2025-05-14T12:46:09-05:00 2024-06-30 990 2023-07-01 381518643 MYMICHIGAN MEDICAL CENTER CLARE MYMI 9898379039 703 N MCEWAN ST CLARE MI 48617 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2025-05-14 1 2023 2025-03-06 01:10:19Z MARITA HATTEM-SCHIFFMAN 703 N MCEWAN ST CLARE MI 48617 121356016 0 X WWW.MYMICHIGAN.ORG X 1951 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 13 10 570 57 91525 21164 1479112 357144 72565670 111409391 655804 -194045 915364 1175457 75615950 112747947 0 0 0 0 26825305 36217971 0 0 0 43786600 57559332 70611905 93777303 5004045 18970644 65923777 96969254 10919405 16403784 55004372 80565470 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 78279636 112322868 MYMICHIGAN MEDICAL CENTER CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 982 PATIENT ADMISSIONS AND 230,139 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2024. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 78279636 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 570 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X CROSS BRYAN DIRECTOR 1.00 51.00 X 0 714691 173563 ROSE MICHAEL SECRETARY/TREASURER 1.00 51.00 X 0 704385 141452 HATTEM-SCHIFFMAN MARITA PRESIDENT 1.00 51.00 X X 0 611154 84826 PACIS DO RONALD PHYSICIAN 50.00 0.00 X 632080 0 35679 STOVER RAYMOND FORMER DIRECTOR 0.00 0.00 X 0 559138 82904 MUNOZ EDWARDO CRNA 50.00 0.00 X 325247 0 27266 MATHISON KELLY CRNA 50.00 0.00 X 287803 0 47066 DEFLUITER RICHARD CRNA 50.00 0.00 X 276235 0 40045 KING GLENN VP OF NURSING 50.00 0.00 X 233699 0 37108 BOYD KURT NP 50.00 0.00 X 220287 0 27691 RAPP DONNA FORMER SECRETARY 0.00 0.00 X 0 114507 0 LOSSIO MD FRANCISCO DIRECTOR 1.00 1.00 X 0 16500 0 OLIVIERI TODD CHAIR 1.00 1.00 X X 0 0 0 WHITE AL VICE CHAIR 1.00 1.00 X X 0 0 0 BROWN DAMON DIRECTOR 1.00 1.00 X 0 0 0 GEERS ADAM DIRECTOR 1.00 1.00 X 0 0 0 LANCASTER PAULA DIRECTOR 1.00 1.00 X 0 0 0 MORA KATI DIRECTOR 1.00 1.00 X 0 0 0 NIMBLEY MD ERIK DIRECTOR 1.00 1.00 X 0 0 0 NOWLIN HARMONY DIRECTOR 1.00 1.00 X 0 0 0 SARVEPALLI MD PRAKASH DIRECTOR (PART YEAR) 1.00 1.00 X 0 0 0 SCHURR DON DIRECTOR 1.00 1.00 X 0 0 0 SPINDLER ERIK DIRECTOR 1.00 1.00 X 0 0 0 1975351 2720375 697600 39 1 1 0 0 357144 357144 NET PATIENT REVENUE 621990 55500516 55500516 MEDICARE/MEDICAID PAYMENTS 621990 53988494 53988494 AFFILIATE RELATED INCOME 900099 1762811 1762811 CONTRACTED CLINICAL SERVICES 621990 157570 157570 111409391 412798 412798 18061 0 18061 18061 18061 7903383 24500 8517305 17421 -613922 7079 -606843 -606843 30437 51000 -20563 -20563 42595 22343 20252 20252 PHARMACY 456110 799351 799351 CAFETERIA/FOOD SERVICE 722514 191018 191018 REFERENCE LABORATORY 621500 91525 91525 75813 75813 1157707 112747947 112322868 91525 -23590 X 270227 270227 29938772 27328228 2610544 1313290 1276490 36800 2571213 2317034 254179 2124469 1970613 153856 5267 5267 26702 26702 24353662 15315588 9038074 151948 125215 26733 897725 668690 229035 1741488 60012 1681476 26418 24483 1935 184492 184492 1929007 1181788 747219 407141 407141 MEDICAL SUPPLIES 13779304 13770825 8479 BAD DEBT EXPENSE 6001867 6001867 PHYSICIAN PRACTICE INVE 5458233 5458233 QAAP FEES 2596078 2596078 93777303 78279636 15497667 0 725 525 1114197 15187200 8671260 13006578 373794 393249 600581 734024 51278482 38438902 13174941 12839580 22832596 31851985 19178519 22941264 -22836 14849 65923777 96969254 2407264 4098908 