MEMORIAL HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MEMORIAL HOSPITAL (EIN 38-1358208)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-14
IRS object ID: 202323189349312212
Schema version: 2022v5.0
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 B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-14T14:32:13-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	20 STANWIX STREET	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381358208	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MEMO	BusinessNameControlTxt
Phone	9897235211	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JORRI TREMAIN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9897235211	PhoneNum
Signature	2023-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JORRI	PersonFirstNm
Person Last	TREMAIN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY J PETRELL	PreparerPersonNm
PTIN	P00138808	PTIN
Phone	4126976400	PhoneNum
Preparation	2023-11-14	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JORRI TREMAIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$257,798,587	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MEMORIALHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HEALTHCARE SERVICES TO PATIENTS.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1887	TotalEmployeeCnt
Total Volunteers	73	TotalVolunteersCnt
Total Gross UBI	$438,373	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,780,723	PYContributionsGrantsAmt
CY Contributions Grants	$3,337,828	CYContributionsGrantsAmt
PY Program Service Revenue	$234,338,187	PYProgramServiceRevenueAmt
CY Program Service Revenue	$250,920,336	CYProgramServiceRevenueAmt
PY Investment Income	$3,587,182	PYInvestmentIncomeAmt
CY Investment Income	$641,750	CYInvestmentIncomeAmt
PY Other Revenue	$2,361,379	PYOtherRevenueAmt
CY Other Revenue	$2,201,249	CYOtherRevenueAmt
PY Total Revenue	$246,067,471	PYTotalRevenueAmt
CY Total Revenue	$257,101,163	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	$125,089,880	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$127,190,886	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$176,724	CYTotalFundraisingExpenseAmt
PY Other Expenses	$125,365,769	PYOtherExpensesAmt
CY Other Expenses	$139,588,671	CYOtherExpensesAmt
PY Total Expenses	$250,455,649	PYTotalExpensesAmt
CY Total Expenses	$266,779,557	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,388,178	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,678,394	CYRevenuesLessExpensesAmt
Total Assets BOY	$220,221,745	TotalAssetsBOYAmt
Total Assets EOY	$191,179,125	TotalAssetsEOYAmt
Total Liabilities BOY	$103,605,519	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$91,371,330	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$116,616,226	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$99,807,795	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROMOTE HEALTH AND PROVIDE QUALITY COMPASSIONATE HEALTHCARE IN OUR REGION THROUGH A COMMITMENT TO SERVICE EXCELLENCE, TEAMWORK AND INNOVATION.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$42,427,492	ExpenseAmt
Revenue	$78,895,791	RevenueAmt
Desc	A MEDICAL AND SURGICAL HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL PATIENTS.INPATIENT DISCHARGES: 3,736, PATIENT DAYS: 23,217, INPATIENT SURGERIES: 769, BIRTHS: 465	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$78,872,684	ExpenseAmt
Revenue	$147,512,321	RevenueAmt
Desc	ANCILLARY SERVICES (OUTPATIENT VISITS: 258,385, OUTPATIENT SURGERIES: 3,728, PAIN MANAGEMENT VISITS: 6,759	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$61,658,734	ExpenseAmt
Revenue	$25,288,957	RevenueAmt
Desc	MMA SERVICES (PHYSICIAN CLINICS, MMA RVU'S: 438,478	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$47,147,627	ExpenseAmt
Revenue	$72,038	RevenueAmt
Desc	ALL OTHER PROGRAM SERVICES	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$47,147,627	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$72,038	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$230,106,537	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	Yes (1)	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	Yes (1)	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	264	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1887	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
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	0	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	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROSE BROWN	PersonNm
Phone	9897294717	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RANY A ABURASHED DO
MEMBER	40.00	Yes (X)	$100,533	$0	$8,756
BRIAN L LONG
EXECUTIVE DIRECTOR/CEO	58.00	Yes (X)	$644,722	$0	$21,838	2.00	Yes (X)
JAMES J FAYSAL DO
MEMBER	40.00	Yes (X)	$416,816	$0	$27,327
ANTHONY A PATSY DO
MEMBER	39.00	Yes (X)	$335,105	$0	$27,959	1.00
MICHAEL B KRAMER DO
MEMBER	40.00	Yes (X)	$454,042	$0	$23,320
RONALD M BISHOP DO
MEMBER	40.00	Yes (X)	$297,305	$0	$24,241
GREGORY P BONTRAGER
PRESIDENT	2.00	Yes (X)	$0	$0	$0		Yes (X)
TONY M YOUNG
VICE PRESIDENT	2.00	Yes (X)	$0	$0	$0		Yes (X)
WILFRED BILL A FARRELL
MEMBER	2.00	Yes (X)	$0	$0	$0
JERRY D WALDEN
SECRETARY	2.00	Yes (X)	$0	$0	$0		Yes (X)
MICHAEL L ASH
MEMBER	2.00	Yes (X)	$0	$0	$0	1.00
BARBARA BAKEROMEROD
MEMBER	2.00	Yes (X)	$0	$0	$0
THOMAS E CAMPBELL
MEMBER	2.00	Yes (X)	$0	$0	$0
SHANA M ESPINOZA
MEMBER	2.00	Yes (X)	$0	$0	$0
MARGARET R FREY DO
MEMBER	40.00	Yes (X)	$337,786	$0	$28,160
JOSEPH E TESTA DO
MEMBER	40.00	Yes (X)	$602,238	$0	$29,626
BRUCE J WENZLICK
MEMBER	2.00	Yes (X)	$0	$0	$0
JORRI TREMAIN
CFO	40.00		$219,467	$0	$7,546		Yes (X)
JAMES NEMETH
COO	40.00		$395,312	$0	$30,084			Yes (X)
JOSEPH M BUSTAMANTE DO
CHIEF MEDICAL OFFICER	40.00		$383,442	$0	$24,458			Yes (X)
THOMAS KURTZ
CIO	40.00		$262,336	$0	$26,867			Yes (X)
RAMY M KURDI DO
PHYSICIAN	40.00		$1,238,740	$0	$29,993				Yes (X)
TAREK R PACHA DO
PHYSICIAN	40.00		$1,040,093	$0	$24,613				Yes (X)
ASHRAF M ELBANNA MD
PHYSICIAN	40.00		$807,759	$0	$28,894				Yes (X)
BRETT WALKER DO
PHYSICIAN	40.00		$876,566	$0	$21,347				Yes (X)
HAZEM TABBAA DO
PHYSICIAN	40.00		$760,146	$0	$29,588				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,172,408	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$414,617	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	176	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMERICAN HEALTHCARE STAFFING
226 E SIXTEENTH ST SUITE A	TRAVERSE CITY	MI	49684	STAFFING SERVICES	$4,033,630
