MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-11
IRS object ID
202211319349300641
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-11T10:09:10-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 TOWN CENTER SUITE 100AddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48075ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN380833014EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MYMICHIGAN MEDICAL CENTER MIDLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMYMIBusinessNameControlTxt
Phone9898379039PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1Txt
CityMIDLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48670ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUDI GRAVESPersonNm
Person TitleCORPORATE CONTROLLERPersonTitleTxt
Phone9898379039PhoneNum
Signature2022-05-11SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJUDIPersonFirstNm
Person LastGRAVESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone2483522500PhoneNum
Preparation2022-05-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Principal OfficerBRYAN CROSSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1Txt
CityMIDLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48670ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$592,386,101GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYMICHIGAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1940FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionCREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3176TotalEmployeeCnt
Total Volunteers195TotalVolunteersCnt
Total Gross UBI$5,549,412TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,739,811PYContributionsGrantsAmt
CY Contributions Grants$6,818,723CYContributionsGrantsAmt
PY Program Service Revenue$486,899,422PYProgramServiceRevenueAmt
CY Program Service Revenue$542,930,409CYProgramServiceRevenueAmt
PY Investment Income-$3,676,426PYInvestmentIncomeAmt
CY Investment Income$18,936,128CYInvestmentIncomeAmt
PY Other Revenue$12,351,330PYOtherRevenueAmt
CY Other Revenue$16,061,730CYOtherRevenueAmt
PY Total Revenue$519,314,137PYTotalRevenueAmt
CY Total Revenue$584,746,990CYTotalRevenueAmt
PY Grants And Similar Paid$210,262PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$169,193,406PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$189,929,437CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$403,019CYTotalFundraisingExpenseAmt
PY Other Expenses$308,498,178PYOtherExpensesAmt
CY Other Expenses$356,296,182CYOtherExpensesAmt
PY Total Expenses$477,901,846PYTotalExpensesAmt
CY Total Expenses$546,225,619CYTotalExpensesAmt
PY Revenues Less Expenses$41,412,291PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,521,371CYRevenuesLessExpensesAmt
Total Assets BOY$835,141,007TotalAssetsBOYAmt
Total Assets EOY$1,093,598,494TotalAssetsEOYAmt
Total Liabilities BOY$266,461,238TotalLiabilitiesBOYAmt
Total Liabilities EOY$341,386,882TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$568,679,769NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$752,211,612NetAssetsOrFundBalancesEOYAmt
MissionCREATING HEALTHY COMMUNITIES - TOGETHERMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$468,776,942ExpenseAmt
Revenue$552,537,977RevenueAmt
DescMYMICHIGAN MEDICAL CENTER MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,684 INPATIENT ADMISSIONS AND 331,960 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2021. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY.Desc
Total Program Service Expenses$468,776,942TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3176EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDI GRAVESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9898379039PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1Txt
CityMIDLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeInd
POSTLER-SLATTERY DIANE
DIRECTOR2.0050.00Yes (X)$0$1,763,508$280,773
ROGERS GREGORY
PRESIDENT (PART YEAR)/DIRECTOR2.0050.00Yes (X)$0$1,367,562$279,300Yes (X)
PADGETT FRANCINE
SENIOR VP/TREAS/SECRETARY (PART YEAR)2.0050.00$0$1,170,546$279,485Yes (X)
SALLACH MD SUSAN
DIRECTOR (PART YEAR)2.0050.00Yes (X)$0$785,258$32,889
FIREMAN MD MARK
PHYSICIAN50.000.00$665,415$0$22,399Yes (X)
HILLS COURTNEY
CRNA50.000.00$407,165$0$42,039Yes (X)
SHIVELY LAURIE
CRNA50.000.00$388,832$0$55,362Yes (X)
ERICKSON MICHAEL
VP50.002.00$379,381$0$60,706Yes (X)
LIEBERMAN DO JOHN
DIRECTOR2.0050.00Yes (X)$0$356,531$30,391
RAPP DONNA
FORMER SENIOR VP0.000.00$0$372,535$0Yes (X)
HANOVER JEFFERY
CRNA50.000.00$315,286$0$40,698Yes (X)
CROSS BRYAN
PRESIDENT (PART YEAR)50.002.00Yes (X)$274,803$0$76,501Yes (X)
TERRELL TAMMY
VP OF NURSING & CNO50.002.00$282,566$0$29,228Yes (X)
BECKER MD ERIC
PHYSICIAN50.000.00Yes (X)$246,478$0$12,252
NOLD DIANE
FORMER VP0.000.00$214,769$0$855Yes (X)
ROSE MICHAEL
SECRETARY/TREASURER (PART YEAR)2.0050.00$0$176,443$3,239Yes (X)
COLLINS BILL
CHAIR2.000.00Yes (X)$0$0$0Yes (X)
THOMPSON MD MARGARET
VICE CHAIR2.000.00Yes (X)$0$0$0Yes (X)
BIDDINGER MD KENT
DIRECTOR (PART YEAR)2.000.00Yes (X)$45,368$0$0
NEWMAN MD JEFF
DIRECTOR2.000.00Yes (X)$7,450$0$0
BLOCK CLIFFORD
DIRECTOR2.000.00Yes (X)$0$0$0
DORRIEN GREG
DIRECTOR2.000.00Yes (X)$0$0$0
GRANSDEN BRIDGETTE
DIRECTOR2.000.00Yes (X)$0$0$0
HURLEY BARB
DIRECTOR (PART YEAR)2.000.00Yes (X)$0$0$0
KENDALL CHUCK
DIRECTOR2.000.00Yes (X)$0$0$0