130723 29783 5339609 5340894 3041809 6934199 10919405 16403784 X 55004372 80565470 55004372 80565470 65923777 96969254 X 18970644 6572304 18150 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 5267 5267 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER CLARE PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 2105180 2105180 25141169 19926279 5214890 2054193 958835 1095358 21095820 17553788 3542032 882120 882120 12839580 HEDGE FUNDS 2877669 F BLACKROCK DOMESTIC EQUITY 8022280 F BLACKROCK INTERNATIONAL 4154392 F CLARION & CORNERSTONE 7886923 F 22941264 SELF-INSURANCE, DEFERRED COMP, OTHER 6007799 OPERATING LEASE LIABILITY 763245 ASSET RETIREMENT OBLIGATION 163155 6934199 POT O GOLD FUNDRAISER 9220 9220 2000 LOGO WEAR SALES 18974 18974 15578 28194 28194 2000 15578 17578 10616 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 2300751 2300751 0.02620 1 18838045 21058278 0 0.00000 1 21138796 21058278 2300751 0.02620 27 834 49549 49549 0.00060 7 42 2980395 1560711 1419684 0.01620 34 876 3029944 1560711 1469233 0.01680 35 876 24168740 22618989 3769984 0.04300 94 1300 13845 13845 0.00020 22 1130 1130 0.00000 8 1167 1167 0.00000 124 1300 16142 16142 0.00020 1 6001867 300093 12886072 12829090 56982 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 WWW.MYMICHIGAN.ORG 1060000076 X X X MYMICHIGAN MEDICAL CENTER CLARE 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MYMICHIGAN MEDICAL CENTER CLARE PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER CLARE'S COMMUNITY HEALTH TEAM IS A MEMBER OF AN EXTERNAL ADVISORY COUNCIL FOR THEIR NEEDS ASSESSMENT. THIS COMMITTEE IS COMPRISED OF LOCAL STAKEHOLDERS IN HEALTH CARE, PUBLIC HEALTH, COMMUNITY SERVICES, AND EDUCATION SECTORS. SOME ORGANIZATIONS THAT ARE REPRESENTED IN THIS COUNCIL INCLUDE: CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, TEN16, GREAT START COLLABORATIVE AND CENTRAL MICHIGAN COMMUNITY MENTAL HEALTH, TO NAME A FEW. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. MYMICHIGAN MEDICAL CENTER CLARE PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED AND PRIORITIZED BY REVIEWING QUANTITATIVE AND QUALITATIVE DATA, AND RANKING HEALTH ISSUES ACCORDING TO FOCUS. WE INVESTIGATED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES. A GRID OF OVER 150 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA OUT OF NORMAL RANGE AGAINST A BENCHMARK WAS COMPARED TO CURRENT STANDARDS, THOSE OF OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, AND THOSE OF OUR COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH; 2. CARE ACCESS; 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER CLARE LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.ADVISORY COMMITTEES WORK TOGETHER TO NARROW DOWN FOCUS AREAS BASED ON MODIFIABLE RISK FACTORS THAT HEALTH NEEDS HAVE IN COMMON. THE HIGH RATES OF OBESITY, DIABETES, HYPERTENSION, AND CANCER INCIDENCE RATES COUPLED WITH DECREASING RATES OF CANCER SCREENINGS IN CLARE COUNTY LED TO CHRONIC DISEASE PREVENTION AS AN AREA OF FOCUS. THESE CHRONIC DISEASES HAVE SIMILAR MODIFIABLE RISK FACTORS THAT ALLOW US TO DEVELOP STRATEGIES TO IMPACT MANY CHRONIC DISEASES. SIMILARLY, INCREASING RATES OF SUICIDE, SUBSTANCE USE DISORDER, AND TOBACCO AND VAPE USE, PARTICULARLY IN THE YOUTH POPULATION, FALL WITHIN THE UMBRELLA OF MENTAL HEALTH AND SUBSTANCE USE, WITH SIMILAR RISK FACTORS IN YOUTH ASSETS AND MENTAL HEALTH NEEDS. IN ADDITION, THE GROWING NEEDS RELATED TO HEALTH CARE ACCESS AND UNDERSTANDING, PREVENTIVE CARE ACCESS, AND ACCESS TO OTHER SOCIAL SERVICES RELATED TO SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING, FOOD SECURITY, AND TRANSPORTATION ALL FALL WITHIN THE UMBRELLA OF ACCESS TO CARE AND SOCIAL SERVICE ISSUES. DUE TO THESE DETAILS AND THE RECOMMENDATIONS MADE BY THE ADVISORY COMMITTEE, THE FINAL AREAS OF FOCUS WERE DETERMINED TO BE CHRONIC DISEASE PREVENTION, MENTAL HEALTH AND SUBSTANCE USE, AND ACCESS TO CARE AND SOCIAL SERVICES. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 9 1 - MYMICHIGAN MEDICAL CENTER MT PLEASANT 4851 E PICKARD ST MT PLEASANT MI 48858 WOUND TREATMENT SERVICES 2 - CLARE MMO RHC 602 BEECH STREET CLARE MI 48617 RURAL HEALTH CLINIC 3 - MYMICHIGAN HEALTH PARK-HOUGHTON LAKE 9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629 REHABILITATION SERVICES, LABORATORY AND MAMMOGRAPHY 4 - MYMICHIGAN URGENT CARE-CLARE 700 WEST FIFTH ST CLARE MI 48617 URGENT CARE, OCCUPATIONAL MEDICINE 5 - MYMICHIGAN HEALTH PARK-HARRISON 815 NORTH CLARE AVENUE HARRISON MI 48625 RURAL HEALTH CLINIC, REHABILITATION SERVICES, LABORATORY 6 - 6TH AND MAPLE STREET 212 W SIXTH STREET CLARE MI 48617 RURAL HEALTH CLINIC 7 - REHABILITATION SERVICES BEAVERTON CENTER 106 TONKIN ST BEAVERTON MI 48612 REHABILITATION SERVICES, LABORATORY AND MAMMOGRAPHY 8 - FARWELL RHC 2812 WEST CADILLAC DRIVE FARWELL MI 48622 RURAL HEALTH CLINIC 9 - MIDMICHIGAN COMMUNITY HLTH SVCS PHARMACY 241 LAKE STREET ROSCOMMON MI 48653 PHARMACY PART I, LINE 3C: AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 350% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,001,867. 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 CLARE 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: CENTRAL MICHIGAN RURAL HEALTH NETWORK, GREAT START COLLABORATIVE, CLARE/GLADWIN PREVENTION COALITION AND CLARE COUNTY CHILD ABUSE AND NEGLECT PREVENTION COUNCIL. COMMUNITY SUPPORT WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER CLARE STAFF THROUGH VOLUNTEERISM AT LOCAL MOBILE FOOD DISTRIBUTIONS, LOCAL HEALTH AND SAFETY FAIR EVENTS, COVID-19 TESTING CENTERS, LOCAL HOLIDAY PARADES, NON-PROFIT EVENTS, MT. PLEASANT SPECIAL OLYMPICS, AND HOSTING FREE SPORTS PHYSICAL CLINICS. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER CLARE STAFF FOR ORGANIZATIONS SUCH AS THE CITY OF HARRISON CHAMBER AND THE NORTHERN MICHIGAN OPIOID RESPONSE CONSORTIUM. 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 FY2024, MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. ADDITIONALLY, WE PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE THE CLARE COUNTY HUMAN SERVICES COORDINATING BODY, CENTRAL MICHIGAN RURAL HEALTH NETWORK, AND THE NORTH CENTRAL COMMUNITY HEALTH INNOVATION REGION. WE ALSO PARTNER WITH THE MICHIGAN HEALTH IMPROVEMENT ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM AND A REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST 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 2022, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN CLARE COUNTY. MYMICHIGAN HEALTH'S COMMUNITY HEALTH TEAM WORKED WITH THE CLARE COUNTY HUMAN SERVICES COORDINATING BODY TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE COUNTIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE MYMICHIGAN HEALTH COMMUNITY HEALTH TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS CLARE COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITIES AND OUT COUNTY AREAS. THE TEAM USED EXISTING US CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN EACH COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF EACH COUNTY'S POPULATION (AGE, RACE, EDUCATION, INCOME). THE SAMPLE GENERATED A TOTAL OF 148 SURVEYS TO BE USED FOR ANALYSIS. PART VI, LINE 3: INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IS COMMUNICATED TO THE PUBLIC THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. MYMICHIGAN HEALTH PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. IN ADDITION, MYMICHIGAN HEALTH MAY BE ABLE TO HELP PATIENTS RECEIVE FREE OR LOW-COST HEALTH INSURANCE OR WORK WITH THE PATIENT TO ARRANGE A MANAGEABLE PAYMENT PLAN.ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID. PART VI, LINE 4: THE COMMUNITY SERVED FOCUSES ON MYMICHIGAN MEDICAL CENTER CLARE, LOCATED IN CLARE COUNTY. THE SERVICE AREA IN CLARE COUNTY IS COMPRISED OF ZIP CODES: 48617 (CLARE), 48622 (FARWELL), 48625 (HARRISON), 48632 (LAKE), 48633 (LAKE GEORGE), AND 48632 (LAKE STATION). THE SERVICE AREA IN ROSCOMMON COUNTY IS COMPRISED OF ZIP CODES: 48627 (HIGGINS LAKE), 48629 (HOUGHTON LAKE), 48630 (HOUGHTON LAKE HEIGHTS), 48651 (PRUDENVILLE), 48653 (ROSCOMMON), AND 48656 (SAINT HELEN). ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 30,653 RESIDENTS IN CLARE COUNTY. OF THOSE, 19.8 PERCENT ARE UNDER 18 YEARS OF AGE AND 23.5 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.1 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.9 PERCENT. THE MEDIAN AGE IN CLARE COUNTY IS 46.5 YEARS OF AGE. OF THE POPULATION, 94.8 PERCENT ARE WHITE (NON-HISPANIC), 2 PERCENT ARE HISPANIC, 0.7 PERCENT ARE BLACK OR AFRICAN AMERICAN AND 0.9 PERCENT ARE AMERICAN INDIAN OR ALASKAN NATIVE. IN CLARE COUNTY, THE PERCENTAGE OF PEOPLE WHO SELF-REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 19 PERCENT. PART VI, LINE 5: EACH MYMICHIGAN HEALTH MEMBER HOSPITAL 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 $4,896,829 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER CLARE IN FY2024 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FY 2024, 669 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE HEALTHY EATING, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. 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, 575 PEOPLE WERE REACHED AT FOUR DIFFERENT HEALTH FAIRS. THERE WERE 11 FREE MAMMOGRAMS PROVIDED TO WOMEN, OFFERING ACCESS TO CARE. ADDITIONALLY, SUPPORTED 62 COMMUNITY MEMBERS WITH TRANSPORTATION SERVICES. THERE WERE 60 INDIVIDUALS WHO RECEIVED SERVICES THROUGH FREE SPORTS PHYSICALS. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER CLARE IN FISCAL YEAR 2024 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $103 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH MEMBER IS SHARED OWNERSHIP FOR COMMUNITY HEALTH. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MYMICHIGAN MEDICAL CENTER CLARE AND MYMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS. PART VI, LINE 7, REPORTS FILED WITH STATES MI X X X X 0 1 0 0 0 0 0 1 0 CROSS BRYAN DIRECTOR 0 555834 0 127837 0 31020 0 149236 0 24327 0 888254 0 0 ROSE MICHAEL SECRETARY/TREASURER 0 580831 0 116692 0 6862 0 107604 0 33848 0 845837 0 0 HATTEM-SCHIFFMAN MARITA PRESIDENT 0 397601 0 78638 0 134915 0 58038 0 26788 0 695980 0 115501 PACIS DO RONALD PHYSICIAN 552087 0 78461 0 1532 0 16500 0 19179 0 667759 0 0 0 STOVER RAYMOND FORMER DIRECTOR 0 357674 0 72109 0 129355 0 63538 0 19366 0 642042 0 106447 MUNOZ EDWARDO CRNA 316169 0 525 0 8553 0 16293 0 10973 0 352513 0 0 0 MATHISON KELLY CRNA 286440 0 600 0 763 0 11988 0 35078 0 334869 0 0 0 DEFLUITER RICHARD CRNA 272259 0 525 0 3451 0 13992 0 26053 0 316280 0 0 0 KING GLENN VP OF NURSING 189542 0 30254 0 13903 0 11693 0 25415 0 270807 0 0 0 BOYD KURT NP 119879 0 96781 0 3627 0 8074 0 19617 0 247978 0 0 0 RAPP DONNA FORMER SECRETARY 0 0 0 0 0 114507 0 0 0 0 0 114507 0 0 PART I, LINE 4B ROSE, HATTEM-SCHIFFMAN, AND STOVER ARE PARTICIPANTS IN A 457(F) PLAN. HATTEM-SCHIFFMAN AND STOVER RECEIVED A PAYMENT IN 2023 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL. PART I, LINE 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES. THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. PHYSICIAN COMPENSATION OFFERS EXCEEDING THE 90TH PERCENTILE MUST BE APPROVED BY THE COMPENSATION COMMITTEE. PART III: MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING DIRECTOR HAS A BUSINESS RELATIONSHIP WITH ANOTHER DIRECTOR: AL WHITE'S BUSINESS ATTORNEY IS JJ KLAUS, DIRECTOR. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MYMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE CORPORATION'S PURPOSES; B) APPROVE ANY CHANGE IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, JOINT VENTURE, OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR OTHER ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MYMICHIGAN HEALTH BOARD; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MYMICHIGAN HEALTH BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND CFO. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MYMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND CFO. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MYMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MYMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM IS REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVED PAY FOR THE PURPOSE OF SERVING ON THE BOARD, BUT MAY BE COMPENSATED FOR OTHER SERVICES PROVIDED TO THE ORGANIZATION. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MYMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MYMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. FORM 990, PART IX, LINE 11G ASSOCIATION DUES AND OTHER FEES: PROGRAM SERVICE EXPENSES 6,742,232. MANAGEMENT AND GENERAL EXPENSES 8,065,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,807,537. PURCHASED/CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,573,356. MANAGEMENT AND GENERAL EXPENSES 972,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,546,125. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HEALTH FOUNDATION 18,150. MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12C, III-FI 0 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER CLARE VOLUNTEERS 703 N MCEWAN ST CLARE MI 48617 382944967 SUPPORT MI 501(C)(3) LINE 12A, I 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 382602147 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 S M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI MYMICHIGAN MEDICAL CENTER CLARE RELATED 13815 7647 0 0 0.00500 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0