ALLIANCE HNI LLC
PO BOX 772550	DETROIT	MI	48277	RENTAL OF EQUIPMENT	$2,036,995
ECS CENTRAL MICHIGAN PC
4100 EMBASSY DR SE STE 400	GRAND RAPIDS	MI	49546	CONTRACTED EMERGECY ROOM PHYSICIANS	$1,248,216
ACCOUNTABLE HEALTHCARE STAFFING
999 YAMATO ROAD 210	BOCA RATON	FL	33431	STAFFING SERVICES	$732,509
LOCUMTENENS
PO BOX 405547	ATLANTA	GA	303845547	STAFFING SERVICES	$727,075

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$944,671	RelatedOrganizationsAmt
Government Grants	$2,393,157	GovernmentGrantsAmt
Total Contributions	$3,337,828	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	900099	$245,999,413	$245,999,413
PHYSICIAN REVENUE	900099	$4,868,834	$4,868,834
BILLING SERVICE REVENUE	561000	$52,089		$52,089

Field	Value	IRS element (for citing)
Total Program Service Revenue	$250,920,336	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,339,174	TotalRevenueColumnAmt
Exclusion	$1,339,174	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$900,860	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	$900,860	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$900,860	TotalRevenueColumnAmt
Related Or Exempt Func Income	$900,860	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$218,316	SecuritiesAmt
Other	$479,108	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$218,316	SecuritiesAmt
Other	-$479,108	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$697,424	TotalRevenueColumnAmt
Exclusion	-$697,424	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE	722513	$914,105	$914,105
WELLNESS CENTER	623000	$386,284		$386,284

Field	Value	IRS element (for citing)
Other Revenue Total	$1,300,389	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$257,101,163	TotalRevenueColumnAmt
Related Or Exempt Func Income	$251,769,107	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$438,373	UnrelatedBusinessRevenueAmt
Exclusion	$1,555,855	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,729,286	TotalAmt
Management And General	$4,729,286	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$101,372,317	TotalAmt
Program Services	$94,700,520	ProgramServicesAmt
Management And General	$6,536,754	ManagementAndGeneralAmt
Fundraising	$135,043	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,498,147	TotalAmt
Program Services	$1,468,703	ProgramServicesAmt
Management And General	$29,444	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,967,678	TotalAmt
Program Services	$12,613,811	ProgramServicesAmt
Management And General	$334,047	ManagementAndGeneralAmt
Fundraising	$19,820	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,623,458	TotalAmt
Program Services	$5,894,621	ProgramServicesAmt
Management And General	$728,837	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$359,897	TotalAmt
Program Services	$5,300	ProgramServicesAmt
Management And General	$354,597	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$139,098	TotalAmt
Management And General	$139,098	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$158,945	TotalAmt
Management And General	$158,945	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,663,745	TotalAmt
Program Services	$13,325,940	ProgramServicesAmt
Management And General	$2,337,446	ManagementAndGeneralAmt
Fundraising	$359	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,351,418	TotalAmt
Program Services	$67,881	ProgramServicesAmt
Management And General	$1,283,537	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,318,602	TotalAmt
Program Services	$1,153,261	ProgramServicesAmt
Management And General	$163,490	ManagementAndGeneralAmt
Fundraising	$1,851	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$368,952	TotalAmt
Program Services	$101,081	ProgramServicesAmt
Management And General	$267,871	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,405,411	TotalAmt
Program Services	$11,050,144	ProgramServicesAmt
Management And General	$1,354,716	ManagementAndGeneralAmt
Fundraising	$551	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$232,246	TotalAmt
Program Services	$167,692	ProgramServicesAmt
Management And General	$64,554	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$95,714	TotalAmt
Program Services	$89,044	ProgramServicesAmt
Management And General	$6,670	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,234,755	TotalAmt
Program Services	$1,229,727	ProgramServicesAmt
Management And General	$5,028	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,521,408	TotalAmt
Program Services	$284,947	ProgramServicesAmt
Management And General	$8,236,461	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,197,690	TotalAmt
Program Services	$761,194	ProgramServicesAmt
Management And General	$436,496	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICAL EXPENSES	$50,879,304	$50,824,776	$54,528
MEDICAL SUPPLIES	$20,517,535	$19,815,888	$701,647
PROVISION FOR BAD DEBTS	$9,170,761	$1,055,810	$8,114,951
QAAP TAX EXPENSE	$7,650,871	$7,650,871

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,322,319	TotalAmt
Program Services	$7,845,326	ProgramServicesAmt
Management And General	$457,893	ManagementAndGeneralAmt
Fundraising	$19,100	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$266,779,557	TotalAmt
Program Services	$230,106,537	ProgramServicesAmt
Management And General	$36,496,296	ManagementAndGeneralAmt
Fundraising	$176,724	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$71,556	BOYAmt
EOY	$3,595,270	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,943,164	BOYAmt
EOY	$30,053	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,537,338	BOYAmt
EOY	$24,846,140	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,658,104	BOYAmt
EOY	$5,159,998	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,269,308	BOYAmt
EOY	$1,443,779	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$211,331,500	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$110,459,200	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$102,907,152	BOYAmt
EOY	$100,872,300	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$55,030,435	BOYAmt
EOY	$37,133,135	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$5,324,803	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,804,688	BOYAmt
EOY	$12,773,647	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$220,221,745	BOYAmt
EOY	$191,179,125	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,600,719	BOYAmt
EOY	$26,443,470	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,640,017	BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$60,099,085	BOYAmt
EOY	$56,615,385	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,855,997	BOYAmt
EOY	$2,642,961	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,409,701	BOYAmt
EOY	$5,669,514	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,605,519	BOYAmt
EOY	$91,371,330	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	$116,616,226	BOYAmt
EOY	$99,807,795	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$116,616,226	BOYAmt
EOY	$99,807,795	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$220,221,745	BOYAmt
EOY	$191,179,125	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,678,394	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,264,637	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$3,632	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$130,968	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$6,630	OtherActivitiesAmt
Total Lobbying Expenditures	$6,630	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	MEMORIAL HEALTHCARE PAYS DUES TO MICHIGAN HEALTH AND HOSPITAL ASSOCIATION & MICHIGAN HEALTH COUNCIL. A PORTION OF THESE DUES GO TOWARDS LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,649,953	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$682,942	InvestmentEarningsOrLossesAmt
End Year Balance	$4,967,011	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,665,470	BeginningYearBalanceAmt
Investment Earnings Or Losses	$316,175	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$105,527	GrantsOrScholarshipsAmt
Other Expenditures	$226,165	OtherExpendituresAmt
End Year Balance	$5,649,953	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,342,671	BeginningYearBalanceAmt
Contributions	$7,082	ContributionsAmt
Investment Earnings Or Losses	$333,532	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,814	OtherExpendituresAmt
End Year Balance	$5,665,471	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,492,321	BeginningYearBalanceAmt
Contributions	$36,587	ContributionsAmt
Investment Earnings Or Losses	$826,200	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,437	OtherExpendituresAmt
End Year Balance	$5,342,671	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,653,008	BeginningYearBalanceAmt
Contributions	$76,952	ContributionsAmt
Investment Earnings Or Losses	-$225,393	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,246	OtherExpendituresAmt
End Year Balance	$4,492,321	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.53120	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.46880	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,098,180	OtherCostOrOtherBasisAmt
Book Value	$5,098,180	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,667,232	OtherCostOrOtherBasisAmt
Depreciation	$43,631,615	DepreciationAmt
Book Value	$70,035,617	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$912,480	OtherCostOrOtherBasisAmt
Depreciation	$345,186	DepreciationAmt
Book Value	$567,294	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,139,419	OtherCostOrOtherBasisAmt
Depreciation	$64,127,325	DepreciationAmt
Book Value	$23,012,094	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,514,189	OtherCostOrOtherBasisAmt
Depreciation	$2,355,074	DepreciationAmt
Book Value	$2,159,115	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$100,872,300	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	WELLS FARGO MUTUAL FUNDS	Desc
Book Value	$37,133,135	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$37,133,135	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$2,096,116
FINANCE LEASE RIGHT-OF-USE ASSETS	$1,136,934
OPERATING LEASE RIGHT-OF-USE ASSETS	$1,220,200
OTHER ASSETS	$8,150,372
THIRD-PARTY PAYOR SETTLEMENTS	$170,025

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,773,647	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR	$1,289,738
FINANCE LEASE OBLIGATION	$1,179,672
OPERATING LEASE OBLIGATION	$1,325,959
ACCELERATED MEDICARE PAYMENTS	$968,709
DUE TO AFFILIATES	$555,103
OTHER LIABILITIES	$350,333

Field	Value	IRS element (for citing)
Total Liability	$5,669,514	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$242,726,966	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$7,264,637	NetUnrealizedGainsInvstAmt
Other Revenue	$2,286,751	OtherRevenueAmt
Revenue Not Reported	-$4,977,886	RevenueNotReportedAmt
Revenue Subtotal	$247,704,852	RevenueSubtotalAmt
Other Revenues Not Included	$9,396,311	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$9,396,311	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$257,101,163	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$259,321,819	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,938,573	OtherExpensesIncludedAmt
Expenses Not Reported	$1,938,573	ExpensesNotReportedAmt
Expenses Subtotal	$257,383,246	ExpensesSubtotalAmt
Other Expenses Not Included	$9,396,311	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$9,396,311	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$266,779,557	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THERE ARE VARIOUS PERMANENT AND BOARD DESIGNATED ENDOWMENT FUNDS. THE ONLY SPECIFICALLY IDENTIFIED USES OF THE VARIOUS FUNDS ARE AS FOLLOWS: NURSING SCHOLARSHIP AWARDS AND NURSING AND HEALTHCARE FOR THE ELDERLY.
PART X, LINE 2:	THE ORGANIZATION AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON THEIR EXEMPT INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND A SIMILAR PROVISION OF STATE LAW. THESE ENTITIES ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. DEV CORP AND ASSISTED LIVING ARE SINGLE MEMBER LIMITED LIABILITY COMPANIES, WHICH ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. PAIN MANAGEMENT IS A LIMITED LIABILITY COMPANY AND HAS ELECTED TO HAVE ITS INCOME TAXES AS A PARTNERSHIP UNDER THE PROVISIONS OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKE-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT MET THE RECOGNITION THRESHOLD IN 2022 AND 2021.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CONSOLIDATED ENTITY - PAIN MANAGEMENT 2,286,751.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT EXPENSES 158,954. BAD DEBT EXPENSE 9,170,761. EXPENSES RECORDED AS REVENUE 66,596.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CONSOLIDATED ENTITY - PAIN MANAGEMENT 1,938,573.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT EXPENSES 158,954. BAD DEBT EXPENSE 9,170,761. EXPENSES RECORDED AS REVENUE 66,596.

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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$251,136	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$251,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,204,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,949,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,255,506	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,455,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,949,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,506,642	NetCommunityBenefitExpnsAmt
Total Expense	0.03690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$214,244	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$214,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$483,965	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$483,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,265,258	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,203,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,061,301	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$164,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$243,822	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,371,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,203,957	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,167,996	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,827,758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,153,120	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,674,638	NetCommunityBenefitExpnsAmt
Total Expense	0.06070	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,584	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$147,584	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,170,761	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,751,229	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$26,423,233	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,828,069	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,404,836	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	MEMORIAL HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
Website Address	MEMORIALHEALTHCARE.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	LONG-TERM CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORAL HEALTHCARE	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	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	MEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONS	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	MEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONS	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	MEMORIALHEALTHCARE.ORG/ABOUT/REPORTS-AND-PUBLICATIONS	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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	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	MEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	MEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	MEMORIALHEALTHCARE.ORG/PATIENT-INFORMATION/FINANCIAL-SERVICES	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
Other Publicity	Yes (X)	OtherPublicityInd
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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MEMORAL HEALTHCARE	PART V, SECTION B, LINE 5: PARTICIPANTS IN THE CHNA:GREAT LAKES BAY HEALTHSAFECENTERSHIAWASSEE REGIONAL EDUCATION SERVICE DISTRICTSHIAWASSEE COUNTY HEALTH DEPARTMENTSHIAWASSEE HEALTH AND WELLNESSCATHOLIC CHARITIESMEMORIAL HEALTHCAREMEMORIAL HEALTHCARE FOUNDATIONMICHIGAN STATE UNIVERSITY EXTENSIONRESPITE VOLUNTEERS OF SHIAWASSEE COUNTYSHIAWASSEE GREAT START INITIATIVEGREATER LANSING FOOD BANKSHIAWASSEE HOPEMEMORIAL HOSPITALCOMMUNITY MEMBERSOWOSSO PUBLIC SCHOOLSSHIAWASSEE FAMILY YMCA - LIVE HEALTHYSHIAWASSEE HEALTH AND HUMAN SERVICES COUNCILSHIAWASSEE MINISTERIAL REPRESENTATIVESUNITED WAY OF GENESEE COUNTY (SHIAWASSEE)SHIAWASSEE COUNCIL ON AGINGHOMELESS ANGELSDISABILITY NETWORK CAPITAL AREABAKER PATHWAYSPARTICIPANTS IN THE IMPLEMENTATION PLANNING:BILL ARCHER, SHIAWASSEE COUNTY VASTEPHANIE ROWELL, MEMORIAL HEALTHCARE, TAYLOR LIFE CENTERDENNIS CHERNIN, SHIAWASSEE COUNTY HEALTH DEPARTMENTPENNY CORBIN, SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (SCCMHA)GILPIN, CATHOLIC CHARITIESNICOLE GREENWAY, SHIAWASSEE COUNTY HEALTH DEPARTMENTPHIL HATHAWAY, TOWN PLANS LLC, LIVE HEALTHY COALITIONCOURTNEY HERRICK, SHIAWASSEE EDUCATION SERVICE DISTRICT (SRESS)LARRY JOHNSON, SHIAWASSEE COUNTY HEALTH DEPARTMENTJEFF MCMANUS, RESPITE VOLUNTEERS OF SHIAWASSEE COUNTYMICHAEL DEWEY, SHIAWASSEE UNITED WAYMARLA PRICE, MEMORIAL HEALTHCARE DIETICIANCATHY SPRAGUE-EMANS, CATHOLIC CHARITIESMEMORIAL HOSPITAL THOMAS TEAL, MD, MEMORIAL HEALTHCAREABBIE TIPTON. MEMORIAL HEALTHCAREJORRI TREMAIN, MEMORIAL HEALTHCAREMARLENE WEBSTER, SHIAWASSEE HOPESARA WRIGHT, GREAT LAKES BAY HEALTH CENTER SHIAWASSEE COUNTY
MEMORAL HEALTHCARE	PART V, SECTION B, LINE 6B: MEMORIAL WAS THE LEAD ON THE CHNA BUT THERE WAS A SHIAWASSEE COMMUNITY HEALTH NEEDS TEAM THAT CONSISTED OF THEFOLLOWING ORGANIZATIONS:A. SHIAWASSEE UNITED WAYB. SHIAWASSEE REGIONAL EDUCATION SERVICEC. SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITYD. SHIAWASSEE COUNTY HEALTH DEPARTMENT
MEMORAL HEALTHCARE	PART V, SECTION B, LINE 11: DUE TO COVID-19, MEMORIAL HEALTHCARE WILL BEGIN WORKING ON ITS IMPLEMENTATION PLAN IN JULY OF 2020. HOWEVER, THE PRIMARY NEEDS IDENTIFIED IN THE SURVEY WERE MENTAL HEALTH, OBESITY, AND SUBSTANCE ABUSE BASED ON THE RESPONSES. THESE DOMAINS WILL BE THE FOCUS OF MEMORIAL HEALTHCARE'S EFFORTS MOVING FORWARD AND WILL ENCOMPASS BOTH ADULTS AND CHILDREN.AS WITH MOST HEATH CARE FACILITIES, MEMORIAL HEALTHCARE HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES.
MEMORAL HEALTHCARE	PART V, SECTION B, LINE 16J: THE FAP POLICY IS ALSO STATED ON ALL BILLING STATEMENTS SENT FROM THE HOSPITAL.
MEMORAL HEALTHCARE	PART V, SECTION B, LINE 20E: SEND SELF-PAY ACCOUNTS TO ADVOMAS, A MEDICAL BILLING SERVICE, PRIOR TO SENDING TO CAREPAYMENT AND BEFORE SENDING TO BAD DEBT.