LAMB NANCY
DIRECTOR2.000.00Yes (X)$0$0$0
MORTENSEN SHARON
DIRECTOR2.000.00Yes (X)$0$0$0
NILLES PAULA
DIRECTOR2.000.00Yes (X)$0$0$0
REARDON SANDY
DIRECTOR2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,227,513TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,992,383TotReportableCompRltdOrgAmt
Total Other Compensation$1,246,117TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K185IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$6,818,723GovernmentGrantsAmt
Total Contributions$6,818,723TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS621990$299,403,948$299,403,948
PATIENT REVENUE, NET621990$227,241,713$227,241,713
SUBSIDIARY RELATED INCOME900099$10,282,793$10,282,793
340B PHARMACY REVENUE900099$3,169,090$3,169,090
CONTRACTED CLINICAL SERVICES621990$2,832,865$2,832,865
FieldValueIRS element (for citing)
Total Program Service Revenue$542,930,409TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,402,567TotalRevenueColumnAmt
Related Or Exempt Func Income$291,280RelatedOrExemptFuncIncomeAmt
Exclusion$8,111,287ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$41,151RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$41,151RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,151TotalRevenueColumnAmt
Exclusion$41,151ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,001,919SecuritiesAmt
Other$170,753OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,445,646SecuritiesAmt
Other$1,193,465OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,556,273SecuritiesAmt
Other-$1,022,712OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,533,561TotalRevenueColumnAmt
Exclusion$10,533,561ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
GREAT LAKES BAY SURGICAL AND ENDO541700$5,181,054$5,181,054
SPECIALTY PHARMACY446110$1,956,535$1,956,535
CAFETERIA/FOOD SERVICE722514$1,154,879$1,154,879

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,728,111TotalRevenueColumnAmt
Related Or Exempt Func Income$7,359,753RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$368,358UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,020,579OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$584,746,990TotalRevenueColumnAmt
Related Or Exempt Func Income$552,537,977RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,549,412UnrelatedBusinessRevenueAmt
Exclusion$19,840,878ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$954,522TotalAmt
Management And General$954,522ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$153,274,708TotalAmt
Program Services$124,714,138ProgramServicesAmt
Management And General$28,313,183ManagementAndGeneralAmt
Fundraising$247,387FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,873,925TotalAmt
Program Services$5,758,805ProgramServicesAmt
Management And General$1,109,845ManagementAndGeneralAmt
Fundraising$5,275FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,115,934TotalAmt
Program Services$14,712,234ProgramServicesAmt
Management And General$3,353,362ManagementAndGeneralAmt
Fundraising$50,338FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,710,348TotalAmt
Program Services$8,962,069ProgramServicesAmt
Management And General$1,729,485ManagementAndGeneralAmt
Fundraising$18,794FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$508TotalAmt
Management And General$508ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$22,643TotalAmt
Management And General$22,643ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$771,888TotalAmt
Management And General$771,888ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,477,702TotalAmt
Program Services$24,982,390ProgramServicesAmt
Management And General$2,494,211ManagementAndGeneralAmt
Fundraising$1,101FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$123,120TotalAmt
Program Services$76,648ProgramServicesAmt
Management And General$45,059ManagementAndGeneralAmt
Fundraising$1,413FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,190,450TotalAmt
Program Services$3,411,786ProgramServicesAmt
Management And General$3,776,647ManagementAndGeneralAmt
Fundraising$2,017FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$424,178TotalAmt
Program Services$361,887ProgramServicesAmt
Management And General$62,044ManagementAndGeneralAmt
Fundraising$247FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,473,145TotalAmt
Program Services$3,708,558ProgramServicesAmt
Management And General$1,764,587ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$316,776TotalAmt
Program Services$216,739ProgramServicesAmt
Management And General$95,798ManagementAndGeneralAmt
Fundraising$4,239FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$343,337TotalAmt
Program Services$223,602ProgramServicesAmt
Management And General$119,735ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,917,685TotalAmt
Program Services$6,917,685ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,387,170TotalAmt
Program Services$24,377,651ProgramServicesAmt
Management And General$2,009,519ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,970,584TotalAmt
Program Services$81,125ProgramServicesAmt
Management And General$2,889,459ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$106,832,149$106,832,149
PURCHASED SERVICES$86,159,281$69,428,619$16,689,006$41,656
PHYSICIAN PRACTICE SUBS$60,416,851$60,384,240$32,611
