MYMICHIGAN MEDICAL CENTER SAULT: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAULT (EIN 38-2602147)
- Tax period
- 2022-01-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202321359349303877
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T09:29:35-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | 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 | 600 E FRONT ST STE 300 | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49686 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382602147 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYMICHIGAN MEDICAL CENTER SAULT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MYMI | BusinessNameControlTxt |
| Phone | 9066354460 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN KALCHIK | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9066354460 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KEVIN | PersonFirstNm |
| Person Last | KALCHIK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2319477800 | PhoneNum |
| Preparation | 2023-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID JAHN CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $62,049,124 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYMICHIGAN.ORG/LOCATIONS/PROFILE/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES AND ACCESS TO THE RESIDENTS OF SAULT STE. MARIE AND THE EASTERN UPPER PENINSULA. OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,026,868 | PYContributionsGrantsAmt |
| CY Contributions Grants | $555,502 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $108,221,927 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $60,225,909 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,793,041 | PYInvestmentIncomeAmt |
| CY Investment Income | $947,781 | CYInvestmentIncomeAmt |
| PY Other Revenue | $390,824 | PYOtherRevenueAmt |
| CY Other Revenue | $206,339 | CYOtherRevenueAmt |
| PY Total Revenue | $117,432,660 | PYTotalRevenueAmt |
| CY Total Revenue | $61,935,531 | 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 | $60,323,405 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,091,299 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $30,920 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,789,915 | PYOtherExpensesAmt |
| CY Other Expenses | $28,717,978 | CYOtherExpensesAmt |
| PY Total Expenses | $108,113,320 | PYTotalExpensesAmt |
| CY Total Expenses | $63,809,277 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,319,340 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,873,746 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $104,046,577 | TotalAssetsBOYAmt |
| Total Assets EOY | $111,839,563 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $53,018,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $57,073,263 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $51,028,172 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $54,766,300 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR COMMITMENT IS TO IMPROVE THE QUALITY OF LIFE AND HEALTH THROUGH PARTNERSHIPS WITH THOSE WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,703,544 | ExpenseAmt |
| Revenue | $49,751,977 | RevenueAmt |
| Desc | HOSPITAL INPATIENT AND OUTPATIENT SERVICES - MYMICHIGAN MEDICAL CENTER SAULT PROVIDED INPATIENT CARE TO 1,088 PATIENTS AND THERE WERE OVER 125,992 PATIENT REGISTRATIONS FOR THE HOSPITAL'S MULTIPLE OUTPATIENT SERVICE DEPARTMENTS (LAB, RADIOLOGY, CARDIOPULMONARY, REHABILITATION, NUCLEAR MEDICINE, SURGICAL SERVICES).OUR OBSTETRICS/NURSERY UNIT REPORTED 145 BIRTHS AND OUR SURGICAL SERVICES DEPARTMENT PROVIDED SURGICAL CARE FOR 2,567 PATIENTS.THE REHABILITATION DEPARTMENT CONTINUED ITS EXPANSION OF SERVICES IN CONTRACTING TO PROVIDE REHABILITATION SERVICES WITH MULTIPLE ORGANIZATIONS IN THE REGION; INCLUDING, BUT NOT LIMITED TO, AREA SCHOOLS, HOSPITALS, AND HOME HEALTH AGENCIES. NEARLY 186,969 REHABILITATION TREATMENTS WERE REPORTED IN THE DISCIPLINES OF PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY AND AUDIOLOGY SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,088,819 | ExpenseAmt |
| Revenue | $7,072,112 | RevenueAmt |
| Desc | PROFESSIONAL SERVICES - THE HOSPITAL'S TWENTY FOUR HOUR EMERGENCY DEPARTMENT AND THE COMMUNITY CARE CLINIC (WALK-IN URGENT CARE CENTER) RECORDED 7,684 VISITS AND 4,658 VISITS RESPECTIVELY FOR A TOTAL CARE PROVIDED TO 12,342 PATIENTS.VISITS BY PHYSICIAN CLINIC:WMH CARDIOLOGY CLINIC 1,113WMH DERMATOLOGY 539WMH DRUMMOND ISLAND MEDICAL 795WMH EAR, NOSE & THROAT 1,080WMH ENDOCRINOLOGY 1,160WMH FAMILY MEDICINE CEDARVILLE 1,314WMH FAST CARE - MEIJER 1,819WMH FOOT & ANKLE 952WMH GENERAL SURGICAL CARE 1,971WMH MAT COMMUNITY CARE CLINIC 1,421WMH NEPHROLOGY 823WMH NEUROLOGY 837WMH OCCUPATIONAL HEALTH 204WMH ORTHO NEWBERRY OUTPUT CLINI 85WMH ORTHOPEDICS 2,620WMH ORTHOPEDICS & SPINE 939WMH OUTPATIENT PSYCHIATRY 1,733WMH PAIN MANAGEMENT KIN 601WMH PAIN MANAGEMENT SSM 1,182WMH PRIMARY CARE SSM CMC 5,548WMH PRIMARY CARE SSM HERITAGE 6,161WMH PRIMARY CARE SSM MAGAZINE 3,962WMH PULMONOLOGY 664WMH SLEEP DISORDERS CENTER 1,364WMH SSM COMMUNITY CARE CLINIC 4,658WMH UROLOGY 2,060WMH WOMENS HEALTH 3,929WMH WOMENS NEWBERRY OUTPT CLINIC 120 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,517,170 | ExpenseAmt |
| Revenue | $2,092,091 | RevenueAmt |
| Desc | INPATIENT/ OUTPATIENT PSYCH WITH 236 ADMISSIONS AND 1,801 PATIENT DAYS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,033,873 | ExpenseAmt |
| Revenue | $1,374,631 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES - WHICH INCLUDES, BUT IS NOT LIMITED TO, OBSTETRICS WITH 19 ADMISSIONS AND 298 PATIENT DAYS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,033,873 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,374,631 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $50,343,406 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | 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 | 0 | 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 | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | KEVIN KALCHIK CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9066354456 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 |
|---|---|---|---|---|---|---|---|
| DAVID JAHN | |||||||
| CEO | 40.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TOM COATES | |||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOHN JORGENSON | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MAXINE ANDERSON | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GREGORY ROGERS | |||||||
| MYMICHIGAN PRESIDENT | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE ADAIR | |||||||
| BOARD/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| AMY GOETZ | |||||||
| BOARD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| HOLLY KIBBLE | |||||||
| BOARD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GARTH MACMASTER | |||||||
| BOARD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES PALMER | |||||||
| BOARD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KYLE RAYCRAFT | |||||||
| BOARD/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARK SAVOIE | |||||||
| BOARD | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RALPH DUMAN | |||||||
| BOARD - PART YEAR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN KALCHIK | |||||||
| VICE PRESIDENT | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MARLA BUNKER | |||||||
| VICE PRESIDENT | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $432,755 | GovernmentGrantsAmt |
| All Other Contributions | $122,747 | AllOtherContributionsAmt |
| Total Contributions | $555,502 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $60,150,909 | $60,150,909 |
| OTHER RELATED REVENUE | 621400 | $75,000 | $75,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $60,225,909 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $940,581 | TotalRevenueColumnAmt |
| Exclusion | $940,581 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $172,306 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,404 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $64,902 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $64,902 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,389 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,189 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,200 | TotalRevenueColumnAmt |
| Exclusion | $7,200 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA REVENUE | Desc |
| Business | 624210 | BusinessCd |
| Total Revenue Column | $141,437 | TotalRevenueColumnAmt |
| Exclusion | $141,437 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $141,437 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,935,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,290,811 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,089,218 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,003 | TotalAmt |
| Program Services | $388,676 | ProgramServicesAmt |
| Management And General | $1,025,327 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,668,617 | TotalAmt |
| Program Services | $21,207,757 | ProgramServicesAmt |
| Management And General | $4,460,860 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,266,928 | TotalAmt |
| Management And General | $1,266,928 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,921,138 | TotalAmt |
| Program Services | $3,670,080 | ProgramServicesAmt |
| Management And General | $1,251,058 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,820,613 | TotalAmt |
| Program Services | $1,618,125 | ProgramServicesAmt |
| Management And General | $202,488 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,587 | TotalAmt |
| Management And General | $116,587 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,000 | TotalAmt |
| Management And General | $137,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,191,278 | TotalAmt |
| Program Services | $7,834,887 | ProgramServicesAmt |
| Management And General | $1,356,391 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,467,576 | TotalAmt |
| Program Services | $2,689,606 | ProgramServicesAmt |
| Management And General | $758,754 | ManagementAndGeneralAmt |
| Fundraising | $19,216 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,289 | TotalAmt |
| Program Services | $115,000 | ProgramServicesAmt |
| Management And General | $102,289 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,545 | TotalAmt |
| Program Services | $119,895 | ProgramServicesAmt |
| Management And General | $89,650 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,716 | TotalAmt |
| Program Services | $154,512 | ProgramServicesAmt |
| Management And General | $8,204 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,229 | TotalAmt |
| Program Services | $560,100 | ProgramServicesAmt |
| Management And General | $271,189 | ManagementAndGeneralAmt |
| Fundraising | $2,940 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,463,933 | TotalAmt |
| Program Services | $1,654,280 | ProgramServicesAmt |
| Management And General | $800,969 | ManagementAndGeneralAmt |
| Fundraising | $8,684 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,412 | TotalAmt |
| Program Services | $87,484 | ProgramServicesAmt |
| Management And General | $419,928 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $6,368,163 | $6,368,163 | $0 | |
| QUALITY ASSESSMENT FEES | $1,934,259 | $1,934,259 | ||
| REPAIRS AND MAINTENANCE | $1,623,691 | $717,456 | $906,235 | |
| PROVISION FOR BAD DEBTS | $1,168,675 | $1,168,675 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,625 | TotalAmt |
| Program Services | $54,451 | ProgramServicesAmt |
| Management And General | $261,094 | ManagementAndGeneralAmt |
| Fundraising | $80 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,809,277 | TotalAmt |
| Program Services | $50,343,406 | ProgramServicesAmt |
| Management And General | $13,434,951 | ManagementAndGeneralAmt |
| Fundraising | $30,920 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,725 | BOYAmt |
| EOY | $430,525 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,504,889 | BOYAmt |
| EOY | $22,882,222 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,638,227 | BOYAmt |
| EOY | $12,623,496 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,211,747 | BOYAmt |
| EOY | $2,978,661 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,504,954 | BOYAmt |
| EOY | $6,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,282,588 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,463,931 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,086,014 | BOYAmt |
| EOY | $49,818,657 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,355,455 | BOYAmt |
| EOY | $7,122 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,681 | BOYAmt |
| EOY | $256,681 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,482,885 | BOYAmt |
| EOY | $22,835,578 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,046,577 | BOYAmt |
| EOY | $111,839,563 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,516,742 | BOYAmt |
| EOY | $10,802,788 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,019,361 | BOYAmt |
| EOY | $35,536,280 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,482,302 | BOYAmt |
| EOY | $10,734,195 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,018,405 | BOYAmt |
| EOY | $57,073,263 | 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 | $51,028,172 | BOYAmt |
| EOY | $54,766,300 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,028,172 | BOYAmt |
| EOY | $54,766,300 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,046,577 | BOYAmt |
| EOY | $111,839,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,873,746 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,912,227 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $7,524,101 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $917,000 | OtherCostOrOtherBasisAmt |
| Book Value | $917,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,330,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,096,874 | DepreciationAmt |
| Book Value | $37,233,716 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $179,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,079 | DepreciationAmt |
| Book Value | $161,131 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,685,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,348,978 | DepreciationAmt |
| Book Value | $11,336,980 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,830 | OtherCostOrOtherBasisAmt |
| Book Value | $169,830 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,818,657 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED MALPRACTICE ASSET | $1,482,885 |
| COST REPORT SETTLEMENT RECEIVABLE | -$499,156 |
| RIGHT OF USE ASSETS | $21,851,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $22,835,578 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED POST-RETIREMENT BENEFIT | $720,579 |
| ACCRUED INSURANCE | $2,830,720 |
| ACCRUED MALPRACTICE LIABILITY | $1,550,000 |
| MEDICARE ACCELERATED PAYMENTS | $257,853 |
| FMV OF INTEREST RATE SWAP | $5,375,043 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,734,195 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,492 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $89,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,380,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,389,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,469,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,389,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1636 | ActivitiesOrProgramsCnt |
| Persons Served | 23201 | PersonsServedCnt |
| Total Community Benefit Expns | $80,960 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 133 | ActivitiesOrProgramsCnt |
| Persons Served | 301 | PersonsServedCnt |
| Total Community Benefit Expns | $220,034 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $220,034 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,471,478 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,835,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,636,304 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07400 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $17,261 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1778 | ActivitiesOrProgramsCnt |
| Persons Served | 23502 | PersonsServedCnt |
| Total Community Benefit Expns | $8,789,733 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,835,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,954,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07910 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1778 | ActivitiesOrProgramsCnt |
| Persons Served | 23502 | PersonsServedCnt |
| Total Community Benefit Expns | $20,259,726 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,224,174 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,044,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,168,061 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $584,031 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,816,575 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,899,489 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,917,086 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 SAULT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 OSBORN BOULEVARD | AddressLine1Txt |
| City | SAULT STE MARIE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MYMICHIGAN.ORG/LOCATIONS/PROFILE/M | WebsiteAddressTxt |
| State License | 1060000093 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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 SAULT | 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 | 19 | 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 | HTTPS://TINYURL.COM/MTRKRSRF | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/MTRKRSRF | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://TINYURL.COM/5YVMFHUM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/5YVMFHUM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/5YVMFHUM | 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 |
| 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 Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MYMICHIGAN MEDICAL CENTER SAULT | PART V, SECTION B, LINE 5: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/THE WESTERN UPPER PENINSULA HEALTH DEPARTMENT, WITH FUNDING FROM THE MICHIGAN HEALTH ENDOWMENT FUND, SPEARHEADED A COMMUNITY HEALTH NEEDS ASSESSMENT THROUGHOUT THE UPPER PENINSULA. ONCE AGAIN, MYMICHIGAN MEDICAL CENTER SAULT AND THE CHIPPEWA COUNTY HEALTH DEPARTMENT PARTNERED TO BRING THE OUTCOMES OF THE ASSESSMENT TO THE RESIDENTS OF CHIPPEWA COUNTY. THE COMMUNITY HEALTH NEEDS ASSESSMENT REFLECTED DATA DERIVED DIRECTLY FROM QUESTIONNAIRES THAT WERE COMPLETED BY RANDOMLY SELECTED COUNTY RESIDENTS, AS WELL AS DATA COLLECTED THROUGH SECONDARY SURVEYS AND SOURCES.THE TOP FOUR PRIORITY ISSUES IDENTIFIED FROM AMONG 16LISTED CONCERNS WERE:-SUBSTANCE ABUSE-BEHAVIORAL HEALTH-GENERAL HEALTH - HEART DISEASE, CANCER, UNINTENTIONAL INJURIES, CHRONIC LOWER RESPIRATORY DISEASE, AND STROKE.ACHIEVING "HEALTHY PEOPLE IN HEALTHY COMMUNITIES", A GOAL ARTICULATED BY THE CDC, WILL REQUIRE U.P. COMMUNITIES TO EMBRACE THE IDEA THAT HEALTH IS ABOUT MORE THAN PERSONAL BEHAVIORS, IT IS ABOUT THE HOMES WE GROW UP IN, THE FAMILIES WE ARE PART OF, THE SCHOOLS WE ATTEND AND THE NEIGHBORHOODS IN WHICH WE LIVE. HEALTH IS NOT SOMETHING WE ACHIEVE IN ISOLATION, HEALTH IS SOMETHING WE CAN AND MUST HELP EACH OTHER ATTAIN. |
| MYMICHIGAN MEDICAL CENTER SAULT | PART V, SECTION B, LINE 6B: CHIPPEWA COUNTY HEALTH DEPARTMENT AND WESTERN UPPER PENINSULA HEALTH DEPARTMENT (WUPHD) |
| MYMICHIGAN MEDICAL CENTER SAULT | PART V, SECTION B, LINE 11: BEHAVIORAL HEALTH - GOALS AND OBJECTIVESINCREASE ACCESS TO CARE FOR BEHAVIORAL HEALTH ISSUES AMONG ADULTS AND YOUTH WITHIN CHIPPEWA COUNTY BY:(1) PROVIDING MEDICAL AND BEHAVIORAL HEALTH PROVIDERS WITH INFORMATION REGARDING AVAILABLE SERVICES;(2) PROVIDING COUNTY RESIDENTS WITH INFORMATION REGARDING THE BENEFITS OF EARLY TREATMENT AND RESOURCES FOR TREATMENT;(3) INCREASING THE PERCENTAGE OF CHIPPEWA COUNTY RESIDENTS ACCESSING CARE FOR BEHAVIORAL HEALTH.SUBSTANCE ABUSE - GOALS AND OBJECTIVESINCREASE KNOWLEDGE AND UNDERSTANDING SURROUNDING THE EFFECTS OF TREATMENT OPPORTUNITIES FOR SUBSTANCE MISUSE THROUGHOUT CHIPPEWA COUNTY THROUGH PREVENTION BY:(1) INCREASING EDUCATION AND AWARENESS OF SUD TO YOUTH AND GENERAL COMMUNITY MEMBERS;(2) INCREASING PRO-SOCIAL ACTIVITIES/OPPORTUNITIES FOR YOUTH; THROUGH SUPPORT BY:(A) INCREASING AWARENESS OF ADDICTION AND KNOWLEDGE OF SUPPORT RESOURCES FOR PERSONS WITH ADDICTION, THEIR FAMILY MEMBERS AND AREA EMPLOYERS; THROUGH RECOVERY BY:(B) INCREASING THE NUMBER OF REGISTERED WAIVERED MEDICATION-ASSISTED TREATMENT PROVIDERS IN CHIPPEWA COUNTY(C) INCREASING THE AWARENESS OF AVAILABLE TREATMENT OPTIONS WITHIN THE REGIONHEALTH - GOALS AND OBJECTIVESCREATE A HEALTHIER COMMUNITY THROUGH EDUCATION AND OPPORTUNITIES BY:(1) DECREASING TOBACCO USE AMONG PREGNANT WOMEN(2) INCREASING AWARENESS OF THE BENEFITS OF PHYSICAL ACTIVITY AS A PREVENTATIVE MEASURE OF CHRONIC DISEASEWHILE THE CHNA IDENTIFIED OTHER HEALTH NEEDS, THEY WERE SEEN TO BE BEYOND THE SCOPE OF OUR SERVICES OR WE COULD NOT MAKE A SIGNIFICANT IMPACT UPON THEM DUE TO LIMITED PERSONNEL AND/OR FINANCIAL RESOURCES.THE FULL COPY OF THE IMPLEMENTATION PLAN CAN BE FOUND AT A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITALS WEBSITE LOCATED AT HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ |
| MYMICHIGAN MEDICAL CENTER SAULT | PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16I - THE HOSPITAL FACILITY HAS REVIEWED THE POPULATION OF ITS COMMUNITY AND CONCLUDED THAT ENGLISH IS THE ONLY PRIMARY LANGUAGE AS DEFINTED BY THE REGULATIONS OF MORE THAN 5% OR 1,000 PERSONS. THEREFORE, THE FAP, FAP APPLICATION FORM, OR PLAIN LANGUAGE SUMMARY HAVE NOT BEEN TRANSLATED INTO ANOTHER LANGUAGE. THE HOSPITAL FACILITY WILL CONTINUE TO MONITOR THIS GOING FORWARD AS NEW CENSUS DATA BECOMES AVAILABLE. |
| MYMICHIGAN MEDICAL CENTER SAULT | PART V, SECTION B, LINE 20E: THE HOSPITAL FACILITY MAILS A FINANCIAL ASSISTANCE POLICY APPLICATION WHEN SETTING UP A PAYMENT PLAN FOR A PATIENT AND WHEN SENDING PAST DUE LETTERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - LONG TERM CARE | ||||
| 500 OSBORN BOULEVARD | SAULT STE MARIE | MI | 49783 | SKILLED NURSING FACILITY |
| 2 - BEHAVIORAL HEALTH CENTER | ||||
| 500 OSBORN BOULEVARD | SAULT STE MARIE | MI | 49783 | INPATIENT PSYCHIATRIC FACILITY |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | THE HOSPITAL, THROUGH ITS PARTNERSHIP WITH COMMUNITY HEALTH ACCESS COALITION (CHAC), UTILIZES 200% OF POVERTY GUIDELINES FOR INITIAL ACCESS AND APPLICATION FOR MEDICAID. FOR THOSE COMMUNITY MEMBERS THAT DO NOT QUALIFY, 250% OF POVERTY GUIDELINES ARE UTILIZED FOR ADDITIONAL OPTIONS FOR IMMEDIATE DISCOUNTS. ALL PATIENTS ARE ABLE TO REQUEST ADDITIONAL DISCOUNTS OR FREE CARE ON REMAINING BALANCES AND NON-COVERED SERVICES THROUGH THE HOSPITAL FINANCIAL ASSITANCE PROGRAM (FAP). |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED TO COMPLETE THE CHARITY CARE (LINE 7A) AND MEANS-TESTED GOVERNMENT PROGRAMS (LINE 7B). THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 THAT ACCOMPANIES THE INSTRUCTIONS TO THIS SCHEDULE. THE HOSPITAL'S COST ACCOUNTING RECORDS WERE USED TO COMPLETE THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS (LINE 7E) AND HEALTH PROFESSIONS EDUCATION (LINE 7F).A DIRECT COST AND STEP-DOWN APPROACH WAS USED TO COMPLETE THE SUBSIDIZED HEALTH SERVICES PROGRAMS (LINE 7G). |
| PART I, LINE 7G: | INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE: HOSPITAL AND TRAUMA BASED PROFESSIONAL SERVICES, SURGICAL ASSISTANT, BEHAVIORAL HEALTH, OB PROFESSIONAL, OB PROGRAM, AND DIALYSIS. |
| PART I, LN 7 COL(F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE SCHEDULE H, PART I, COLUMN F PERCENTAGE EQUALS $1,168,061. |
| SCHEDULE H, PART I, LINE 7B: | THE HOSPITAL PARTICIPATES IN THE MICHIGAN DISPROPORTIONATE SHARE PROGRAM (DSH) AS WELL AS THE MICHIGAN QUALITY ASSURANCE ASSESSMENT PROGRAMS (QAAP). THE DSH PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING INDIGENT POPULATIONS IN THE COMMUNITY (SELF-PAY, MEDICAID, MEDICAID ADVANTAGE). THE QAAP PROGRAM IS SET UP TO SUPPLEMENT FOR SHORTFALLS INCURRED DUE TO SERVING MEDICAID PATIENTS. THE HOSPITAL PAID IN AMOUNTS TO FUND THE PROGRAM AND IN RETURN RECEIVED THEIR RESPECTIVE SHARE OF THE STATE DSH AND QAAP FUNDS. THE RESULT WAS A GAIN TO THE HOSPITAL, AS DETAILED BELOW: DSH PROGRAM QAAP PROGRAMREVENUE $66,434 $4,192,909EXPENSE - $1,896,141 --------- -----------GAIN $66,434 $2,296,768 IF THESE PROGRAMS DID NOT EXIST, THE HOSPITAL WOULD HAVE REPORTED A SHORTFALL FROM PROVIDING SERVICES TO MEDICAID PATIENTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MYMICHIGAN MEDICAL CENTER SAULT IS ACTIVE IN BOTH THE PROMOTION OF HEALTHY LIFESTYLES FOR BOTH ITS EMPLOYEES AND COMMUNITY MEMBERS. MYMICHIGAN MEDICAL CENTER SAULT WILL TAKE A LEAD ROLE IN MANY OF THESE ENDEAVORS, BUT ALSO IS WILLING TO BE A SUPPORTIVE PARTNER AND TEAM MEMBER AS WELL. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:PATIENT ACCOUNTS RECEIVABLE ARE STATED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHER INSURERS TO WHICH MYMICHIGAN HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MYMICHIGAN HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND IMPLICIT PRICE CONCESSIONS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY) TO RECORD RECEIVABLES AT THEIR ESTIMATED NET REALIZABLE VALUE. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), MYMICHIGAN HEALTH RECORDS SIGNIFICANT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE. |
| PART III, LINE 8: | THE MEDICARE SURPLUS (SHORTFALL) WAS CALCULATED BY UTILIZING COST ACCOUNTING WHEN APPROPRIATE AND AVAILABLE. IN SOME AREAS A COST TO CHARGE METHODOLOGY WAS REQUIRED. THE SURPLUS SHOULD BE CONSIDERED AND INCLUDED IN THE COMMUNITY BENEFIT AS THE REIMBURSEMENT DID NOT MEET THE "COST" OF THE EXPENSE BASED ON REASONABLE COSTING METHODOLOGIES. |
| PART III, LINE 9B: | MYMICHIGAN MEDICAL CENTER SAULT UTILIZES AN ON-LINE INSURANCE VERIFICATION PROCESS TO INITIATE THE EDUCATION AND ELIGIBILITY FROM THE ON-SET OF SERVICES. UPFRONT COLLECTIONS ARE AN ACTIVE PART OF THE PROCESS TO BOTH EDUCATE THE PATIENT AND TO REDUCE BACK-END COSTS OF COLLECTIONS. AT ANY TIME DURING THE PROCESS STAFF ARE TRAINED TO ADDRESS THE PERCEIVED FINANCIAL ASSISTANT NEEDS AND PROVIDE ACCESS TO THE IN-HOUSE PATIENT FINANCIAL COUNSELOR, COMMUNITY HEALTH ACCESS COALITION, OR THE DEPARTMENT OF HEALTH SERVICES REPRESENTATIVE. IN THE BILLING PROCESS, PATIENTS ARE STILL OFFERED ANY EDUCATION NECESSARY TO OBTAIN ASSISTANCE. ONCE SERVICES ARE RECEIVED AND THE PATIENT CHARGES HAVE ACCUMULATED PRIMARY SOURCES OF COVEAGE ARE BILLED. AFTER ALL EFFORTS OF COLLECTION FROM PRIMARY PAYOR (INSURANCE) THE PATIENT IS BALANCED BILL AND PROVIDED THE OPPORTUNITY FOR PAYMENT IN FULL OR OTHER PAYMENT OPTIONS. |
| SCHEDULE H, PART III, LINES 5 AND 6: | OTHER INFORMATION: AS PER THE INSTRUCTIONS, SCHEDULE H, PART III, LINES 5 AND 6 ARE DERIVED DIRECTLY FROM THE MEDICARE COST REPORT. THOSE MEDICARE COSTS NOT INCLUDED IN THE MEDICARE COST REPORT (MEDICARE ADVANTAGE AND FEE FOR SERVICE PHYSICIANS) ARE SUMMARIZED AS FOLLOWS:TOTAL COST: 11,608,470TOTAL REIMBURSEMENT: 10,602,095COST IN EXCESS OF REIMBURSEMENT 1,006,375 |
| PART VI, LINE 2: | MYMICHIGAN MEDICAL CENTER SAULT WORKS IN CONJUNCTION WITH MANY OF THE HOSPITALS IN THE NORTHERN MICHIGAN AND THE UPPER PENINSULA. IN THESE EFFORTS "NEEDS" OF THE COMMUNITIES ARE ASSESSED THROUGH WORK WITH OTHER HOSPITALS, HEALTH RELATED ORGANIZATIONS, AND IN COMMUNITY FORUMS. IN ADDITION, MYMICHIGAN MEDICAL CENTER SAULT HAS ENGAGED OUTSIDE ASSISTANCE IN THE PLANNING FOR "NEEDS" OF BOTH SERVICES AND PHYSICIANS TO BEST PLAN FOR CAPITAL AND RECRUITMENT APPROPRIATIONS. |
| PART VI, LINE 3: | MYMICHIGAN MEDICAL CENTER SAULT PRIDES ITSELF ON PROVIDING NEEDED CARE TO THE INDIGENT OF THE EASTERN UPPER PENINSULA IN A DIGNIFIED MANNER. THIS EDUCATION AND ASSISTANCE IS DONE THROUGH PARTNERSHIPS WITH OTHER "ACCESS" POINTS. SPECIFICALLY, MYMICHIGAN MEDICAL CENTER SAULT HAS PROVIDED RESOURCES TO THE CHAC (COMMUNITY HEALTH ACCESS COALTION) AND MYMICHIGAN MEDICAL CENTER SAULT HAS ENTERED INTO AN AGREEMENT WITH THE STATE OF MICHIGAN TO PROVIDE A DHS (DEPARTMENT OF HEALTH SERVICES) WORKER ON-SITE FOR READY ACCESS FOR OUR PATIENTS. THROUGH THE COLLABORATION OF THESE RELATIONSHIPS OUR PATIENTS ARE FIRST NOTIFIED AND REFERRED TO THE APPROPRIATE RESOURCE FROM THE ON-SET OF RECEIVING HEALTH CARE SERVICES. |
| PART VI, LINE 4: | MYMICHIGAN MEDICAL CENTER SAULT'S PRIMARY SERVICE AREA IS THE EASTERN UPPER PENINSULA OF MICHIGAN. IN THIS AREA THERE ARE THREE COUNTIES WHICH CONSIST OF CHIPPEWA, MACKINAC, AND LUCE. MYMICHIGAN MEDICAL CENTER SAULT PRIDES ITSELF ON THE QUALITY OF SERVICES IT PROVIDES AS A RURAL SOLE COMMUNITY HOSPITAL. THE CLOSEST HOSPITAL IS 50 MILES AWAY AND IS A CRITICAL CARE HOSPITAL. THE CLOSEST TERTIARY FACILITY IS OVER 90 MILES AWAY. MYMICHIGAN MEDICAL CENTER SAULT STRIVES FOR PROVIDING SERVICES TO THE COMMUNITY FOR WHICH OTHERWISE THE COMMUNITY MEMBER WOULD MOST LIKELY HAVE TO TRAVEL TO A TERTIARY FACILITY. THROUGH ITS OWN EFFORTS AND JOINT VENTURES AREAS OF CARE SUCH AS OBSTETRICS AND DELIVERY, DIALYSIS, ONCOLOGY, CARDIOLOGY, PULMONOLOGY, INFECTIOUS DISEASE, AND I/P PSYCHIATRIC SERVICES WOULD NOT BE AVAILABLE.MYMICHIGAN MEDICAL CENTER SAULT IS ONE OF THE TOP THREE LARGEST EMPLOYERS IN OUR REGION. WE EMPLOY MORE THAN 900 PEOPLE AND HAVE AN ANNUAL PAYROLL OF APPROXIMATELY $50 MILLION; PROVIDING A POSITIVE ECONOMIC IMPACT IN THE COMMUNITY. |
| PART VI, LINE 5: | MYMICHIGAN MEDICAL CENTER SAULT PROVIDES MANY POINTS OF ACCESS THAT ARE NOT PROFITABLE, BUT OTHERWISE WOULD REQUIRE OUR COMMUNITY MEMBERS TO TRAVEL GREAT DISTANCES. THE HOSPITAL MANAGEMENT AND STAFF PARTICIPATE ACTIVELY IN MANY HEALTH AND EDUCATIONAL ENDEAVORS. AN EXAMPLE IS PROVIDING CLINICAL STAFF TO THE LOCAL STATE UNIVERSITY TO ASSIST IN THE EDUCATION OF REGISTERED NURSES. OTHER EXAMPLES INCLUDE INFORMAL PARTNERSHIPS WITH TWO LOCALLY RECOGNIZED NATIVE AMERICAN TRIBES AND FULL SUPPORT OF COUNTY HEALTH INITIATIVES. PROGRAM EXAMPLES WOULD INCLUDE INDIGENT HEALTH ACCESS, FLU-CLINIC, DIALYSIS, DIABETIC EDUCATION, COUNTY HEALTH DEPARTMENT COLON SCREENING, PHYSICALS FOR STUDENT ATHLETES, AND REGIONAL CHARITY CARE INITIATIVES.MYMICHIGAN MEDICAL CENTER SAULT CONTINUES TO PARTNER WITH TERTIARY FACILITIES TO PROVIDE CONSISTENT ACCESS TO PROVIDERS OF CARDIOLOGY. DUE TO THE HOSPITAL'S GEOGRAPHIC LOCATION AND COMMUNITY SIZE, THE HOSPITAL HAS CONTINUED TO INDEPENDENTLY RECRUIT OTHER SPECIALISTS TO ENSURE THAT COMMUNITY ACCESS TO SERVICES AND PROVIDERS IS ACCOMPLISHED THROUGH PROVIDER BASED CLINICS. THE HOSPITAL CONTINUES ITS EFFORTS IN PROVIDING PRIMARY CARE IN OUTREACH AREAS OF THE EASTERN UPPER PENINSULA. WITH THESE EFFORTS AND PARTNERSHIPS THE HOSPITAL HAS BEEN SUCCESSFUL IN MAINTAINING ALL OTHER SERVICES.MYMICHIGAN MEDICAL CENTER SAULT CONTINUED ITS LEADERSHIP AND INVOLVEMENT WITHIN THE COMMUNITY AND THE HEALTHCARE PROVIDER COMMUNITY BY PROVIDING EDUCATION AND TRAINING. EXAMPLES OF COMMUNITY EDUCATION AND/OR HEALTH SCREENINGS INCLUDED A SENIOR HEALTH FAIR, EARLY PRE-NATAL EDUCATION AND CHILDBIRTH CLASSES. THE HOSPITAL'S INVOLVEMENT IN HEALTHCARE PROVIDER EDUCATION AND TRAINING INCLUDED NURSE AIDE TRAINING PROGRAMS AND SERVING AS CLINICAL INTERNSHIP SITE FOR MANY COLLEGE AND UNIVERSITY TRAINING PROGRAMS FOR STUDENTS IN REGISTERED NURSING, PHARMACY, MEDICAL TECHNOLOGY, HEALTH INFORMATION MANAGEMENT, AND PHYSICIAN ASSISTANT PROGRAMS. THE HOSPITAL IS ALSO DESIGNATED AS A COMMUNITY TRAINING CENTER OFFERING TRAINING TO AREA PHYSICIANS AND STAFF ON PEDIATRIC ADVANCED LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT AND BASIC LIFE SUPPORT. THE HOSPITAL IS ALSO CERTIFIED TO PROVIDE CONTINUING MEDICAL EDUCATION TO AREA PHYSICIANS AND STAFF AND CONDUCTS MORE THAN 25 ON-SITE PROGRAMS PER YEAR. VIDEO CONFERENCING CAPABILITIES ALSO PROVIDE ACCESS TO COMMUNITY AND HEALTHCARE PROVIDER TRAINING THROUGHOUT THE YEAR.MYMICHIGAN MEDICAL CENTER SAULT EMPLOYEES HAVE EMPLOYMENT BENEFITS WHICH INCLUDE PAYMENT FOR EXPENSES FOR THE COMPLETION OF A BACHELOR OF SCIENCE IN NURSING FOR CURRENT REGISTERED NURSES. ADDITIONALLY, OTHER EMPLOYEES HAVE ANNUAL EDUCATION BENEFITS FOR CONTINUING OR ADVANCING THEIR EDUCATION IN A HEALTHCARE FIELD. THE HOSPITAL ALSO OFFERS AN EDUCATIONAL LOAN PROGRAM WITH A PERIOD OF NO-INTEREST LOANS WHILE ENROLLED IN AN EDUCATIONAL PROGRAM. FOR NEWLY HIRED EMPLOYEES IN JOB SHORTAGE CLASSIFICATIONS, EMPLOYEES CAN RECEIVE FUNDS FOR STUDENT LOAN REPAYMENT FOR A COMMITMENT TO SERVE MYMICHIGAN MEDICAL CENTER SAULT FOR A SPECIFIED NUMBER OF YEARS. |
| PART VI, LINE 6: | NOT AFFILIATED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MI |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR STRAITS RADIOLOGY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED MORE THAN 35% BY RALPH DUMAN, A BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $288,667 | TransactionAmt |
