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH
MYMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501(C)(3)	LINE 10		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MEDICAL OFFICE	MI	501(C)(3)	LINE 12A, I		0	MYMICHIGAN HEALTH
MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
4000 WELLNESS DR	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501(C)(2)			0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS
4000 WELLNESS DR	MIDLAND	MI	48670	061723993	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MYMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	812813405	FOUNDATION	MI	501(C)(3)	LINE 12A, I		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER WEST BRANCH
2463 S M-30	WEST BRANCH	MI	48661	464088182	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER SAULT
500 OSBORN BOULEVARD	SAULT STE MARIE	MI	49783	382602147	HOSPITAL	MI	501(C)(3)	LINE 3		0	MYMICHIGAN HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
MYMICHIGAN HEALTH PAIN MANAGEMENT
2463 SOUTH M-30	WEST BRANCH	MI	48661	834186622	HEALTHCARE PAIN MANAGEMENT	MI	MYMICHIGAN MEDICAL CENTER MIDLAND	RELATED	$9,834	$6,157	0	0	0.00500
ISOMM
211 S CRAPO ST STE H	MT PLEASANT	MI	48858	270867311	MRI SERVICES	MI					0	0		N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd