MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-14
IRS object ID: 202631349349302258
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-14T08:39:15-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	331498605	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JUDI GRAVES	PersonNm
Person Title	CORPORATE CONTROLLER	PersonTitleTxt
Phone	9898379039	PhoneNum
Signature	2026-05-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2026-05-08	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$855,659,135	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MYMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	4203	TotalEmployeeCnt
Total Volunteers	209	TotalVolunteersCnt
Total Gross UBI	$8,295,478	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$43,244	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,420,495	PYContributionsGrantsAmt
CY Contributions Grants	$2,994,714	CYContributionsGrantsAmt
PY Program Service Revenue	$685,108,261	PYProgramServiceRevenueAmt
CY Program Service Revenue	$760,148,743	CYProgramServiceRevenueAmt
PY Investment Income	-$5,924,254	PYInvestmentIncomeAmt
CY Investment Income	$32,528,553	CYInvestmentIncomeAmt
PY Other Revenue	$12,250,032	PYOtherRevenueAmt
CY Other Revenue	$13,123,593	CYOtherRevenueAmt
PY Total Revenue	$694,854,534	PYTotalRevenueAmt
CY Total Revenue	$808,795,603	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$241,970,474	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$331,378,308	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$759,290	CYTotalFundraisingExpenseAmt
PY Other Expenses	$441,894,040	PYOtherExpensesAmt
CY Other Expenses	$440,712,261	CYOtherExpensesAmt
PY Total Expenses	$683,864,514	PYTotalExpensesAmt
CY Total Expenses	$772,090,569	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,990,020	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$36,705,034	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,158,059,202	TotalAssetsBOYAmt
Total Assets EOY	$1,202,526,512	TotalAssetsEOYAmt
Total Liabilities BOY	$298,828,397	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$291,738,758	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$859,230,805	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$910,787,754	NetAssetsOrFundBalancesEOYAmt
Mission	CREATING HEALTHY COMMUNITIES - TOGETHER	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$698,882,631	ExpenseAmt
Revenue	$764,522,487	RevenueAmt
Desc	MYMICHIGAN MEDICAL CENTER MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 15,074 INPATIENT ADMISSIONS AND 371,622 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2025. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY.	Desc
Total Program Service Expenses	$698,882,631	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	4203	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	9898379039	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROSE MICHAEL
SR VP, CFO & TREASURER	2.00	50.00	Yes (X)	Yes (X)	$0	$1,032,806	$150,373
CROSS BRYAN
DIRECTOR	2.00	50.00	Yes (X)		$0	$932,183	$198,664
HAMEL MD REMI
PHYSICIAN	50.00	0.00			$967,440	$0	$32,607	Yes (X)
ZEEB MD LINDSAY
DIRECTOR	52.00	0.00	Yes (X)		$855,261	$0	$32,607
FIREMAN MD MARK
PHYSICIAN	50.00	0.00			$841,201	$0	$28,162	Yes (X)
SHERWIN CHUCK
PRESIDENT	2.00	50.00	Yes (X)	Yes (X)	$0	$741,256	$103,623
DANSO MD DANIEL
PHYSICIAN	50.00	0.00			$710,284	$0	$23,635	Yes (X)
OFORI DARKO MD ERNEST
PHYSICIAN	50.00	0.00			$691,734	$0	$26,609	Yes (X)
JONES MD MARK
PHYSICIAN	50.00	0.00			$669,047	$0	$15,662	Yes (X)
TERRELL TAMMY
CNO (PART YEAR)	50.00	0.00			$492,113	$0	$33,562		Yes (X)
PROVENZANO JEFFREY
SYSTEM VP PROFESSIONAL SERVICES	50.00	0.00			$386,850	$0	$37,062		Yes (X)
GOODWIN PETER
GENERAL COUNSEL & SECRETARY (PART YEAR)	2.00	50.00	Yes (X)	Yes (X)	$0	$340,860	$16,352
PADGETT FRANCINE
FORMER SENIOR VP/TREAS/SECRETARY	0.00	0.00			$0	$348,143	$0			Yes (X)
BECKER MD ERIC
DIRECTOR (PART YEAR)	52.00	0.00	Yes (X)		$291,423	$0	$12,856
SOSOLIK MD RANDOLPH
DIRECTOR	2.00	0.00	Yes (X)		$2,000	$0	$0
GRANSDEN BRIDGETTE
CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DORRIEN GREG
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
BACZEWSKI KIMBERLEE
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
BROWN WILHELM DIANE
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
FORD NICOLE
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
MORTENSEN SHARON
DIRECTOR	2.00	0.00	Yes (X)		$0	$0	$0
STAMAS TONY
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,907,353	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,395,248	TotReportableCompRltdOrgAmt
Total Other Compensation	$711,774	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	336	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,994,714	GovernmentGrantsAmt
Total Contributions	$2,994,714	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS	621990	$385,552,108	$385,552,108
PATIENT REVENUE, NET	621990	$322,997,109	$322,997,109
SPECIALTY PHARMACY/340B PHARMACY	621500	$36,983,273	$36,983,273
SUBSIDIARY RELATED INCOME	900099	$12,973,353	$12,973,353
CONTRACTED CLINICAL SERVICES	621990	$1,642,900	$1,642,900

Field	Value	IRS element (for citing)
Total Program Service Revenue	$760,148,743	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,683,511	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,111,132	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,572,379	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$790,493	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$790,493	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$790,493	TotalRevenueColumnAmt
Exclusion	$790,493	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$74,525,289	SecuritiesAmt
Other	$183,285	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$46,797,242	SecuritiesAmt
Other	$66,290	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$27,728,047	SecuritiesAmt
Other	$116,995	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,845,042	TotalRevenueColumnAmt
Exclusion	$27,845,042	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
GREAT LAKES BAY SURGERY & ENDOSCO	621400	$7,906,369	$7,906,369
PENSION NON-SERVICE INCOME	900099	$786,612		$786,612
OUTSIDE INCOME	541900	$709,178			$709,178

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,930,941	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,476,000	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$389,109	UnrelatedBusinessRevenueAmt
Exclusion	$65,832	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,333,100	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$808,795,603	TotalRevenueColumnAmt
Related Or Exempt Func Income	$764,522,487	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,295,478	UnrelatedBusinessRevenueAmt
Exclusion	$32,982,924	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,091,691	TotalAmt
Management And General	$2,091,691	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$286,784,132	TotalAmt
Program Services	$257,711,427	ProgramServicesAmt
Management And General	$28,581,478	ManagementAndGeneralAmt
Fundraising	$491,227	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,001,671	TotalAmt
Program Services	$10,007,719	ProgramServicesAmt
Management And General	$968,564	ManagementAndGeneralAmt
Fundraising	$25,388	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,971,912	TotalAmt
Program Services	$10,112,988	ProgramServicesAmt
Management And General	$2,758,173	ManagementAndGeneralAmt
Fundraising	$100,751	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$18,528,902	TotalAmt
Program Services	$16,448,531	ProgramServicesAmt
Management And General	$2,041,630	ManagementAndGeneralAmt
Fundraising	$38,741	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$32,351	TotalAmt
Management And General	$32,351	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$288,455	TotalAmt
Management And General	$288,455	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$42,146,265	TotalAmt
Program Services	$39,881,826	ProgramServicesAmt
Management And General	$2,263,232	ManagementAndGeneralAmt
Fundraising	$1,207	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$110,649	TotalAmt
Program Services	$62,449	ProgramServicesAmt
Management And General	$48,200	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,002,367	TotalAmt
Program Services	$5,155,971	ProgramServicesAmt
Management And General	$3,843,099	ManagementAndGeneralAmt
Fundraising	$3,297	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$543,794	TotalAmt
Program Services	$517,732	ProgramServicesAmt
Management And General	$23,455	ManagementAndGeneralAmt
Fundraising	$2,607	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,540,827	TotalAmt
Program Services	$4,304,457	ProgramServicesAmt
Management And General	$2,236,370	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,533,687	TotalAmt
Program Services	$1,377,377	ProgramServicesAmt
Management And General	$148,673	ManagementAndGeneralAmt
Fundraising	$7,637	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,057,986	TotalAmt
Program Services	$842,114	ProgramServicesAmt
Management And General	$213,609	ManagementAndGeneralAmt
Fundraising	$2,263	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,963,582	TotalAmt
Program Services	$7,963,582	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,698,362	TotalAmt
Program Services	$30,021,194	ProgramServicesAmt
Management And General	$2,677,168	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,497,478	TotalAmt
Program Services	$251,553	ProgramServicesAmt
Management And General	$5,245,925	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$152,096,604	$152,096,604
PURCHASED SERVICES	$135,293,885	$117,265,405	$17,968,364	$60,116
BAD DEBT EXPENSE	$24,402,945	$24,402,945
PHYSICIAN PRACTICE SUBS	$16,835,667	$16,835,667

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,667,357	TotalAmt
Program Services	$3,623,090	ProgramServicesAmt
Management And General	$1,018,211	ManagementAndGeneralAmt
Fundraising	$26,056	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$772,090,569	TotalAmt
Program Services	$698,882,631	ProgramServicesAmt
Management And General	$72,448,648	ManagementAndGeneralAmt
Fundraising	$759,290	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,849	BOYAmt
EOY	$10,900	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,188,011	BOYAmt
EOY	$104,836,915	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$90,563,996	BOYAmt
EOY	$87,905,625	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,803,958	BOYAmt
EOY	$7,384,222	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,524,539	BOYAmt
EOY	$14,542,479	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$564,869,369	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$329,713,153	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$247,002,457	BOYAmt
EOY	$235,156,216	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$458,115,077	BOYAmt
EOY	$415,256,763	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$314,043,192	BOYAmt
EOY	$322,617,602	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$9,976,522	BOYAmt
EOY	$9,943,641	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,830,601	BOYAmt
EOY	$4,872,149	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,158,059,202	BOYAmt
EOY	$1,202,526,512	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$34,287,276	BOYAmt
EOY	$36,671,284	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$153,185	BOYAmt
EOY	$347,965	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,983,500	BOYAmt
EOY	$12,990,100	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$214,457,447	BOYAmt
EOY	$214,509,049	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,946,989	BOYAmt
EOY	$27,220,360	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$298,828,397	BOYAmt
EOY	$291,738,758	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$859,230,805	BOYAmt
EOY	$910,787,754	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$859,230,805	BOYAmt
EOY	$910,787,754	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,158,059,202	BOYAmt
EOY	$1,202,526,512	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$36,705,034	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$39,774,052	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$24,922,137	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$32,351	OtherActivitiesAmt
Total Lobbying Expenditures	$32,351	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,816,353	OtherCostOrOtherBasisAmt
Book Value	$2,816,353	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$402,448,655	OtherCostOrOtherBasisAmt
Depreciation	$214,419,153	DepreciationAmt
Book Value	$188,029,502	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,950,631	OtherCostOrOtherBasisAmt
Depreciation	$1,417,955	DepreciationAmt
Book Value	$532,676	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$144,184,739	OtherCostOrOtherBasisAmt
Depreciation	$113,876,045	DepreciationAmt
Book Value	$30,308,694	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,468,991	OtherCostOrOtherBasisAmt
Book Value	$13,468,991	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$235,156,216	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$41,397,293	F
BLACKROCK DOMESTIC EQUITY	$112,049,975	F
BLACKROCK INTERNATIONAL	$61,215,451	F
CLARION & CORNERSTONE	$107,954,883	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$322,617,602	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMP, SELF INSURANCE, AND OTHER	$16,274,476
ASSET RETIREMENT OBLIGATION	$8,020,594
OPERATING LEASE LIABILITY	$2,925,290

Field	Value	IRS element (for citing)
Total Liability	$27,220,360	TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$12,218,912	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,218,912	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$98,830,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,293,959	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$111,049,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$103,293,959	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,218,912	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5809	ActivitiesOrProgramsCnt
Persons Served	72522	PersonsServedCnt
Total Community Benefit Expns	$322,741	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$308,393	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	995	PersonsServedCnt
Total Community Benefit Expns	$13,747,498	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,657,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,090,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$33,351,619	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,216,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,135,111	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$961,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$852,977	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$640	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$640	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5856	ActivitiesOrProgramsCnt
Persons Served	73517	PersonsServedCnt
Total Community Benefit Expns	$48,383,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,741,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,642,329	NetCommunityBenefitExpnsAmt
Total Expense	0.02090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5857	ActivitiesOrProgramsCnt
Persons Served	73517	PersonsServedCnt
Total Community Benefit Expns	$159,432,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$136,035,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,861,241	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	130	ActivitiesOrProgramsCnt
Persons Served	190	PersonsServedCnt
Total Community Benefit Expns	$39,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	192	ActivitiesOrProgramsCnt
Persons Served	1147	PersonsServedCnt
Total Community Benefit Expns	$25,649	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,649	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$4,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	73	PersonsServedCnt
Total Community Benefit Expns	$371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$371	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$232	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	346	ActivitiesOrProgramsCnt
Persons Served	1510	PersonsServedCnt
Total Community Benefit Expns	$70,260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,260	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,402,945	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,220,147	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$99,791,002	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$96,431,610	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,359,392	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, PAGE 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, PAGE 8	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MYMICHIGAN MEDICAL CENTER MIDLAND	PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER MIDLAND'S COMMUNITY EDUCATION SUPERVISOR IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH & 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 COLLABORATIVE 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 6B: MYMICHIGAN MEDICAL CENTER MIDLAND COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA:-UNITED WAY OF MIDLAND COUNTY-THE LEGACY CENTER-SENIOR SERVICES-TEN16-MIDLAND BUSINESS ALLIANCE-SHELTERHOUSE OF MIDLAND-COMMUNITY MENTAL HEALTH-GREAT LAKES PHYSICIANS ORGANIZATION-MIDLAND'S OPEN DOOR-211 OF NORTHEAST MICHIGAN-MIDLAND COUNTY HEALTH DEPARTMENT-SAGINAW VALLEY STATE UNIVERSITY
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 FEBRUARY 28, 2025, FOLLOW, ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED. A. CHRONIC DISEASE. PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND PREVENT CHRONIC CONDITIONS. EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASE ACCESS TO HEALTH FOODS. PROJECTS THAT ALIGN WITH PREVENTION OF CHRONIC DISEASE FOLLOW: 1. IMPLEMENT AND PROVIDE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM; 2. IMPLEMENT AND EXPAND LIFESTYLE MEDICINE, 3. PROVIDE CANCER SCREENING OPPORTUNITIES, 4. INTEGRATE THE USE OF COMMUNITY HEALTH WORKERS. B. BEHAVIORAL HEALTH. ENSURE A COMPREHENSIVE SYSTEM OF CARE TO MEET THE BEHAVIORAL HEALTH NEEDS OF ALL. LEAD, PARTNER AND SUPPORT EFFORTS TO ENSURE CARE IS GIVEN AT THE RIGHT TIME, IN THE RIGHT PLACE AND WITH THE RIGHT CARE. 1. IMPLEMENT A "BLUE ENVELOPE PROGRAM OR SOMETHING SIMILAR WITHIN MYMICHIGAN HEALTH OUTPATIENT CLINICS IN MIDLAND COUNTY. 2. DEVELOP A TOBACCO CESSATION STRATEGY. 3. IMPLEMENT SUICIDE PREVENTION TRAINING FOR ALL STAFF EMPLOYED AT MYMICHIGAN MEDICAL CENTER MIDLAND AND COMMUNITY MEMBERS.
PART V, SECTION B, LINES 7A AND 10A	HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - BAY CITY HEALTH PARK
3051 KIESEL ROAD	BAY CITY	MI	48706	EMERGENCY SERVICES, REHABILITATION SERVICES, LAB, AND IMAGING
2 - MYMICHIGAN MEDICAL CENTER MIDLAND - CAR
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
3 - RIECKER SURGERY CENTER
4400 WELLNESS DRIVE	MIDLAND	MI	48640	AMBULATORY SURGERY CENTER
4 - MYMICHIGAN MEDICAL OFFICES - SPINE & PAI
555 W WACKERLY ROAD STE 3625	MIDLAND	MI	48640	PHYSICIAN OFFICE
5 - MYMICHIGAN MEDICAL OFFICES - MIDLAND FA
4611 CAMPUS RIDGE DRIVE	MIDLAND	MI	48670	PHYSICIAN OFFICE
6 - MYMICHIGAN MEDICAL CENTER - MIDLAND RHE
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48640	PHYSICIAN OFFICE
7 - MYMICHIGAN URGENT CARE - MIDLAND
3009 NORTH SAGINAW ROAD	MIDLAND	MI	48657	URGENT CARE CLINIC
8 - MYMICHIGAN MEDICAL CENTER - MIDLAND URO
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
9 - MYMICHIGAN MEDICAL CENTER - ORTHOPEDIC
4401 CAMPUS RIDGE DRIVE SUITE 2200	MIDLAND	MI	48640	PHYSICIAN OFFICE
10 - CAMPUS RIDGE FAMILY PRACTICE
4401 CAMPUS RIDGE SUITE D2100	MIDLAND	MI	48640	PHYSICIAN OFFICE
11 - MYMICHIGAN MEDICAL CENTER MIDLAND WOUND
4300 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	WOUND TREATMENT, HYPERBARIC
12 - MYMICHIGAN MEDICAL CENTER MIDLAND - OBS
4401 CAMPUS RIDGE DRIVE SUITE LL110	MIDLAND	MI	48640	PHYSICIAN OFFICE
13 - WELL SPORT
4401 CAMPUS RIDGE DRIVE SUITE 1000	MIDLAND	MI	48640	SPORTS MEDICINE PROGRAM
14 - MYMICHIGAN MEDICAL OFFICE - SURGICAL ONC
4201 CAMPUS RIDGE DRIVE	MIDLAND	MI	48642	PHYSICIAN OFFICE
15 - MYMICHIGAN MEDICAL CENTER PEDIATRICS
4401 CAMPUS RIDGE DRIVE SUITE 2000	MIDLAND	MI	48640	PHYSICIAN OFFICE
16 - MYMICHIGAN MEDICAL CENTER MIDLAND - INT
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48670	PHYSICIAN OFFICE
17 - PULMONARY & CRITICAL CARE MEDICINE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
18 - MYMICHIGAN MEDICAL OFFICE - ORTHOPAEDICS
555 W WACKERLY ROAD STE 2600	MIDLAND	MI	48642	PHYSICIAN OFFICE
19 - MYMICHIGAN MEDICAL CENTER MIDLAND - PSY
3007 NORTH SAGINAW ROAD	MIDLAND	MI	48640	PHYSICIAN OFFICE
20 - MYMICHIGAN MEDICAL CENTER REHAB SERVICE
304 WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
21 - MMG MOH'S CLINIC (DERMATOLOGYONCOLOGY)
4201 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
22 - MYMICHIGAN MEDICAL OFFICES GASTRO
4230 BAY CITY ROAD	MIDLAND	MI	48642	PHYSICIAN OFFICE
23 - MYMICHIGAN MEDICAL OFFICES - FAMILY MEDI
555 W WACKERLY ROAD STE 1600	MIDLAND	MI	48640	PHYSICIAN OFFICE
24 - MYMICHIGAN MEDICAL OFFICES - ENT
4310 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
25 - MYMICHIGAN MEDICAL CENTER MIDLAND - NEU
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
26 - MYMICHIGAN MEDICAL CENTER - SURGERY SPE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
27 - MYMICHIGAN MEDICAL GROUP - FAMILY PRAC
5694 MIDLAND ROAD	FREELAND	MI	48623	PHYSICIAN OFFICE
28 - MYMICHIGAN HEALTH MEDICAL OFFICES EAST
715 EAST MAIN STREET SUITE 100	MIDLAND	MI	48640	PHYSICIAN OFFICE
29 - MYMICHIGAN HEMATOLOGYONCOLOGY
4500 CAMPUS RIDGE DRIVE BUILDING 2	MIDLAND	MI	48640	PHYSICIAN OFFICE
30 - MYMICHIGAN URGENT CARE - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	URGENT CARE CLINIC
31 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
728 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
32 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
555 W WACKERLY ROAD STE 1600 AND	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)	2600
33 - MYMICHIGAN MEDICAL CENTER - MIDLAND REH
424 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
34 - MYMICHIGAN MEDICAL CENTER MIDLAND - END
301 WEST WACKERLY RD	MIDLAND	MI	48640	PHYSICIAN OFFICE
35 - MYMICHIGAN MEDICAL GROUP - SANFORD F
40 WEST SAGINAW ROAD	SANFORD	MI	48657	PHYSICIAN OFFICE
36 - MMG ORTHOPAEDICS
420 WEST WACKERLY RD	MIDLAND	MI	48640	PHYSICIAN OFFICE
37 - MYMICHIGAN REHAB - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	REHABILITATION SERVICES (PT, OT)
38 - MYMICHIGAN BREAST - IMAGING
4201 CAMPUS RIDGE DRIVE	MIDLAND	MI	48641	IMAGING SERVICES
39 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOL
555 W WACKERLY ROAD	MIDLAND	MI	48640	LAB DRAW STATION, IMAGING SERVICES
40 - MYMICHIGAN MEDICAL OFFICES - AUBURN
939 WEST MIDLAND ROAD	AUBURN	MI	48611	PHYSICIAN OFFICE
41 - MICHIGAN MEDICINE GYN SPECIALTY
4320 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
42 - MYMICHIGAN CANCER REHAB
4201 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
43 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN
32 HOMER ROAD	MIDLAND	MI	48642	REHABILITATION SERVICES (PT, OT)
44 - MYMICHIGAN MEDICAL CENTER HEART FAILURE
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
45 - MYMICHIGAN INFUSION CENTER
4201 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	INFUSION SERVICES
46 - MYMICHIGAN MEDICAL CENTER MIDLAND VASCU
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 350% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24,402,945.
PART I, LINE 7	NOT ONLY DO THE INDIVIDUAL HOSPITALS PROVIDE COMMUNITY BENEFITS, BUT BASED ON THE NEEDS ASSESSMENTS PROVIDED BY THE HOSPITALS, THE PARENT ORGANIZATION ALSO PROVIDES EDUCATION AND OUTREACH TO COMMUNITY MEMBERS, WHICH IS NOT REFLECTED IN EACH HOSPITALS' COST OF COMMUNITY BENEFIT.
PART II, COMMUNITY BUILDING ACTIVITIES:	MYMICHIGAN MEDICAL CENTER MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS ATTRIBUTED TO COALITION BUILDING AS MEMBERS FOR COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: MIDLAND CHILD ADVOCACY BOARD OF DIRECTORS, MIDLAND HABITAT FOR HUMANITY BOARD OF DIRECTORS, GREAT LAKES BAY REGIONAL ALLIANCE BOARD OF DIRECTORS, UNITED WAY OF MIDLAND COUNTY BOARD OF DIRECTORS, MIDLAND BUSINESS ALLIANCE BOARD OF DIRECTORS, MIDLAND COUNTY COMMUNITY FOUNDATION BOARD AND SCHOLARSHIP COMMITTEE, AMERICAN HOSPITAL ASSOCIATION REGIONAL POLICY BOARD OF DIRECTORS, MIDLAND CENTER FOR THE ARTS BOARD OF DIRECTORS, COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE AND GIRL SCOUTS OF MICHIGAN. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MYMICHIGAN MEDICAL CENTER STAFF FOR THE ORGANIZATIONS THAT FOLLOW: CANCER SERVICES, NORTHWOOD UNIVERSITY, NORTHWOOD HEALTH FAIR, CITY OF MIDLAND SENIOR SERVICES, MIDLAND'S OPEN DOOR, THE ARNOLD CENTER, AND MIDLAND COMMUNITY CENTER. EMPLOYEES ALSO PROVIDED HEALTH EDUCATION AND VOLUNTEERED AT MULTIPLE HEALTH FAIRS ACROSS THE REGION.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2, IS THE BAD DEBT EXPENSE REPORTED ON FORM 990, PART IX.BAD DEBT EXPENSE METHODOLOGY: OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED.
PART III, LINE 3:	THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY IS 5% OF TOTAL BAD DEBTS.
PART III, LINE 4:	PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS
PART III, LINE 8:	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICIARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD.COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE.
PART III, LINE 9B:	MYMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MYMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY."
PART VI, LINE 2:	IN FISCAL YEAR 2025, 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 COLLABORATIVE PARTNERSHIPS THAT ARE FORMED, LIKE OUR PARTNERSHIP WITH MIDLAND CANCER SERVICES. WE ALSO PARTNER WITH THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING 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 PAYORS 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 NEEDS OF EACH OF OUR COMMUNITIES. IN 2024, A COMMUNITY HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH NEEDS OF PEOPLE LIVING IN MIDLAND COUNTY. A SAGINAW VALLEY STATE UNIVERSITY (SVSU) 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 SVSU TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS MIDLAND COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITY AND COUNTY AREA. THE TEAM USED EXISTING U.S. 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 803 SURVEYS TO BE USED FOR ANALYSIS (633 ONLINE SURVEYS AND 170 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 CITY), 48708, (BAY CITY), 48611 (AUBURN) AND 48623 (FREELAND). ACCORDING TO COUNTY HEALTH RANKINGS, THERE ARE 84,039 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 20.8% ARE UNDER 18 YEARS OF AGE AND 20.8% ARE 65 AND OLDER. FEMALES MAKE UP 50.2% OF THE POPULATION WHILE MALES MAKE UP 49.8%. THE MEDIAN AGE IN MIDLAND COUNTY IS 41.8 YEARS. OF THE POPULATION, 90.5% ARE WHITE (NON-HISPANIC), AND 9.5% ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE EXCELLENT WAS 86% AND FAIR OR POOR WAS 14%.
