2022-05-11T10:09:10-05:00 2021-06-30 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2020-07-01 380833014 MYMICHIGAN MEDICAL CENTER MIDLAND MYMI 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2022-05-11 JUDI GRAVES 999009999 DAVID LOWENTHAL P00378651 2483522500 2022-05-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X BRYAN CROSS 4000 WELLNESS DR MIDLAND MI 48670 592386101 0 X WWW.MYMICHIGAN.ORG X 1940 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 15 11 3176 195 5549412 0 23739811 6818723 486899422 542930409 -3676426 18936128 12351330 16061730 519314137 584746990 210262 0 0 0 169193406 189929437 0 0 403019 308498178 356296182 477901846 546225619 41412291 38521371 835141007 1093598494 266461238 341386882 568679769 752211612 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 468776942 552537977 MYMICHIGAN 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. 468776942 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 3176 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MI X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X POSTLER-SLATTERY DIANE DIRECTOR 2.00 50.00 X 0 1763508 280773 ROGERS GREGORY PRESIDENT (PART YEAR)/DIRECTOR 2.00 50.00 X X 0 1367562 279300 PADGETT FRANCINE SENIOR VP/TREAS/SECRETARY (PART YEAR) 2.00 50.00 X 0 1170546 279485 SALLACH MD SUSAN DIRECTOR (PART YEAR) 2.00 50.00 X 0 785258 32889 FIREMAN MD MARK PHYSICIAN 50.00 0.00 X 665415 0 22399 HILLS COURTNEY CRNA 50.00 0.00 X 407165 0 42039 SHIVELY LAURIE CRNA 50.00 0.00 X 388832 0 55362 ERICKSON MICHAEL VP 50.00 2.00 X 379381 0 60706 LIEBERMAN DO JOHN DIRECTOR 2.00 50.00 X 0 356531 30391 RAPP DONNA FORMER SENIOR VP 0.00 0.00 X 0 372535 0 HANOVER JEFFERY CRNA 50.00 0.00 X 315286 0 40698 CROSS BRYAN PRESIDENT (PART YEAR) 50.00 2.00 X X 274803 0 76501 TERRELL TAMMY VP OF NURSING & CNO 50.00 2.00 X 282566 0 29228 BECKER MD ERIC PHYSICIAN 50.00 0.00 X 246478 0 12252 NOLD DIANE FORMER VP 0.00 0.00 X 214769 0 855 ROSE MICHAEL SECRETARY/TREASURER (PART YEAR) 2.00 50.00 X 0 176443 3239 COLLINS BILL CHAIR 2.00 0.00 X X 0 0 0 THOMPSON MD MARGARET VICE CHAIR 2.00 0.00 X X 0 0 0 BIDDINGER MD KENT DIRECTOR (PART YEAR) 2.00 0.00 X 45368 0 0 NEWMAN MD JEFF DIRECTOR 2.00 0.00 X 7450 0 0 BLOCK CLIFFORD DIRECTOR 2.00 0.00 X 0 0 0 DORRIEN GREG DIRECTOR 2.00 0.00 X 0 0 0 GRANSDEN BRIDGETTE DIRECTOR 2.00 0.00 X 0 0 0 HURLEY BARB DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 KENDALL CHUCK DIRECTOR 2.00 0.00 X 0 0 0 LAMB NANCY DIRECTOR 2.00 0.00 X 0 0 0 MORTENSEN SHARON DIRECTOR 2.00 0.00 X 0 0 0 NILLES PAULA DIRECTOR 2.00 0.00 X 0 0 0 REARDON SANDY DIRECTOR 2.00 0.00 X 0 0 0 3227513 5992383 1246117 185 1 1 0 0 6818723 6818723 MEDICARE/MEDICAID PAYMENTS 621990 299403948 299403948 PATIENT REVENUE, NET 621990 227241713 227241713 SUBSIDIARY RELATED INCOME 900099 10282793 10282793 340B PHARMACY REVENUE 900099 3169090 3169090 CONTRACTED CLINICAL SERVICES 621990 2832865 2832865 542930409 8402567 291280 8111287 41151 0 41151 41151 41151 18001919 170753 6445646 1193465 11556273 -1022712 10533561 10533561 GREAT LAKES BAY SURGICAL AND ENDO 541700 5181054 5181054 SPECIALTY PHARMACY 446110 1956535 1956535 CAFETERIA/FOOD SERVICE 722514 1154879 1154879 7728111 7359753 368358 16020579 584746990 552537977 5549412 19840878 954522 954522 153274708 124714138 28313183 247387 6873925 5758805 1109845 5275 18115934 14712234 3353362 50338 10710348 8962069 1729485 18794 508 508 22643 22643 771888 771888 27477702 24982390 2494211 1101 123120 76648 45059 1413 7190450 3411786 3776647 2017 424178 361887 62044 247 5473145 3708558 1764587 316776 216739 95798 4239 343337 223602 119735 6917685 6917685 26387170 24377651 2009519 2970584 81125 2889459 MEDICAL SUPPLIES 106832149 106832149 PURCHASED SERVICES 86159281 69428619 16689006 41656 PHYSICIAN PRACTICE SUBS 60416851 60384240 32611 BAD DEBT EXPENSE 10421430 10421430 14047285 3205187 10811546 30552 546225619 468776942 77045658 403019 11545 11916 71850780 11310514 43098416 52735330 7479561 6541949 23802460 26985954 486499111 272232899 182687784 214266212 169246570 312224392 335603027 449606634 1360864 11209636 0 8705957 835141007 1093598494 31535613 32007514 60762267 53429494 151573943 20963699 214302642 22589415 20683533 266461238 341386882 X 568679769 752211612 568679769 752211612 835141007 1093598494 X 38521371 105971906 39038566 X X 0 1 X 1 1 0 X 0 0 0 0 0 0 0 0 1 22643 22643 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER MIDLAND PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITIES. 0 0 2673153 2673153 312821546 161028744 151792802 24568966 16132664 8436302 135372676 94312422 41060254 11062770 759069 10303701 214266212 HEDGE FUNDS 34590522 F BLACKROCK DOMESTIC EQUITY 148810464 F PARAMETRIC GLOBAL EQUITY 40600300 F BLACKROCK INTERNATIONAL 147012917 F BLACKROCK FIXED INCOME 21365324 F CLARION & CORNERSTONE 57227107 F 449606634 DEFERRED COMP, SELF INSURANCE, AND OTHER 10253733 ASSET RETIREMENT OBLIGATION 6677618 CAPITAL LEASE OBLIGATION 565957 OPERATING LEASE LIABILITY 3186225 20683533 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 7942024 7942024 0.01450 1 73403423 67006904 6396519 0.01170 1 81345447 67006904 14338543 0.02620 1016 57382 224385 13850 210535 0.00040 7 892 10453175 8505570 1947605 0.00360 1 1 688140 973023 0 0.00000 1 49425 0 0.00000 1025 58275 11365700 9541868 2158140 0.00400 1026 58275 92711147 76548772 16496683 0.03020 13 0 3106 3106 0.00000 3 200 499 499 0.00000 38 656 1462 1462 0.00000 7 916 916 0.00000 3 18 452 452 0.00000 64 874 6435 6435 0.00000 1 10421430 521072 126389494 123699299 2690195 X 1 1 1 1 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 WWW.MYMICHIGAN.ORG 1060000089 X X X X MYMICHIGAN MEDICAL CENTER MIDLAND 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE PART V, PAGE 8 X 1 19 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/PATIENT-NOTICE-OF-FI X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FI X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FI X X X X X X 1 X 0 X X X X 1 X 0 0 MYMICHIGAN MEDICAL CENTER MIDLAND PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER MIDLAND'S COMMUNITY EDUCATION MANAGER IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MYMICHIGAN MEDICAL CENTER MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY. MYMICHIGAN MEDICAL CENTER MIDLAND PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED AND PRIORITIZED BY REVIEWING QUANTITATIVE AND QUALITATIVE DATA, AND RANKING HEALTH ISSUES ACCORDING TO FOCUS. WE INVESTIGATED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES. A GRID OF OVER 150 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA OUT OF NORMAL RANGE AGAINST A BENCHMARK WAS COMPARED TO CURRENT STANDARDS, THOSE OF OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, AND THOSE OF OUR COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH; 2. CARE ACCESS; 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER MIDLAND LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.IN ORDER TO RESPOND AND IMPACT THE HEALTH CARE NEEDS THAT WERE IDENTIFIED, THE TOP PRIORITY AREAS FOR MYMICHIGAN HEALTH CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MYMICHIGAN HEALTH POPULATION HEALTH COLLABORATION TEAM AND MYMICHIGAN MEDICAL CENTER MIDLAND BOARD ON JUNE 28, 2019 FOLLOW; ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED:A. CHRONIC DISEASE PREVENTION AND TREATMENT. EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASED ACCESS TO 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 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 41 1 - BAY CITY HEALTH PARK - REHAB SERVICES 3051 KIESEL ROAD BAY CITY MI 48706 REHABILITATION SERVICES (PT, OT) 2 - CAMPUS RIDGE FAMILY PRACTICE 4401 CAMPUS RIDGE SUITE D2100 MIDLAND MI 48640 PHYSICIAN OFFICE 3 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN 337 LEMKE STREET MIDLAND MI 48642 REHABILITATION SERVICES (PT, OT) 4 - MICHIGAN MEDICINE GYN SPECIALTY 4320 CAMPUS RIDGE DRIVE MIDLAND MI 48640 PHYSICIAN OFFICE 5 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOL 555 W WACKERLY ROAD MIDLAND MI 48640 LAB DRAW STATION, IMAGING SERVICES 6 - MYMICHIGAN GRATIOT CANCER CENTER (RADIA 315 EAST WARWICK DRIVE SUITE C ALMA MI 48801 PHYSICIAN OFFICE 7 - MYMICHIGAN HEALTH MEDICAL OFFICES EAST 715 EAST MAIN STREET SUITE 100 MIDLAND MI 48640 PHYSICIAN OFFICE 8 - MYMICHIGAN URGENT CARE - FREELAND 5694 MIDLAND ROAD FREELAND MI 48623 URGENT CARE CLINIC 9 - MYMICHIGAN MEDICAL GROUP - FAMILY PRAC 5694 MIDLAND ROAD FREELAND MI 48623 PHYSICIAN OFFICE 10 - MYMICHIGAN REHAB - FREELAND 5694 MIDLAND ROAD FREELAND MI 48623 REHABILITATION SERVICES (PT, OT) 11 - MYMICHIGAN HEMATOLOGYONCOLOGY 4500 CAMPUS RIDGE DRIVE BUILDING 2 MIDLAND MI 48640 PHYSICIAN OFFICE 12 - MYMICHIGAN MEDICAL CENTER - ORTHOPEDIC 4401 CAMPUS RIDGE DRIVE SUITE 2200 MIDLAND MI 48640 PHYSICIAN OFFICE 13 - MYMICHIGAN MEDICAL CENTER - SURGERY SPE 4201 CAMPUS RIDGE DRIVE SUITE 2000 MIDLAND MI 48640 PHYSICIAN OFFICE 14 - MYMICHIGAN MEDICAL CENTER HEART FAILURE 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 15 - MYMICHIGAN MEDICAL CENTER MIDLAND - CAR 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 16 - MYMICHIGAN MEDICAL CENTER MIDLAND - END 4201 CAMPUS RIDGE DRIVE SUITE 3201 TOW MIDLAND MI 48640 PHYSICIAN OFFICE 17 - MYMICHIGAN MEDICAL CENTER MIDLAND - INT 4401 CAMPUS RIDGE DRIVE SUITE 1100 MIDLAND MI 48670 PHYSICIAN OFFICE 18 - MYMICHIGAN MEDICAL CENTER MIDLAND - NEU 4201 CAMPUS RIDGE DRIVE SUITE 4200 MIDLAND MI 48640 PHYSICIAN OFFICE 19 - MYMICHIGAN MEDICAL CENTER MIDLAND - OBS 4401 CAMPUS RIDGE DRIVE SUITE LL110 MIDLAND MI 48640 PHYSICIAN OFFICE 20 - MYMICHIGAN MEDICAL CENTER MIDLAND - PSY 4201 CAMPUS RIDGE DRIVE SUITE 2700 TOW MIDLAND MI 48640 PHYSICIAN OFFICE 21 - MYMICHIGAN MEDICAL CENTER MIDLAND CARDI 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 22 - MYMICHIGAN MEDICAL CENTER MIDLAND ELECT 2600 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 23 - MYMICHIGAN MEDICAL CENTER MIDLAND VASCU 2660 WEST SUGNET MIDLAND MI 48640 PHYSICIAN OFFICE 24 - MYMICHIGAN MEDICAL CENTER MIDLAND WOUND 4300 CAMPUS RIDGE DRIVE MIDLAND MI 48640 WOUND TREATMENT, HYPERBARIC 25 - MYMICHIGAN MEDICAL CENTER PEDIATRICS 4401 CAMPUS RIDGE