BAD DEBT EXPENSE$10,421,430$10,421,430

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,047,285TotalAmt
Program Services$3,205,187ProgramServicesAmt
Management And General$10,811,546ManagementAndGeneralAmt
Fundraising$30,552FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$546,225,619TotalAmt
Program Services$468,776,942ProgramServicesAmt
Management And General$77,045,658ManagementAndGeneralAmt
Fundraising$403,019FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,545BOYAmt
EOY$11,916EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$71,850,780BOYAmt
EOY$11,310,514EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,098,416BOYAmt
EOY$52,735,330EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,479,561BOYAmt
EOY$6,541,949EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,802,460BOYAmt
EOY$26,985,954EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$486,499,111LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$272,232,899LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$182,687,784BOYAmt
EOY$214,266,212EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$169,246,570BOYAmt
EOY$312,224,392EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$335,603,027BOYAmt
EOY$449,606,634EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,360,864BOYAmt
EOY$11,209,636EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,705,957EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$835,141,007BOYAmt
EOY$1,093,598,494EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,535,613BOYAmt
EOY$32,007,514EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$60,762,267BOYAmt
EOY$53,429,494EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,573,943BOYAmt
EOY$20,963,699EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$214,302,642EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,589,415BOYAmt
EOY$20,683,533EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$266,461,238BOYAmt
EOY$341,386,882EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$568,679,769BOYAmt
EOY$752,211,612EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$568,679,769BOYAmt
EOY$752,211,612EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$835,141,007BOYAmt
EOY$1,093,598,494EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,521,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$105,971,906NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$39,038,566OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit Performed0FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$22,643OtherActivitiesAmt
Total Lobbying Expenditures$22,643TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationMYMICHIGAN MEDICAL CENTER MIDLAND PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$312,821,546OtherCostOrOtherBasisAmt
Depreciation$161,028,744DepreciationAmt
Book Value$151,792,802BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,568,966OtherCostOrOtherBasisAmt
Depreciation$16,132,664DepreciationAmt
Book Value$8,436,302BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,372,676OtherCostOrOtherBasisAmt
Depreciation$94,312,422DepreciationAmt
Book Value$41,060,254BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,062,770OtherCostOrOtherBasisAmt
Depreciation$759,069DepreciationAmt
Book Value$10,303,701BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$214,266,212TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
HEDGE FUNDS$34,590,522F
BLACKROCK DOMESTIC EQUITY$148,810,464F
PARAMETRIC GLOBAL EQUITY$40,600,300F
BLACKROCK INTERNATIONAL$147,012,917F
BLACKROCK FIXED INCOME$21,365,324F
CLARION & CORNERSTONE$57,227,107F
FieldValueIRS element (for citing)
Total Book Value Securities$449,606,634TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DEFERRED COMP, SELF INSURANCE, AND OTHER$10,253,733
ASSET RETIREMENT OBLIGATION$6,677,618
CAPITAL LEASE OBLIGATION$565,957
OPERATING LEASE LIABILITY$3,186,225
FieldValueIRS element (for citing)
Total Liability$20,683,533TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,942,024TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,942,024NetCommunityBenefitExpnsAmt
Total Expense0.01450TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$73,403,423TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,006,904DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,396,519NetCommunityBenefitExpnsAmt
Total Expense0.01170TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$81,345,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,006,904DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,338,543NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1016ActivitiesOrProgramsCnt
Persons Served57382PersonsServedCnt
Total Community Benefit Expns$224,385TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,850DirectOffsettingRevenueAmt
Net Community Benefit Expns$210,535NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served892PersonsServedCnt
Total Community Benefit Expns$10,453,175TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,505,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,947,605NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$688,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$973,023DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Direct Offsetting Revenue$49,425DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1025ActivitiesOrProgramsCnt
Persons Served58275PersonsServedCnt
Total Community Benefit Expns$11,365,700TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,541,868DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,158,140NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1026ActivitiesOrProgramsCnt
Persons Served58275PersonsServedCnt
Total Community Benefit Expns$92,711,147TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,548,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,496,683NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,106NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$499NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs38ActivitiesOrProgramsCnt
Persons Served656PersonsServedCnt
Total Community Benefit Expns$1,462TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,462NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$916TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$916NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served18PersonsServedCnt
Total Community Benefit Expns$452TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$452NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs64ActivitiesOrProgramsCnt
Persons Served874PersonsServedCnt
Total Community Benefit Expns$6,435TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,435NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,421,430BadDebtExpenseAmt
Bad Debt Expense Attributable$521,072BadDebtExpenseAttributableAmt
Reimbursed By Medicare$126,389,494ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$123,699,299CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,690,195MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MYMICHIGAN MEDICAL CENTER MIDLANDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1Txt
CityMIDLANDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48670ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MYMICHIGAN.ORGWebsiteAddressTxt
State License1060000089StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MYMICHIGAN MEDICAL CENTER MIDLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FIFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FIFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FIFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MYMICHIGAN MEDICAL CENTER MIDLANDPART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER MIDLAND'S COMMUNITY EDUCATION MANAGER IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY.
MYMICHIGAN MEDICAL CENTER MIDLANDPART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED AND PRIORITIZED BY REVIEWING QUANTITATIVE AND QUALITATIVE DATA, AND RANKING HEALTH ISSUES ACCORDING TO FOCUS. WE INVESTIGATED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES. A GRID OF OVER 150 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA OUT OF NORMAL RANGE AGAINST A BENCHMARK WAS COMPARED TO CURRENT STANDARDS, THOSE OF OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, AND THOSE OF OUR COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH; 2. CARE ACCESS; 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER MIDLAND LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.IN ORDER TO RESPOND AND IMPACT THE HEALTH CARE NEEDS THAT WERE IDENTIFIED, THE TOP PRIORITY AREAS FOR MYMICHIGAN HEALTH CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MYMICHIGAN HEALTH POPULATION HEALTH COLLABORATION TEAM AND MYMICHIGAN MEDICAL CENTER MIDLAND BOARD ON JUNE 28, 2019 FOLLOW; ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED:A. CHRONIC DISEASE PREVENTION AND TREATMENT. EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASED ACCESS TO HEALTHY FOODS. PROJECTS THAT ALIGN WITH PREVENTION OF CHRONIC DISEASE FOLLOW: A. PRESCRIPTION FOR HEALTH PROGRAM IN PARTNERSHIP WITH MSU EXTENSION, MSU COLLEGE OF MEDICINE, AND THE MIDLAND FARMERS MARKET WHICH YIELDED 65 PARTICIPANTS; A VIRTUAL DIABETES PREVENTION PROGRAM IN PARTNERSHIP WITH THE MYMICHIGAN HEALTH DIABETES CENTER AND MYMICHIGAN MEDICAL GROUP OFFICES WHICH YIELDED 48 PARTICIPANTS; AND LOU E LOON EXERCISE POSTERS IN PARTNERSHIP WITH THE GREAT LAKES LOONS.B. MATERNAL/INFANT HEALTH. PREPARE, CARE AND SUPPORT CHILDBEARING FAMILIES IN ORDER TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDBEARING AGED WOMEN AND INFANTS. 1. COFFECTIVE PREGNANCY EDUCATION THROUGH A MOBILE APPLICATION INTRODUCED TO ALL PREGNANT FAMILIES AT PRENATAL OFFICE VISITS IN PARTNERSHIP WITH MYMICHIGAN AND COMMUNITY PRIMARY CARE AND OBSTETRIC OFFICES, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE MIDLAND HEALTH DEPARTMENT AND WIC. 2. PROVIDING CHILDBIRTH CLASSES TO EXPECTANT FAMILIES IN PARTNERSHIP WITH BOTH HOSPITAL BASED AND COMMUNITY PRIMARY CARE AND OBSTETRIC OFFICES GREAT START COLLABORATIVE AND FAMILY AND CHILDREN'S SERVICES. THERE WERE 277 PARTICIPANTS IN CHILDBIRTH, FEEDING, SAFETY AND BABY CARE RELATED CLASSES; 93 PARTICIPANTS IN UNDERSTANDING BIRTH LIVE VIRTUAL CLASSES HELD IN FY2021 AND 343 PATIENTS PROVIDED SUPPORT FROM CALLS TO THE BREASTFEEDING HELP LINE.C. MENTAL HEALTH AND SUBSTANCE USE. LEAD, PARTNER AND SUPPORT EFFORTS TO ENSURE A COMPREHENSIVE SYSTEM OF CARE TO MEET THE BEHAVIORAL HEALTH OF ALL AT THE RIGHT TIME, IN THE RIGHT PLACE, AND WITH THE RIGHT CARE. A. A BELONGING TO END LONELINESS PROJECT IN PARTNERSHIP WITH 211 AND THE MIDLAND AREA COUNCIL ON AGING HAD MORE THAN 1,000 REFERRALS FROM PRACTICES TO ADDRESS LONELINESS. B. PROMOTING MENTAL HEALTH SERVICES IN PARTNERSHIP WITH THE MENTAL HEALTH TEAM OF THE MIDLAND CHIP. C. CONTINUE PROJECT ASSERT IN PARTNERSHIP WITH TEN16 RECOVERY NETWORK , AND A "TRAUMA-SUBSTANCE ABUSE-ADHD CONNECTION: INNOVATIVE DIAGNOSIS TREATMENT OF COMPLEX SUD ADOLESCENTS & YOUNG ADULTS," PROGRAM OFFERED VIRTUALLY WITH 29 PARTICIPANTS.