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 NAVIGATOR 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, ANY 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 DISCHARGE 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 FOOD 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 AND REGIONAL INITIATIVES. A TOTAL OF $4,577,478 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER MIDLAND IN 2025 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FISCAL YEAR 2025, 8,720 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 171 PEOPLE REACHED WITH EDUCATION ON MENTAL HEALTH AND DEPRESSION AND FOR DRUG AND ALCOHOL EDUCATION. ADDITIONALLY, 310 PEOPLE WERE REACHED FOR HEART DISEASE AND HEART HEALTH EDUCATION AND 1,667 REACHED REGARDING ADVANCED DIRECTIVES. THERE WERE 19 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 CPR/FIRST AID TO 98 PEOPLE AND REPORTED 218 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. CHILDBIRTH RELATED EDUCATION WAS PROVIDED TO 472 INDIVIDUALS. THERE WERE 2,021 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 2025 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $242 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH SUBSIDIARY IS SHARED OWNERSHIP FOR COMMUNITY HEALTH. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MYMICHIGAN MEDICAL CENTER MIDLAND AND MYMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS.
PART VI, LINE 7, REPORTS FILED WITH STATES	MI

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROSE MICHAEL
SR VP, CFO & TREASURER	$0	$618,147	$0	$227,830	$0	$186,829	$0	$121,651	$0	$28,722	$0	$1,183,179	$0	$180,289
CROSS BRYAN
DIRECTOR	$0	$633,961	$0	$276,382	$0	$21,840	$0	$169,408	$0	$29,256	$0	$1,130,847	$0	$0
HAMEL MD REMI
PHYSICIAN	$762,596	$0	$203,704	$0	$1,140	$0	$6,900	$0	$25,707	$0	$1,000,047	$0	$0	$0
ZEEB MD LINDSAY
DIRECTOR	$623,376	$0	$230,745	$0	$1,140	$0	$6,900	$0	$25,707	$0	$887,868	$0	$0	$0
FIREMAN MD MARK
PHYSICIAN	$419,694	$0	$263,023	$0	$158,484	$0	$6,900	$0	$21,262	$0	$869,363	$0	$0	$0
SHERWIN CHUCK
PRESIDENT	$0	$525,522	$0	$198,167	$0	$17,567	$0	$76,606	$0	$27,017	$0	$844,879	$0	$0
DANSO MD DANIEL
PHYSICIAN	$695,731	$0	$75	$0	$14,478	$0	$6,900	$0	$16,735	$0	$733,919	$0	$0	$0
OFORI DARKO MD ERNEST
PHYSICIAN	$584,535	$0	$99,840	$0	$7,359	$0	$6,900	$0	$19,709	$0	$718,343	$0	$0	$0
JONES MD MARK
PHYSICIAN	$666,359	$0	$75	$0	$2,613	$0	$6,900	$0	$8,762	$0	$684,709	$0	$0	$0
TERRELL TAMMY
CNO (PART YEAR)	$361,219	$0	$107,665	$0	$23,229	$0	$17,250	$0	$16,312	$0	$525,675	$0	$17,944	$0
PROVENZANO JEFFREY
SYSTEM VP PROFESSIONAL SERVICES	$294,762	$0	$89,276	$0	$2,812	$0	$16,992	$0	$20,070	$0	$423,912	$0	$0	$0
GOODWIN PETER
GENERAL COUNSEL & SECRETARY (PART YE	$0	$245,530	$0	$92,652	$0	$2,678	$0	$15,161	$0	$1,191	$0	$357,212	$0	$0
PADGETT FRANCINE
FORMER SENIOR VP/TREAS/SECRETARY	$0	$0	$0	$0	$0	$348,143	$0	$0	$0	$0	$0	$348,143	$0	$0
BECKER MD ERIC
DIRECTOR (PART YEAR)	$271,623	$0	$13,871	$0	$5,929	$0	$3,954	$0	$8,902	$0	$304,279	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4B	ROSE, CROSS, SHERWIN, AND TERRELL ARE PARTICIPANTS IN A 457(F) PLAN. ROSE AND TERRELL RECEIVED A PAYMENT IN 2024 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL.
PART I, LINE 7	MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES. THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. PHYSICIAN COMPENSATION OFFERS EXCEEDING THE 90TH PERCENTILE MUST BE APPROVED BY THE COMPENSATION COMMITTEE.
PART III:	MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$17,000,000	RetiredAmt
Total Proceeds	$30,000,000	TotalProceedsAmt
Issuance Costs From Proceeds	$200,000	IssuanceCostsFromProceedsAmt
Capital Expenditures	$30,000,000	CapitalExpendituresAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

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

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ADDITIONAL INFORMATION	THIS FORM 990 TAX RETURN INCLUDES DATA FROM GREAT LAKES BAY SURGERY & ENDOSCOPY CENTER WHICH IS A DISREGARDED ENTITY OWNED 100% BY MY MICHIGAN MEDICAL CENTER MIDLAND.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF MYMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE CORPORATION'S PURPOSES; B) APPROVE ANY CHANGE IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, JOINT VENTURE, OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR OTHER ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MYMICHIGAN HEALTH BOARD; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MYMICHIGAN HEALTH BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND 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	ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY REVIEWED BY AN INDEPENDENT COMPENSATION CONSULTANT FOR REASONABLENESS AND APPROVED BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF MYMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PART VI, SECTION C, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION B, LINE 1:	INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MYMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VII, LINE 4:	NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD, BUT MAY BE COMPENSATED FOR OTHER SERVICES PROVIDED TO THE ORGANIZATION. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MYMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MYMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART XI, LINE 9:	POST RETIREMENT LIABILITY ADJUSTMENT 20,598. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)- MYMICHIGAN HEALTH FOUNDATION 5,057,265. TRANSFER OF NET ASSETS TO RELATED 501(C)(3) - MYMICHIGAN HEALTH -30,000,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
EIN	208500953	EIN
Primary Activities	AMBULATORY SURGERY	PrimaryActivitiesTxt
Legal Domicile State	MI	LegalDomicileStateCd
Total Income	$161,665	TotalIncomeAmt
End Of Year Assets	$9,330,392	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MYMICHIGAN MEDICAL CENTER ALMA
4000 WELLNESS DR	MIDLAND	MI	48670	381437919	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER CLARE
4000 WELLNESS DR	MIDLAND	MI	48670	381518643	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER GLADWIN
4000 WELLNESS DR	MIDLAND	MI	48670	386020434	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER ALPENA
4000 WELLNESS DR	MIDLAND	MI	48670	386000029	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN HOME CARE
4000 WELLNESS DR	MIDLAND	MI	48670	381459397	HOME CARE	MI	501(C)(3)	LINE 10	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL GROUP
4000 WELLNESS DR	MIDLAND	MI	48670	383317788	MEDICAL OFFICE	MI	501(C)(3)	LINE 12A, I	MYMICHIGAN HEALTH	0
MYMICHIGAN HEALTH
4000 WELLNESS DR	MIDLAND	MI	48670	382459948	SUPPORT	MI	501(C)(3)	LINE 12C, III-FI		0	N/A
MYMICHIGAN MEDICAL CENTER WEST BRANCH
4000 WELLNESS DR	MIDLAND	MI	48670	464088182	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER SAULT
4000 WELLNESS DR	MIDLAND	MI	48670	382602147	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	812813405	FOUNDATION	MI	501(C)(3)	LINE 12A, I	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER SAGINAW
4000 WELLNESS DR	MIDLAND	MI	48670	380997730	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER STANDISH
4000 WELLNESS DR	MIDLAND	MI	48670	381671120	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER TAWAS
4000 WELLNESS DR	MIDLAND	MI	48670	381443395	HOSPITAL	MI	501(C)(3)	LINE 3	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	382246366	FOUNDATION	MI	501(C)(3)	LINE 12A, I	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER TAWAS FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	010790428	FOUNDATION	MI	501(C)(3)	LINE 12A, I	MYMICHIGAN HEALTH	0
FIELD NEUROSCIENCES INSTITUTE
4000 WELLNESS DR	MIDLAND	MI	48670	382790703	SUPPORT	MI	501(C)(3)	LINE 12A, I	MYMICHIGAN HEALTH	0
MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS
4000 WELLNESS DR	MIDLAND	MI	48670	061723993	SUPPORT	MI	501(C)(3)	LINE 12A, I		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MYMICHIGAN HEALTH PAIN MANAGEMENT
2463 SOUTH M-30	WEST BRANCH	MI	48661	834186622	HEALTHCARE PAIN MANAGEMENT	MI	N/A	RELATED	$23,642	$9,483	0	0	0.00500
ISOMM
211 S CRAPO ST STE H	MT PLEASANT	MI	48858	270867311	MRI SERVICES	MI	N/A				0	0
MT PLEASANT SURGERY CENTER LLC
4851 E PICKARD ST SUITE 1100	MT PLEASANT	MI	48858	300872082	AMBULATORY SURGERY	MI	N/A				0	0
TOWNE CENTRE SURGERY CENTER LLC
4599 TOWNE CENTRE	SAGINAW	MI	48604	204943843	AMBULATORY SURGERY	MI	N/A				0	0

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