Field	Value	IRS element (for citing)
Facility	39	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (39 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MEMORIAL HEALTHCARE CANCER CENTER
721 N SHIAWASSEE	OWOSSO	MI	48867	CANCER CARE SERVICES/ONCOLOGY/ANTICOAG
2 - MEMORIAL HEALTHCARE OUT PT SERVICES
1975 W M21 STE 102	OWOSSO	MI	48867	HOME HEALTH/HOSPICE
3 - MEMORIAL HEALTHCARE HEALTH PARK OFFIC
100 HEALTH PARK DRIVE	OWOSSO	MI	48867	MH LAB/MH RAD, MMA DR. VORENKAMP & OCC HEALTH
4 - MEMORIAL HEALTHCARE PAIN CLINIC
818 W KING ST STE 300	OWOSSO	MI	48867	PAIN MGMNT
5 - MEMORIAL HEALTHCARE'S OWOSSO WOODARD
317 S ELM ST STE 116	OWOSSO	MI	48867	PHYSCIAL THERAPY REHAB, SERVICES/CARDIAC REHAB
6 - MID MICHIGAN ORTHOPEDICS
819 N SHIAWASSEE ST STE 200	OWOSSO	MI	48867	ORTHO ( SCHMIDT/PALAZETI,BRANCH/MIKE SMITH/WOODS/KURDI/ELBANNA/WALKER/JAUSS)
7 - MEMORIAL HEALTHCARE OBGYN
818 W KING ST LOWER LEVEL	OWOSSO	MI	48867	OBGYN (CHAVES/FREY/LONDON/ARLANDA SMITH)
8 - MEMORIAL OVID-ELSIE OFFICES
9480 E M-21	OWOSSO	MI	48866	MMA PRIMARY CARE (THATIKONDA/HUFF/KOHORST), MH LAB, MH RAD
9 - MEMORIAL DURAND OFFICES
9099 E LANSING ROAD	DURAND	MI	48429	MMA FAMILY MEDICINE (GAITONDE/AKBARI/MCARTHUR/LAFFERTY), DURAND URGENT CARE
10 - MEMORIAL PERRY OFFICES
3337 W BRITTON ROAD	PERRY	MI	48872	MMA FAMILY MEDICINE (LIU/MANKEY/RICE/TUCZYNSKI), MH LAB, MH RAD
11 - MEMORIAL PEDIATRIC CLINIC
802 W KING ST STE M	OWOSSO	MI	48867	PEDS (KRAMER, PAVON, CREIGHTON, KIDWELL, GOSSAYNIE)
12 - INSTITUTE FOR NEUROSCIENCE & MULTIPLE
819 N SHIAWASSEE ST STE 100	OWOSSO	MI	48867	NEUROLOGY (PACE/FREY/LEAHY/COTE/BRUNE/NOWACEK/WALCH/SAEED/PLATNER/BAINS)
13 - MEMORIAL LAINGSBURG OFFICES
317 E GRAND RIVER	LAINGSBURG	MI	48848	FAMILY MEDICINE (GURDEN, KING, BROOKS), MH LAB, MH RAD
14 - MEMORIAL SURGICAL ASSOCIATESWOUND CL
818 W KING ST STE 201	OWOSSO	MI	48867	SURGERY (AZMEH/ FLERMOEN/ TESTA/ WEAVE/SPENCLEY/HARP), WOUND CLINIC (SPIESS)
15 - MEMORIAL CHESANING FAMILY PRACTICE
300 S CHAPMAN	CHESANING	MI	48616	FAMILY MEDICINE (EBERT/LIVIERATOS/FELDPAUSCH/WEGSHEID)
16 - MEMORIAL PHYSICAL REHABILITATION CENTER
8906 E LANSING ROAD	DURAND	MI	48429	REHAB SERVICES
17 - MMA GASTRO OFFICES
721 N SHIAWASSEE STE 202	OWOSSO	MI	48867	GASTROENTEROLOGY (MEHDI/TABBAA/HUSEINI/LANDERS/SATTAZAHN/LOCUMS)
18 - MEMORIAL OUTPATIENT SERVICES - CHESANING
305 S SAGINAW STREET	CHESANING	MI	48616	LAB, RAD, PT SERVICES
19 - MEMORIAL STATE ROAD OFFICES
239 N STATE ROAD	OWOSSO	MI	48867	MH LAB, MH RAD, MMA SHIAWASSEE FAMILY MED (SOMO/JOHNSTON), MMA URGENT CARE
20 - INTERNAL MEDICINE ASSOCIATES OF OWOSS
300 HEALTH PARK DR STE 302	OWOSSO	MI	48867	INTERNAL MED (MACAL/SANTIAGO/ARDELEAN)
21 - PEDIATIC & ADOLESCENT SERVICES
802 W KING ST STE J	OWOSSO	MI	48867	PEDS (BUDAI)
22 - MEMORIAL HEALTHCARE ENDOCRINOLOGY
802 W KING ST STE E	OWOSSO	MI	48867	ENDOCRINOLOGY (DAOUD/CARR)
23 - MEMORIAL UROLOGY
818 W KING ST STE 202	OWOSSO	MI	48867	UROLOGY (BOOKMAN/PACHA/BYRON)
24 - MEMORIAL PHYSICAL REHAB - PERRY
3737 W LANSING ROAD	PERRY	MI	48872	REHAB SERVICES
25 - MEMORIAL HEALTHCARE HOSPITAL MEDICINE
826 W KING ST 3RD FLOOR	OWOSSO	MI	48867	HOSPITALISTS
26 - MEMORIAL HEALTHCARE PEDIATRIC GASTROE
1123 VILLA LINDE CT STE 38	FLINT	MI	48532	PEDS GASTRO (JIBALY)
27 - MEMORIAL HEALTHCARE ALLERGY & IMMUNOLOGY
317 S ELM ST STE 205A	OWOSSO	MI	48867	ALLERGIST (NASIR)
28 - MEMORIAL HEALTHCARE INSTITUTE FOR NEURO
4600 GARFIELD RD	AUBURN	MI	48611	NEURO (DARDAS)
29 - MEMORIAL HEALTHCARE NUTRITION & DIABETES
317 S ELM ST STE 202	OWOSSO	MI	48867	DIABETES
30 - MEMORIAL HEALTHCARE PALLIATIVE MEDICINE
802 W KING ST SUITE C	OWOSSO	MI	48867	PALLIATIVE CARE (LARSON)
31 - MEMORIAL HEALTHCARE PULMONOLOGY
826 W KING ST STE 200	OWOSSO	MI	48867	PULMOMOLGIST (PRUITT)
32 - MEMORIAL HEALTHCARE PHYSICAL MED & REHAB
1501 WATERFORD PARKWAY STE B	ST JOHNS	MI	48879	PHYSCIAL MEDICINE & REHABILIATION (AZUH)
33 - MEMORIAL HEALTHCARE NEURO SAGINAW
4680 MCLEOD EAST STE 2	SAGINAW	MI	48604	NEURO SAGINAW (LEE/NEWTON/IBRAHIM/NEURO SAG INPT LOCUMS)
34 - MEMORIAL HEALTHCARE COVID OFFSITE TESTIN
1637 W CHESTNUT	OWOSSO	MI	48867	LAB SERVICES
35 - MEMORIAL HEALTHCARE ALLERGYIMMUNOLOGY
4200 FASHION SQUARE BLVD SUITE 301	SAGINAW	MI	48603	ALLERGY/IMMUNOLOGY SAGINAW (MOHSEN NASIR)
36 - MEMORIAL HEALTHCARE DERMATOLOGY
802 W KING ST SUITE G	OWOSSO	MI	48867	DERMATOLOGY (WASIM NASIR)
37 - FAMILY MED KING ST
818 W KING ST STE 101	OWOSSO	MI	48867	FAMILY MEDICINE (PATSY/OLIVER/MARCOS IZA/QAQISH/BRETT GURDEN/PERRIN/KROKOS)
38 - ENT AND AUDIOLOGY
818 W KING ST STE 301	OWOSSO	MI	48867	ENT (RADGENS/NELSON)
39 - INSTITUTE FOR NEURO PRACTICE POOL ACCOUN
2525 JOLLY RD STE 240	OKEMOS	MI	48864	NEURO (MASIH/KATTELUS/SIMENSKY)

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTING METHODOLOGY USED FOR LINE 7A WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 IN ADDITION TO DISCOUNTS AT COST PER THE HOSPITAL'S ACCOUNTING RECORDS. THE COSTING METHODOLOGY USED FOR LINES 7B - 7C WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTING METHODOLOGY USED FOR LINES 7E - 7I WERE ACTUAL COSTS PER THE HOSPITAL'S ACCOUNTING RECORDS.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDE EMERGENCY ROOM AND OR SERVICES. NO PHYSICIAN CLINICS ARE INCLUDED.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A WAS SUBTRACTED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSES. THE BAD DEBT EXPENSE EXCLUDED WAS $9,170,761.
PART II, COMMUNITY BUILDING ACTIVITIES:	MEMORIAL HEALTHCARE HAS A STRONG REPUTATION AS A COLLABORATOR AND SUPPORTER OF AGENCIES AND ORGANIZATIONS WORKING TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. INCLUDED IN THESE EFFORTS IS A VIGOROUS SUPPORT BOTH FINANCIALLY AND IN-KIND OF THE ECONOMIC DEVELOPMENT EFFORTS IN OUR COUNTY. WE PLAY A LEADERSHIP ROLE IN THE HEALTH & HUMAN SERVICES COLLABORATIVE IN SHIAWASSEE COUNTY WHICH HAS MADE A DIFFERENCE IN IMPORTANT ISSUES TO OUR RESIDENTS SUCH AS: TRANSPORTATION, ACCESS TO HEALTH AND DENTAL CARE FOR THOSE ON MEDICAID OR UNINSURED, HOMELESSNESS PREVENTION, SUICIDE PREVENTION, ELDER CARE, ETC.DURING THE COVID-19 PANDEMIC, MEMORIAL PROVIDED THE COMMUNITY AS WELL AS THEIR OWN EMPLOYEES WITH TESTING SITES WHICH INCLUDED A DRIVE-THRU LOCATION WITH MINIMAL CONTACT. TO FURTHER THEIR EFFORTS TO MINIMIZE THE SPREAD OF COVID MEMORIAL ALSO EXTENDED BEYOND SHIAWASSEE COUNTY TO PROVIDE SERVICES TO WAYNE COUNTY TO PROVIDE EXCELLENT CARE IN TESTING ALL THE INMATES AND SHERIFFS. MEMORIAL WAS ALSO AMONG THE FIRST TO PROVIDE THE 1ST DOSE OF THE VACCINE TO THE COMMUNITY AND THEIR EMPLOYEES. MEMORIAL CONTINUES TO PROVIDE EXCEPTIONAL COMMUNITY SUPPORT INCLUDING ESTABLISHING ITSELF AS AN INDUSTRY LEADER IN THE CONTINUED FIGHT AGAINST THE SPREAD OF COVID-19.
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.
PART III, LINE 3:	IT HAS BEEN ESTIMATED THAT APPROXIMATELY 30 PERCENT OF EXPENSES RELATING TO BAD DEBT ARE ATTRIBUTABLE TO PATIENTS THAT MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. THE ESTIMATE IS BASED ON THE HOSPITALS EXPERIENCE AND REVIEW OF CHARITY CARE APPLICATIONS.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDE PRIMARILY TO SELF-PAY PATIENTS.ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVAN PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING MEMORIAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), MEMORIAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:	MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. INPATIENT AND OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. COSTS ON STRESS, SUBACUTE AND LONG-TERM CARE ARE ALSO INCLUDED. MEDICARE REVENUE AND COSTS RELATED TO THE SUBSIDIZED HEALTH SERVICES HAVE BEEN REMOVED IN ORDER TO AVOID DUPLICATION. ANY SHORTFALLS CALCULATED HERE ARE CONSIDERED TO BE A COMMUNITY BENEFIT.
PART III, LINE 9B:	PATIENTS RECEIVE A STATEMENT 14 DAYS AFTER THEIR INSURANCE PAYS OR 14 DAYS AFTER SERVICE FOR SELF PAY PATIENTS. PATIENT WILL RECEIVE A PAST DUE NOTICE (2ND STATEMENT) 30 DAYS AFTER FIRST STATEMENT IF NO PAYMENT MADE OR PAYMENT ARRANGEMENT SET UP. PATIENTS WILL THEN BE REFERRED TO OUR VENDOR CAREPAYMENT TO SET UP A 25 MONTH PAYMENT PLAN. IF THE PATIENT DEFAULTS (AFTER A MINIMUM OF 90 DAYS) ON THE PAYMENT PLAN THE ACCOUNT WILL BE RETURNED TO MEMORIAL AND THEN WILL BE SENT ONTO UNITED COLLECTION BUREAU FOR COLLECTION ACTIVITY. PATIENT WILL RECEIVE NOTICE OF ANY ECA'S 30 DAYS PRIOR TO BEING SENT TO COLLECTIONS.