DRIVE SUITE 2000 MIDLAND MI 48640 PHYSICIAN OFFICE 26 - MYMICHIGAN MEDICAL CENTER REHAB SERVICE 304 WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 27 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 424 WEST WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 28 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 601 EAST WACKERLY ROAD MIDLAND MI 48642 REHABILITATION SERVICES (PT, OT) 29 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH 728 WEST WACKERLY ROAD MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT) 30 - MYMICHIGAN MEDICAL CENTER - MIDLAND RHE 4401 CAMPUS RIDGE DRIVE SUITE 1100 MIDLAND MI 48640 PHYSICIAN OFFICE 31 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO 4401 CAMPUS RIDGE DRIVE SUITE 2040 MIDLAND MI 48640 PHYSICIAN OFFICE 32 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO 4201 CAMPUS RIDGE DRIVE SUITE 3400 MIDLAND MI 48640 PHYSICIAN OFFICE 33 - MYMICHIGAN MEDICAL OFFICES - AUBURN 939 WEST MIDLAND ROAD AUBURN MI 48611 PHYSICIAN OFFICE 34 - MYMICHIGAN MEDICAL OFFICES - MIDLAND (S 4100 CAMPUS RIDGE DRIVE BUILDING FLOOR MIDLAND MI 48670 SLEEP LAB 35 - MYMICHIGAN MEDICAL OFFICES - CAMPUS RID 4401 CAMPUS RIDGE DRIVE MIDLAND MI 48640 REHABILITATION SERVICES (PT, OT), LAB DRAW SITE 36 - MYMICHIGAN MEDICAL OFFICES - MIDLAND FA 4611 CAMPUS RIDGE DRIVE MIDLAND MI 48670 PHYSICIAN OFFICE 37 - MYMICHIGAN MEDICAL GROUP - SANFORD F 40 WEST SAGINAW ROAD SANFORD MI 48657 PHYSICIAN OFFICE 38 - MYMICHIGAN URGENT CARE - MIDLAND 3009 NORTH SAGINAW ROAD MIDLAND MI 48657 URGENT CARE CLINIC 39 - PULMONARY & CRITICAL CARE MEDICINE 4201 CAMPUS RIDGE DRIVE SUITE 3000 MIDLAND MI 48640 PHYSICIAN OFFICE 40 - REICKER SURGERY CENTER 4400 WELLNESS DRIVE MIDLAND MI 48640 AMBULATORY SURGERY CENTER 41 - WELL SPORT 4401 CAMPUS RIDGE DRIVE SUITE 1000 MIDLAND MI 48640 SPORTS MEDICINE PROGRAM 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 NOT ONLY DO THE INDIVIDUAL HOSPITALS PROVIDE COMMUNITY BENEFITS, BUT BASED ON THE NEEDS ASSESSMENTS PROVIDED BY THE HOSPITALS, THE PARENT ORGANIZATION ALSO PROVIDES EDUCATION AND OUTREACH TO COMMUNITY MEMBERS, WHICH IS NOT REFLECTED IN EACH HOSPITALS' COST OF COMMUNITY BENEFIT. PART II, COMMUNITY BUILDING ACTIVITIES: MYMICHIGAN MEDICAL CENTER MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS ATTRIBUTED TO COALITION BUILDING AS MEMBERS FOR COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MIDLAND 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 STATES MI X 1 1 X X X X 0 1 0 0 0 0 0 1 0 POSTLER-SLATTERY DIANE DIRECTOR 0 913828 0 275209 0 574471 0 254625 0 26148 0 2044281 0 550272 ROGERS GREGORY PRESIDENT (PART YEAR)/DIRECTOR 0 583403 0 149605 0 634554 0 260546 0 18754 0 1646862 0 604268 PADGETT FRANCINE SENIOR VP/TREAS/SECRETARY (PART YEAR 0 477790 0 108574 0 584182 0 265058 0 14427 0 1450031 0 424381 SALLACH MD SUSAN DIRECTOR (PART YEAR) 0 783546 0 0 0 1712 0 5700 0 27189 0 818147 0 0 FIREMAN MD MARK PHYSICIAN 410419 0 100000 0 154996 0 5700 0 16699 0 687814 0 0 0 HILLS COURTNEY CRNA 398846 0 400 0 7919 0 17100 0 24939 0 449204 0 0 0 SHIVELY LAURIE CRNA 379315 0 400 0 9117 0 29925 0 25437 0 444194 0 0 0 ERICKSON MICHAEL VP 281943 0 47827 0 49611 0 31557 0 29149 0 440087 0 40639 0 LIEBERMAN DO JOHN DIRECTOR 0 330973 0 24020 0 1538 0 5700 0 24691 0 386922 0 0 RAPP DONNA FORMER SENIOR VP 0 0 0 0 0 372535 0 0 0 0 0 372535 0 0 HANOVER JEFFERY CRNA 314208 0 