PART V, SECTION B, LINES 7A AND 10AHTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/
FieldValueIRS element (for citing)
Facility41FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - BAY CITY HEALTH PARK - REHAB SERVICES
3051 KIESEL ROADBAY CITYMI48706REHABILITATION SERVICES (PT, OT)
2 - CAMPUS RIDGE FAMILY PRACTICE
4401 CAMPUS RIDGE SUITE D2100MIDLANDMI48640PHYSICIAN OFFICE
3 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN
337 LEMKE STREETMIDLANDMI48642REHABILITATION SERVICES (PT, OT)
4 - MICHIGAN MEDICINE GYN SPECIALTY
4320 CAMPUS RIDGE DRIVEMIDLANDMI48640PHYSICIAN OFFICE
5 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOL
555 W WACKERLY ROADMIDLANDMI48640LAB DRAW STATION, IMAGING SERVICES
6 - MYMICHIGAN GRATIOT CANCER CENTER (RADIA
315 EAST WARWICK DRIVE SUITE CALMAMI48801PHYSICIAN OFFICE
7 - MYMICHIGAN HEALTH MEDICAL OFFICES EAST
715 EAST MAIN STREET SUITE 100MIDLANDMI48640PHYSICIAN OFFICE
8 - MYMICHIGAN URGENT CARE - FREELAND
5694 MIDLAND ROADFREELANDMI48623URGENT CARE CLINIC
9 - MYMICHIGAN MEDICAL GROUP - FAMILY PRAC
5694 MIDLAND ROADFREELANDMI48623PHYSICIAN OFFICE
10 - MYMICHIGAN REHAB - FREELAND
5694 MIDLAND ROADFREELANDMI48623REHABILITATION SERVICES (PT, OT)
11 - MYMICHIGAN HEMATOLOGYONCOLOGY
4500 CAMPUS RIDGE DRIVE BUILDING 2MIDLANDMI48640PHYSICIAN OFFICE
12 - MYMICHIGAN MEDICAL CENTER - ORTHOPEDIC
4401 CAMPUS RIDGE DRIVE SUITE 2200MIDLANDMI48640PHYSICIAN OFFICE
13 - MYMICHIGAN MEDICAL CENTER - SURGERY SPE
4201 CAMPUS RIDGE DRIVE SUITE 2000MIDLANDMI48640PHYSICIAN OFFICE
14 - MYMICHIGAN MEDICAL CENTER HEART FAILURE
2660 WEST SUGNETMIDLANDMI48640PHYSICIAN OFFICE
15 - MYMICHIGAN MEDICAL CENTER MIDLAND - CAR
2660 WEST SUGNETMIDLANDMI48640PHYSICIAN OFFICE
16 - MYMICHIGAN MEDICAL CENTER MIDLAND - END
4201 CAMPUS RIDGE DRIVE SUITE 3201MIDLANDMI48640PHYSICIAN OFFICETOW
17 - MYMICHIGAN MEDICAL CENTER MIDLAND - INT
4401 CAMPUS RIDGE DRIVE SUITE 1100MIDLANDMI48670PHYSICIAN OFFICE
18 - MYMICHIGAN MEDICAL CENTER MIDLAND - NEU
4201 CAMPUS RIDGE DRIVE SUITE 4200MIDLANDMI48640PHYSICIAN OFFICE
19 - MYMICHIGAN MEDICAL CENTER MIDLAND - OBS
4401 CAMPUS RIDGE DRIVE SUITE LL110MIDLANDMI48640PHYSICIAN OFFICE
20 - MYMICHIGAN MEDICAL CENTER MIDLAND - PSY
4201 CAMPUS RIDGE DRIVE SUITE 2700MIDLANDMI48640PHYSICIAN OFFICETOW
21 - MYMICHIGAN MEDICAL CENTER MIDLAND CARDI
2660 WEST SUGNETMIDLANDMI48640PHYSICIAN OFFICE
22 - MYMICHIGAN MEDICAL CENTER MIDLAND ELECT
2600 WEST SUGNETMIDLANDMI48640PHYSICIAN OFFICE
23 - MYMICHIGAN MEDICAL CENTER MIDLAND VASCU
2660 WEST SUGNETMIDLANDMI48640PHYSICIAN OFFICE
24 - MYMICHIGAN MEDICAL CENTER MIDLAND WOUND
4300 CAMPUS RIDGE DRIVEMIDLANDMI48640WOUND TREATMENT, HYPERBARIC
25 - MYMICHIGAN MEDICAL CENTER PEDIATRICS
4401 CAMPUS RIDGE DRIVE SUITE 2000MIDLANDMI48640PHYSICIAN OFFICE
26 - MYMICHIGAN MEDICAL CENTER REHAB SERVICE
304 WACKERLY ROADMIDLANDMI48640REHABILITATION SERVICES (PT, OT)
27 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
424 WEST WACKERLY ROADMIDLANDMI48640REHABILITATION SERVICES (PT, OT)
28 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
601 EAST WACKERLY ROADMIDLANDMI48642REHABILITATION SERVICES (PT, OT)
29 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
728 WEST WACKERLY ROADMIDLANDMI48640REHABILITATION SERVICES (PT, OT)
30 - MYMICHIGAN MEDICAL CENTER - MIDLAND RHE
4401 CAMPUS RIDGE DRIVE SUITE 1100MIDLANDMI48640PHYSICIAN OFFICE
31 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO
4401 CAMPUS RIDGE DRIVE SUITE 2040MIDLANDMI48640PHYSICIAN OFFICE
32 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO
4201 CAMPUS RIDGE DRIVE SUITE 3400MIDLANDMI48640PHYSICIAN OFFICE
33 - MYMICHIGAN MEDICAL OFFICES - AUBURN
939 WEST MIDLAND ROADAUBURNMI48611PHYSICIAN OFFICE
34 - MYMICHIGAN MEDICAL OFFICES - MIDLAND (S
4100 CAMPUS RIDGE DRIVE BUILDINGMIDLANDMI48670SLEEP LABFLOOR
35 - MYMICHIGAN MEDICAL OFFICES - CAMPUS RID
4401 CAMPUS RIDGE DRIVEMIDLANDMI48640REHABILITATION SERVICES (PT, OT), LAB DRAW SITE
36 - MYMICHIGAN MEDICAL OFFICES - MIDLAND FA
4611 CAMPUS RIDGE DRIVEMIDLANDMI48670PHYSICIAN OFFICE
37 - MYMICHIGAN MEDICAL GROUP - SANFORD F
40 WEST SAGINAW ROADSANFORDMI48657PHYSICIAN OFFICE
38 - MYMICHIGAN URGENT CARE - MIDLAND
3009 NORTH SAGINAW ROADMIDLANDMI48657URGENT CARE CLINIC
39 - PULMONARY & CRITICAL CARE MEDICINE
4201 CAMPUS RIDGE DRIVE SUITE 3000MIDLANDMI48640PHYSICIAN OFFICE
40 - REICKER SURGERY CENTER
4400 WELLNESS DRIVEMIDLANDMI48640AMBULATORY SURGERY CENTER
41 - WELL SPORT
4401 CAMPUS RIDGE DRIVE SUITE 1000MIDLANDMI48640SPORTS MEDICINE PROGRAM

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 7NOT ONLY DO THE INDIVIDUAL HOSPITALS PROVIDE COMMUNITY BENEFITS, BUT BASED ON THE NEEDS ASSESSMENTS PROVIDED BY THE HOSPITALS, THE PARENT ORGANIZATION ALSO PROVIDES EDUCATION AND OUTREACH TO COMMUNITY MEMBERS, WHICH IS NOT REFLECTED IN EACH HOSPITALS' COST OF COMMUNITY BENEFIT.
PART II, COMMUNITY BUILDING ACTIVITIES:MYMICHIGAN MEDICAL CENTER MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS ATTRIBUTED TO COALITION BUILDING AS MEMBERS FOR COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MIDLAND COUNTY CHILD DEATH REVIEW; MIDLAND COUNTY COORDINATING COUNCIL ON DOMESTIC VIOLENCE/SEXUAL ASSAULT; MIDLAND AREA COMMUNITY FOUNDATION; GREATER MIDLAND COMMUNITY CENTER; MIDLAND ALLIANCE FOR SENIOR CARE (MASC); MIDLAND FAITH BASED COMMUNITY ASSISTANCE GROUP; MIDLAND CENTER FOR THE ARTS NEXT GENERATION COUNCIL; HEALTH AND HUMAN SERVICES COUNCIL; SENIOR SERVICES BOARD; MIDLAND BUSINESS ALLIANCE; AND THE MIDLAND COUNTY VULNERABLE ADULT NETWORK. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY SUPPORT ACTIVITIES THROUGH THE MIDLAND AND BAY AREA CHAMBERS OF COMMERCE AND ECONOMIC DEVELOPMENT THROUGH THE BAY AREA CHAMBER OF COMMERCE. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER MIDLAND STAFF FOR ORGANIZATIONS THAT FOLLOW: REMEMBERING WHEN (A PARTNERSHIP WITH MIDLAND FIRE AND SENIOR SERVICES); NORTHWOOD UNIVERSITY ESP INCOMING STUDENTS; MICHIGAN HEALTH IMPROVEMENT ALLIANCE; MIDLAND AREA COMMUNITY FOUNDATION - BOARD OF TRUSTEES; AND MIDLAND COUNTY HABITAT FOR HUMANITY. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDED: FREELAND HIGH SCHOOL FIELD TRIP; CMU FRESHMAN HONORS SIMULATION EVENT; READY, SET, GET HIRED; MERIDIAN HIGH SCHOOL SIMULATION ACTIVITIES; HEALTHCARE EXPLORERS CAMP; CMU CLINICAL INSTRUCTION; AND GUEST SPEAKER FOR MERIDIAN EARLY COLLEGE CTE CLASS: SAFETY IN THE WORKPLACE/HEALTHCARE PROFESSIONS.
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 FORBENEFICARIES, 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 FY 21, MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. ADDITIONALLY, WE PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE MIDLAND CANCER SERVICES. WE ALSO PARTNER WITH THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM AND A REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. IN 2019, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN MIDLAND COUNTY. A SAGINAW VALLEY STATE UNIVERSITY TEAM WORKED WITH THE HEALTH AND HUMAN SERVICES COUNCIL (HHSC) OF MIDLAND COUNTY TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE HHSC AND MIDLAND COUNTY AGENCIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE SAGINAW VALLEY STATE UNIVERSITY TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS MIDLAND COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITY AND COUNTY AREAS. THE TEAM USED EXISTING US CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN MIDLAND COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF THE MIDLAND COUNTY POPULATION (AGE, RACE, EDUCATION, INCOME). THE SAMPLE GENERATED A TOTAL OF 759 SURVEYS TO BE USED FOR ANALYSES (603 ONLINE SURVEYS AND 156 PAPER SURVEYS).
PART VI, LINE 3:INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IS COMMUNICATED TO THE PUBLIC THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. MYMICHIGAN HEALTH PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS, AND NEEDS. IN ADDITION, MYMICHIGAN HEALTH MAY BE ABLE TO HELP PATIENTS RECEIVE FREE OR LOW-COST HEALTH INSURANCE OR WORK WITH THE PATIENT TO ARRANGE A MANAGEABLE PAYMENT PLAN.ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTPS://WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID.
PART VI, LINE 4:THE COMMUNITY SERVED FOCUSES ON MYMICHIGAN MEDICAL CENTER MIDLAND, LOCATED IN MIDLAND, MI. THE SERVICE AREA IN MIDLAND COUNTY IS COMPRISED OF ZIP CODES: 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND), 48657(SANFORD), 48667 (MIDLAND), (48670) MIDLAND), 48674 (MIDLAND) AND 48686 (MIDLAND). SERVICE FOR MYMICHIGAN MEDICAL CENTER MIDLAND EXTENDS TO: 48706 (BAY) 48708 (BAY), 48611 (AUBURN) AND 48623 (FREELAND).ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,411 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 17.9 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.7 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.3 PERCENT. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.7 YEARS OF AGE. OF THE POPULATION, 91.5 PERCENT ARE WHITE (NON-HISPANIC) AND 8.5 PERCENT ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE EXCELLENT WAS 11.4 PERCENT AND FAIR OR POOR WAS 12 PERCENT.
PART VI, LINE 5:EACH MYMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELLBEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL AND BEHAVIORAL HEALTH; SOCIAL AND SPIRITUAL WELL-BEING; COMMUNITY HEALTH AND WELL-BEING AND COMMUNITIES OF SOLUTIONS. PORTFOLIO ONE AIMS AT IMPROVING THE PHYSICAL AND OR MENTAL HEALTH OF INDIVIDUALS SERVED THROUGH QUALITY MEASUREMENT AND PERFORMANCE IMPROVEMENT INITIATIVES, AS WELL AS THE USE OF PATIENT CARE NAVIGATORS AND CARE MANAGERS IN PRIMARY CARE OFFICES AND INITIATIVES TO IMPROVE ACCESS TO CARE, LIKE INCREASED OPPORTUNITIES FOR TELEMEDICINE. PORTFOLIO TWO ADDRESSES SOCIAL AND SPIRITUAL DRIVERS OF HEALTH AND WELL-BEING, MANY OF WHICH ARE IDENTIFIED THROUGH SYSTEMATIC EVALUATION OF SOCIAL DETERMINANTS OF HEALTH COMPLETED AT SEVERAL POINTS OF CONTACT INCLUDING: NEW PATIENTS, EMERGENCY DEPARTMENT PATIENTS, ANNUAL PHYSICALS, POST HOSPITAL DISCHARGES, REFERRALS TO CARE MANAGERS AND PATIENTS WHO CONSISTENTLY DO NOT SHOW UP FOR APPOINTMENTS TO DETERMINE WHAT BARRIERS THEY MAY BE ENCOUNTERING. PORTFOLIO THREE ACTIVITIES AIM TO IMPROVE COMMUNITY HEALTH AND WELL-BEING BY COMMUNITY PARTNERS WORKING TOGETHER TO ASSESS DATA, DETERMINE FOCUS AREAS OF HEALTH AND POOL STAFF AND RESOURCES TO IMPLEMENT HEALTH IMPROVEMENT PROJECTS LIKE INCREASING PHYSICAL ACTIVITY, ACCESS TO HEALTHY FOODS AND REDUCING OPIOID USAGE. PORTFOLIO FOUR ADDRESSES OUR ROLE AS AN ANCHOR INSTITUTION. WE ARE THE MAJOR EMPLOYER IN EACH COMMUNITY WE SERVE AND AS SUCH, WE PROMOTE HEALTH AND WELL-BEING BY CAPITALIZING ON COMMUNITY ASSETS AND ACTIVE ENGAGEMENT WITH REGIONAL INITIATIVES. A TOTAL OF $1,818,923 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN 2021 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES FOR THOSE WHO COULD NOT PAY. IN FY 2021 2,856 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 143 PEOPLE REACHED WITH EDUCATION ON MENTAL HEALTH AND DEPRESSION AND 0 FOR DRUG AND ALCOHOL EDUCATION. ADDITIONALLY, 38 PEOPLE WERE REACHED FOR HEART DISEASE AND HEART HEALTH EDUCATION AND 300 FOR PERIPHERAL ARTERY DISEASE (PAD) EDUCATION. THERE WERE 149 INDIVIDUALS WHO PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR BLOOD PRESSURE, CANCER AND BALANCE. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDED DIABETES EDUCATION TO 33 PEOPLE AND REPORTED 87 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. CHILDBIRTH RELATED EDUCATION WAS PROVIDED TO 370 INDIVIDUALS. THERE WERE 492 INDIVIDUALS WHO RECEIVED SUPPORT THROUGH MEETING GROUPS LIKE: BREATHING, CARDIAC/HEART, NUTRITION/WEIGHT MANAGEMENT, ALS, PARENTING AND PARKINSON'S.
PART VI, LINE 6:THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN FISCAL YEAR 2021 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $78 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES.THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH SUBSIDIARY IS SHARED OWNERSHIP FOR COMMUNITY HEALTH. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MYMICHIGAN MEDICAL CENTER MIDLAND AND MYMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS.
PART VI, LINE 7, REPORTS FILED WITH STATESMI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
POSTLER-SLATTERY DIANE
DIRECTOR$0$913,828$0$275,209$0$574,471$0$254,625$0$26,148$0$2,044,281$0$550,272
ROGERS GREGORY
PRESIDENT (PART YEAR)/DIRECTOR$0$583,403$0$149,605$0$634,554$0$260,546$0$18,754$0$1,646,862$0$604,268
PADGETT FRANCINE
SENIOR VP/TREAS/SECRETARY (PART YEAR$0$477,790$0$108,574$0$584,182$0$265,058$0$14,427$0$1,450,031$0$424,381
SALLACH MD SUSAN
DIRECTOR (PART YEAR)$0$783,546$0$0$0$1,712$0$5,700$0$27,189$0$818,147$0$0
FIREMAN MD MARK
PHYSICIAN$410,419$0$100,000$0$154,996$0$5,700$0$16,699$0$687,814$0$0$0
HILLS COURTNEY
CRNA$398,846$0$400$0$7,919$0$17,100$0$24,939$0$449,204$0$0$0
SHIVELY LAURIE
CRNA$379,315$0$400$0$9,117$0$29,925$0$25,437$0$444,194$0$0$0
ERICKSON MICHAEL
VP$281,943$0$47,827$0$49,611$0$31,557$0$29,149$0$440,087$0$40,639$0
LIEBERMAN DO JOHN
DIRECTOR$0$330,973$0$24,020$0$1,538$0$5,700$0$24,691$0$386,922$0$0
RAPP DONNA
FORMER SENIOR VP$0$0$0$0$0$372,535$0$0$0$0$0$372,535$0$0
HANOVER JEFFERY
CRNA$314,208$0$400$0$678$0$24,075$0$16,623$0$355,984$0$0$0
CROSS BRYAN
PRESIDENT (PART YEAR)$226,881$0$37,497$0$10,425$0$59,664$0$16,837$0$351,304$0$0$0
TERRELL TAMMY
VP OF NURSING & CNO$238,031$0$42,450$0$2,085$0$17,081$0$12,147$0$311,794$0$0$0
BECKER MD ERIC
PHYSICIAN$236,985$0$0$0$9,493$0$4,954$0$7,298$0$258,730$0$0$0
NOLD DIANE
FORMER VP$42,746$0$0$0$172,023$0$855$0$0$0$215,624$0$40,251$0
ROSE MICHAEL
SECRETARY/TREASURER (PART YEAR)$0$123,961$0$51,879$0$603$0$2,682$0$557$0$179,682$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $183 PER MONTH. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. CROSS, BRYAN PRESIDENT ERICKSON, MICHAEL VP
PART I, LINE 4BROGERS, PADGETT, POSTLER-SLATTERY, ROSE, AND ERICKSON ARE PARTICIPANTS IN A 457(F) PLAN. ROGERS, PADGETT, POSTLER-SLATTERY, AND ERICKSON RECEIVED PAYMENTS IN 2020. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE.
PART I, LINE 7MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION WITH THE LATEST REVIEW COMPLETED IN AUGUST 2021. IN ADDITION, KAUFMAN HALL & ASSOCIATES, LLC WAS ENGAGED TO EVALUTE THE PHYSICIAN COMPENSATION PROGRAM AND GIVE THEIR REASONABLE COMPENSATION OPINION, WHICH WAS ISSUED VIA A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE MAY 2018 COMPENSATION COMMITTEE MEETING.
PART III:MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN FINANCE AUTHORITY 2016BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN800596186BondIssuerEIN
Bond Issued2016-12-15BondIssuedDt
Issue Price$30,000,000IssuePriceAmt
PurposeCAPITAL PROJECTSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$9,000,000RetiredAmt
Total Proceeds$30,000,000TotalProceedsAmt
Issuance Costs From Proceeds$200,000IssuanceCostsFromProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: MICHIGAN FINANCE AUTHORITY 2016 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2017ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ADDITIONAL INFORMATIONTHIS FORM 990 TAX RETURN INCLUDES DATA FROM GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER WHICH IS A DISREGARDED ENTITY OWNED 100% BY MYMICHIGAN MEDICAL CENTER MIDLAND.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MYMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MYMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MYMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). COMPENSATION PROCESS FOR OFFICERS ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION B, LINE 1:INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VII, LINE 4:NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MYMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MYMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART XI, LINE 9:POST RETIREMENT LIABILITY ADJUSTMENT 2,724,281. GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER TRANSFER OF CAPITAL 10,850,678. TRANSFER OF NET ASSETS TO RELATED 501(C)(3) - MYMICHIGAN HEALTH -9,000,000. TRANSFER OF NET ASSETS TO RELATED 501(C)(3) - MYMICHIGAN MEDICAL GROUP -2,186,959. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HEALTH FOUNDATION 15,149,559. TRANSFER OF NA FROM RELATED 501(C)(3) - MYMICHIGAN HLTH. DEVELOPMENT ASSOC. 21,464,135. NPS K-1 BOOK-TAX DIFFERENCE 36,872.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NPS ASSOCIATES LLC - DBA GREAT LAKES SURGERY & ENDOSCOPY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14228 BAY CITY RDAddressLine1Txt
CityBAY CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP486426014ZIPCd
FieldValueIRS element (for citing)
EIN208500953EIN
Primary ActivitiesAMBULATORY SURGERYPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Total Income-$343,504TotalIncomeAmt
End Of Year Assets$10,659,515EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MYMICHIGAN MEDICAL CENTER MIDLANDBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MYMICHIGAN HEALTH
4000 WELLNESS DRMIDLANDMI48670382459948SUPPORTMI501(C)(3)LINE 12A, IN/A0
MYMICHIGAN MEDICAL CENTER ALMA
300 E WARWICK DRALMAMI48801381437919HOSPITALMI501(C)(3)LINE 3Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER CLARE
703 N MCEWAN STCLAREMI48617381518643HOSPITALMI501(C)(3)LINE 3Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER GLADWIN
515 QUARTER STGLADWINMI48624386020434HOSPITALMI501(C)(3)LINE 3Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER ALPENA
1501 W CHISHOLM STALPENAMI49707386000029HOSPITALMI501(C)(3)LINE 3Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397HOME CAREMI501(C)(3)LINE 10Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL GROUP
2620 W SUGNET RDMIDLANDMI48640383317788MEDICAL OFFICEMI501(C)(3)LINE 12A, IYes (1)MYMICHIGAN HEALTH
MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
4000 WELLNESS DRMIDLANDMI48670382459947OPERATIONSMI501(C)(2)Yes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS
4000 WELLNESS DRMIDLANDMI48670061723993SUPPORTMI501(C)(3)LINE 12A, IN/A0
MYMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DRMIDLANDMI48670812813405FOUNDATIONMI501(C)(3)LINE 12A, IYes (1)MYMICHIGAN HEALTH
MYMICHIGAN MEDICAL CENTER WEST BRANCH
2463 S M-30WEST BRANCHMI48661464088182HOSPITALMI501(C)(3)LINE 3Yes (1)MYMICHIGAN HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
MYMICHIGAN HEALTH PAIN MANAGEMENT
2463 SOUTH M-30WEST BRANCHMI48661834186622HEALTHCARE PAIN MANAGEMENTMIMYMICHIGAN MEDICAL CENTER MIDLANDRELATED$8,160$9,041000.00500
ISOMM
211 S CRAPO ST STE HMT PLEASANTMI48858270867311MRI SERVICESMI00N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MYMICHIGAN MEDICAL GROUP
B$2,186,959COST
MYMICHIGAN HEALTH
B$9,000,000COST
MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
C$2,908,569COST
MYMICHIGAN MEDICAL CENTER ALMA
A$79,101COST
MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
K$2,313,231COST
MYMICHIGAN HEALTH
P$43,272,352COST
MYMICHIGAN MEDICAL GROUP
P$8,759,046COST
MYMICHIGAN MEDICAL CENTER CLARE
Q$1,938,932COST
MYMICHIGAN MEDICAL CENTER GLADWIN
Q$1,140,269COST
MYMICHIGAN MEDICAL CENTER WEST BRANCH
Q$297,619COST
MYMICHIGAN MEDICAL GROUP
Q$482,871COST
MYMICHIGAN MEDICAL CENTER ALMA
Q$3,849,915COST
MYMICHIGAN MEDICAL CENTER ALPENA
Q$998,249COST
MYMICHIGAN HEALTH
Q$152,578COST
MYMICHIGAN HEALTH PAIN MANAGEMENT
Q$190,492COST
MYMICHIGAN HEALTH FOUNDATION
C$16,284,326COST
MYMICHIGAN HOME CARE
S$286,931COST
MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
S$18,555,565COST

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