PART VI, LINE 2:	WE ASSESS THE HEALTH NEEDS OF OUR RESIDENTS THROUGH COLLABORATIONS WITH THE COUNTY HEALTH DEPARTMENT, OUR 10 SCHOOL DISTRICTS, OUR COUNCIL OF HEALTH & HUMAN SERVICE AGENCIES AND THROUGH PHYSICIAN OBSERVATION AND REQUESTS.
PART VI, LINE 3:	WE COMMUNICATE THIS THROUGH SEVERAL METHODS INCLUDING: POSTING AT REGISTRATION POINTS, IN THE PATIENT HANDBOOK PROVIDED TO ALL INPATIENTS, IN A GUIDE TO THE BILLING PROCESS PAMPHLET HANDED OUT AT REGISTRATION POINTS, ON THE BACK OF OUR PATIENT STATEMENTS, VERBALLY THRU OUR FINANCIAL COUNSELING STAFF WHEN PATIENTS ARE IN-HOUSE AS WELL AS THROUGH PHONE CONVERSATIONS WITH PATIENTS CONCERNING THEIR BILLS.
PART VI, LINE 4:	MEMORIAL HEALTHCARE SERVES SHIAWASSEE COUNTY AND THE SURROUNDING REGION, APPROXIMATELY 105,000 PEOPLE. IT IS A RURAL COUNTY WITH A CENTRAL CITY OF OWOSSO (POPULATION 15,000). THE CENTER CORE OF THE COUNTY, OWOSSO, IS KNOWN AS A "MICROPOLITAN". THERE IS LITTLE RACIAL DIVERSITY, 94% OF THE RESIDENTS ARE WHITE, 4% ARE HISPANIC, 1% IS AFRICAN AMERICAN, AND 2% ARE OTHER/2 OR MORE RACES. THE DIVERSITY IS MORE APPARENT IN THE SOCIAL ECONOMIC DISPARITIES. IN JANUARY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 4.40% WHICH WAS SLIGHTLY HIGHER THAN THE STATE AVERAGE OF 3.8%. IN MAY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 29.2% WHICH WAS ALSO HIGHER THAN THE STATE AVERAGE OF 21.2%. 18.3% OF CHILDREN LIVE IN POVERTY.
PART VI, LINE 5:	MEMORIAL HEALTHCARE DEVELOPED A COLLABORATION WITH GREAT LAKES BAY HEALTH CENTER OF SAGINAW TO SET UP A COMMUNITY HEALTH CENTER IN SHIAWASSEE COUNTY. THIS CENTER SERVES AS THE MEDICAL HOME FOR THOUSANDS WHO HAD NO ACCESS TO CARE. THROUGH A PARTNERSHIP WITH COMMUNITY MENTAL HEALTH, THIS CENTER ALSO NOW HAS A FULL TIME SOCIAL WORKER. CURRENTLY, WE ARE WORKING TO INCREASE ACCESS TO DENTAL HEALTH.
PART VI, LINE 6:	MEMORIAL HEALTHCARE FOUNDATION PROVIDES FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL HEALTHCARE. MEMORIAL HEALTHCARE OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING INPATIENT AND OUTPATIENT HEALTHCARE, MENTAL HEALTH SERVICES, AND HOME CARE PRIMARILY TO CITIZENS OF SHIAWASSEE COUNTY, MICHIGAN.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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	0	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 (16 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
RAMY M KURDI DO
PHYSICIAN	$1,081,740	$0	$157,000	$0	$0	$0	$6,100	$0	$23,893	$0	$1,268,733	$0	$0	$0
TAREK R PACHA DO
PHYSICIAN	$700,001	$0	$340,092	$0	$0	$0	$6,100	$0	$18,513	$0	$1,064,706	$0	$0	$0
BRETT WALKER DO
PHYSICIAN	$875,000	$0	$1,566	$0	$0	$0	$3,365	$0	$17,982	$0	$897,913	$0	$0	$0
ASHRAF M ELBANNA MD
PHYSICIAN	$800,010	$0	$7,749	$0	$0	$0	$6,100	$0	$22,794	$0	$836,653	$0	$0	$0
HAZEM TABBAA DO
PHYSICIAN	$719,231	$0	$40,915	$0	$0	$0	$5,421	$0	$24,167	$0	$789,734	$0	$0	$0
BRIAN L LONG
EXECUTIVE DIRECTOR/CEO	$604,284	$0	$40,438	$0	$0	$0	$6,100	$0	$15,738	$0	$666,560	$0	$0	$0
JOSEPH E TESTA DO
MEMBER	$518,971	$0	$83,267	$0	$0	$0	$6,100	$0	$23,526	$0	$631,864	$0	$0	$0
MICHAEL B KRAMER DO
MEMBER	$238,125	$0	$215,917	$0	$0	$0	$5,537	$0	$17,783	$0	$477,362	$0	$0	$0
JAMES J FAYSAL DO
MEMBER	$341,250	$0	$75,566	$0	$0	$0	$6,100	$0	$21,227	$0	$444,143	$0	$0	$0
JAMES NEMETH
COO	$386,205	$0	$9,107	$0	$0	$0	$6,100	$0	$23,984	$0	$425,396	$0	$0	$0
JOSEPH M BUSTAMANTE DO
CHIEF MEDICAL OFFICER	$383,248	$0	$194	$0	$0	$0	$6,100	$0	$18,358	$0	$407,900	$0	$0	$0
MARGARET R FREY DO
MEMBER	$330,726	$0	$7,060	$0	$0	$0	$6,100	$0	$22,060	$0	$365,946	$0	$0	$0
ANTHONY A PATSY DO
MEMBER	$260,000	$0	$75,105	$0	$0	$0	$6,100	$0	$21,859	$0	$363,064	$0	$0	$0
RONALD M BISHOP DO
MEMBER	$276,117	$0	$21,188	$0	$0	$0	$5,787	$0	$18,454	$0	$321,546	$0	$0	$0
THOMAS KURTZ
CIO	$262,336	$0	$0	$0	$0	$0	$5,247	$0	$21,620	$0	$289,203	$0	$0	$0
JORRI TREMAIN
CFO	$210,859	$0	$8,608	$0	$0	$0	$4,367	$0	$3,179	$0	$227,013	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	PHYSICIANS LISTED IN FORM 990, PART VII (AS WELL AS ALL THE PHYSICIANS ON STAFF) ARE GENERALLY ALLOWED $4,000/YEAR PER THEIR CONTRACTS. USUALLY, THIS MONEY IS USED FOR BOOKS AND CONTINUING EDUCATION. THIS IS NOT REPORTED AS TAXABLE COMPENSATION TO THE PHYSICIANS.