400 0 678 0 24075 0 16623 0 355984 0 0 0 CROSS BRYAN PRESIDENT (PART YEAR) 226881 0 37497 0 10425 0 59664 0 16837 0 351304 0 0 0 TERRELL TAMMY VP OF NURSING & CNO 238031 0 42450 0 2085 0 17081 0 12147 0 311794 0 0 0 BECKER MD ERIC PHYSICIAN 236985 0 0 0 9493 0 4954 0 7298 0 258730 0 0 0 NOLD DIANE FORMER VP 42746 0 0 0 172023 0 855 0 0 0 215624 0 40251 0 ROSE MICHAEL SECRETARY/TREASURER (PART YEAR) 0 123961 0 51879 0 603 0 2682 0 557 0 179682 0 0 PART I, LINE 1A THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $183 PER MONTH. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. CROSS, BRYAN PRESIDENT ERICKSON, MICHAEL VP PART I, LINE 4B ROGERS, 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 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION 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. A MICHIGAN FINANCE AUTHORITY 2016 800596186 2016-12-15 30000000 CAPITAL PROJECTS 0 0 0 A 9000000 30000000 200000 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY 2016 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2017 FORM 990 - ADDITIONAL INFORMATION THIS FORM 990 TAX RETURN INCLUDES DATA FROM GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER WHICH IS A DISREGARDED ENTITY OWNED 100% BY MYMICHIGAN MEDICAL CENTER MIDLAND. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MYMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MYMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MYMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MYMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). COMPENSATION PROCESS FOR OFFICERS ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1: INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. 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. NPS ASSOCIATES LLC - DBA GREAT LAKES SURGERY & ENDOSCOPY CENTER 4228 BAY CITY RD BAY CITY MI 486426014 208500953 AMBULATORY SURGERY MI -343504 10659515 MYMICHIGAN MEDICAL CENTER MIDLAND MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 1 MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES 4000 WELLNESS DR MIDLAND MI 48670 382459947 OPERATIONS MI 501(C)(2) MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS 4000 WELLNESS DR MIDLAND MI 48670 061723993 SUPPORT MI 501(C)(3) LINE 12A, I N/A 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 1 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 1 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI MYMICHIGAN MEDICAL CENTER MIDLAND RELATED 8160 9041 0 0 0.00500 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 MYMICHIGAN MEDICAL GROUP B 2186959 COST MYMICHIGAN HEALTH B 9000000 COST MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES C 2908569 COST MYMICHIGAN MEDICAL CENTER ALMA A 79101 COST MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES K 2313231 COST MYMICHIGAN HEALTH P 43272352 COST MYMICHIGAN MEDICAL GROUP P 8759046 COST MYMICHIGAN MEDICAL CENTER CLARE Q 1938932 COST MYMICHIGAN MEDICAL CENTER GLADWIN Q 1140269 COST MYMICHIGAN MEDICAL CENTER WEST BRANCH Q 297619 COST MYMICHIGAN MEDICAL GROUP Q 482871 COST MYMICHIGAN MEDICAL CENTER ALMA Q 3849915 COST MYMICHIGAN MEDICAL CENTER ALPENA Q 998249 COST MYMICHIGAN HEALTH Q 152578 COST MYMICHIGAN HEALTH PAIN MANAGEMENT Q 190492 COST MYMICHIGAN HEALTH FOUNDATION C 16284326 COST MYMICHIGAN HOME CARE S 286931 COST MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES S 18555565 COST