PART I, LINE 7	MEMORIAL BONUSES ARE BASED ON OPERATING TARGETS BUT ARE PAID OUT AT THE DISCRETION AND APPROVAL OF THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MICHIGAN FINANCE AUTHORITY
A	381358208	2015-07-29	$7,055,000	FUND $7 MILLON OF 2015 CAPITAL BUDGET	0	0	0
MICHIGAN FINANCE AUTHORITY
B	381358208	2013-08-06	$19,369,159	PAY DOWN DEBT - $12 MILLION / FUND $8 MILLION OF 2013 CAPITAL BUDGET	0	0	0	59447PXT3
MICHIGAN FINANCE AUTHORITY
C	381358208	2020-12-22	$40,000,000	FUNDING OF A NEW BUILDING	0	0	0
MICHIGAN FINANCE AUTHORITY
D	381358208	2020-06-30	$10,000,000	FUND TEH NEW EMR PROJECT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$4,997,292	$7,055,000	$64,952	$6,990,048	2015	Yes (1)	Yes (1)	Yes (1)
B	$11,842,858	$19,369,159	$70,728	$9,991,669	2014	Yes (1)	Yes (1)	Yes (1)	$9,306,762
C	$5,590,284	$40,000,000	$148,000	$11,593,116		0	0	Yes (1)		$28,406,884
D	$2,148,792	$10,000,000	$117,484	$9,882,516	2021	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Gross Proceeds InvestedGrossProceedsInvestedInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	0	0
D	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	ALYSSA LAWTON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	ALYSSA LAWTON IS THE DAUGHTER OF BRIAN LONG THE CEO OF THE HOSPITAL	RelationshipDescriptionTxt
Transaction	$49,211	TransactionAmt
Transaction	ALYSSA LAWTON IS AN EMPLOYEE OF THE HOSPITAL	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE CEO, CFO, AND THE FINANCE DIRECTOR ALL REVIEWED THE 990. TAX RETURNS WILL BE MADE AVAILABLE TO ALL FINANCE COMMITTEE MEMBERS AND BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS AND LEADERSHIP TEAM MEMBERS ARE COVERED BY THIS POLICY. EACH COVERED MEMBER IS REQUIRED TO COMPLETE A DISCLOSURE STATEMENT ANNUALLY. ANY POTENTIAL CONFLICT THAT ARISES DURING THE YEAR MUST BE DISCLOSED WITHIN 14 DAYS OF FIDUCIARY'S KNOWLEDGE THAT A CONFLICT MAY EXIST. THE BOARD CHAIR HAS ULTIMATE RESPONSIBILITY FOR ENFORCEMENT OF THE POLICY. IF A CONFLICT DOES EXIST, THE MEMBER WITH THE CONFLICT ABSTAINS FROM VOTING AND THE CONFLICT IS NOTED IN THE MINUTES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT, OFFICERS AND KEY EMPLOYEES INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION UPON HIRING. THE FULL BOARD OF DIRECTORS REVIEWS THE CEO'S COMPENSATION ANNUALLY. A COMPENSATION COMMITTEE HAS BEEN FORMED AND ACTIVELY PARTICIPATES IN DECISIONS RELATED TO CEO AND EXECUTIVE PAY AND BENEFITS AS WELL AS PROVIDING INPUT AND OVERSIGHT FOR THE ORGANIZATIONS COMPENSATION PHILOSOPHY AND PROGRAM. CEO AND EXECUTIVE PAY IS REVIEWED AT LEAST ANNUALLY BY THIS COMMITTEE. THE MOST RECENT REVIEW OF CEO AND EXECUTIVE PAY WAS JULY 2022. UPDATED SALARY RANGES ARE PROVIDED BY AN OUTSIDE COMPENSATION CONSULTING COMPANY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	TRANSFER TO/FROM AFFILIATES -34,692. DISTRIBUTION TO NONCONTROLLING INTEREST 163,608. OTHER NET ASSET ACTIVITY 2,052.
FORM 990, PART XI, LINE 2C:	THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL ASSISTED LIVING LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
EIN	464831571	EIN
Primary Activities	PROVIDE HOUSING AND SUPPORT FOR THE ELDERLY	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	$61,547	TotalIncomeAmt
End Of Year Assets	$7,119,482	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTHCARE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
EIN	383036586	EIN
Primary Activities	TO PROVIDE FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 12A, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HEALTHCARE PAIN MANAGEMENT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
EIN	472218456	EIN
Primary Activities	PROVIDE OUTPATIENT PAIN MANAGEMENT SERVICES	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$160,668	ShareOfTotalIncomeAmt
Share Of EOY Assets	$442,312	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.51000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MHC DEVELOPEMENT CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	826 WEST KING STREET	AddressLine1Txt
City	OWOSSO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48867	ZIPCd

Field	Value	IRS element (for citing)
EIN	463742868	EIN
Primary Activities	DEVELOPMENT OF ASSISTED LIVING PROPERTY	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$26,308	ShareOfTotalIncomeAmt
Share Of EOY Assets	$4,618,397	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIAL HEALTHCARE FOUNDATION
P	$182,113	ACTUAL CASH
MEMORIAL HEALTHCARE FOUNDATION
C	$461,449	ACTUAL CASH
MEMORIAL HEALTHCARE PAIN MANAGEMENT
P	$71,626	ACTUAL CASH