| Transaction | PAYMENT FOR PROFESSIONAL RADIOLOGIST | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE NAME OF THE CORPORATION IS MYMICHIGAN MEDICAL CENTER SAULT ARTICLE V SECTION 1. THE SOLE MEMBER OF THE CORPORATION IS MYMICHIGAN HEALTH F/K/A MIDMICHIGAN HEALTH, A MICHIGAN NONPROFIT CORPORATION. ARTICLE VI SECTION 1. THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING A BENEFIT TO ITS MEMBER, AND THE CORPORATION MAY PAY DIVIDENDS OR DISTRIBUTE ITS INCOME OR PROFIT TO MYMICHIGAN HEALTH, ITS SOLE MEMBER AND A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, PROVIDED ANY SUCH PAYMENTS OR DISTRIBUTIONS ARE OTHERWISE CONSISTENT WITH THE CORPORATION'S PURPOSES AND ARE OTHERWISE PERMITTED UNDER THE MICHIGAN NONPROFIT CORPORATION ACT, AS AMENDED. SECTION 2. THE CORPORATION SHALL NOT TAKE ANY ACTION THAT, IF TAKEN DIRECTLY BY MYMICHIGAN HEALTH, WOULD REQUIRE APPROVAL OF ALL MEMBER CLASSES OF MYMICHIGAN HEALTH, UNLESS SUCH ACTION IS APPROVED BY MYMICHIGAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION. SECTION 3. NO PART OF THE NET EARNINGS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF OR BE DISTRIBUTABLE TO ITS DIRECTORS, OFFICERS, OR OTHER PRIVATE PERSONS, EXCEPT THAT THE CORPORATION SHALL BE AUTHORIZED AND EMPOWERED TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH IN ARTICLE II HEREOF. NO SUBSTANTIAL PART OF THE ACTIVITIES OF THE CORPORATION SHALL BE THE CARRYING ON OF PROPAGANDA, OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND THE CORPORATION SHALL NOT PARTICIPATE IN, OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF ANY CANDIDATE FOR PUBLIC OFFICE. NOTWITHSTANDING ANY OTHER PROVISION OF THESE ARTICLES, THE CORPORATION SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON (I) BY A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR (II) BY A CORPORATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE INTERNAL REVENUE CODE OF 1986, OR CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW. ARTICLE VII SECTION 1. THE CORPORATION SHALL, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, INDEMNIFY ANY PERSON THAT WAS OR IS A PARTY OR IS THREATENED TO BE MADE A PARTY TO A THREATENED, PENDING OR COMPLETED ACTION OR SUIT BY REASON OF THE FACT THAT THE PERSON IS OR WAS A DIRECTOR, OFFICER, EMPLOYEE, NONDIRECTOR VOLUNTEER, OR AGENT OF THE CORPORATION, OR IS OR WAS SERVING AT THE REQUEST OF THE CORPORATION AS A DIRECTOR, OFFICER, PARTNER, TRUSTEE, EMPLOYEE, NONDIRECTOR VOLUNTEER, OR AGENT OF ANOTHER FOREIGN OR DOMESTIC CORPORATION, BUSINESS CORPORATION, PARTNERSHIP, JOINT VENTURE, TRUST, OR OTHER ENTERPRISE, WHETHER FOR PROFIT OR NOT. HOWEVER, THE CORPORATION WILL NOT PAY OR REIMBURSE THE EXPENSES OF A PARTY ENTITLED TO INDEMNIFICATION UNDER THE PRECEDING SENTENCE IN ADVANCE OF FINAL DISPOSITION OF THE PROCEEDING UNLESS (I) THE CORPORATION AUTHORIZES THE ADVANCE CONSISTENT WITH THE REQUIREMENTS OF THE ACT, AND (II) THE PERSON FURNISHES THE CORPORATION A WRITTEN AGREEMENT, CONSISTENT WITH THE REQUIREMENTS OF THE ACT, TO REPAY THE ADVANCE IF IT IS ULTIMATELY DETERMINED THAT THE PERSON DID NOT MEET THE STANDARD OF CONDUCT, IF ANY, REQUIRED BY THE ACT FOR THE INDEMNIFICATION. SECTION 2. THE CORPORATION MAY, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW (INCLUDING BUT NOT LIMITED TO THE LAWS GOVERNING THE CORPORATION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE), PURCHASE AND MAINTAIN INSURANCE ON BEHALF OF ANY PERSON DESCRIBED IN SECTION 1 OF THIS ARTICLE VII AGAINST ANY LIABILITY ASSERTED AGAINST THE PERSON AND INCURRED BY THE PERSON IN THAT CAPACITY OR ARISING OUT OF THE PERSON'S STATUS AS SUCH, WHETHER OR NOT THE CORPORATION HAS THE POWER TO INDEMNIFY THE PERSON AGAINST LIABILITY. ARTICLE VIII SECTION 1. EXCEPT AS OTHERWISE PROVIDED BY LAW AND IN ACCORDANCE WITH A DISSOLUTION PLAN APPROVED BY MYMICHIGAN HEALTH AS MAY BE REQUIRED BY THE CORPORATION'S BYLAWS, UPON THE DISSOLUTION OF THE CORPORATION, THE BOARD OF DIRECTORS OF THE CORPORATION SHALL, AFTER PAYING OR MAKING PROVISIONS FOR THE PAYMENT OF ALL OF THE LIABILITIES OF THE CORPORATION, DISTRIBUTE ALL OF THE ASSETS OF THE CORPORATION TO MYMICHIGAN HEALTH, A 501(C)(3) ORGANIZATION, SO LONG AS IT REMAINS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR TO A NONPROFIT FUND, FOUNDATION, OR CORPORATION WHICH IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE PURPOSES AND WHICH HAS ESTABLISHED ITS TAX EXEMPT STATUS UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE OF 1986, OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATES INTERNAL REVENUE LAW, OR SHALL BE DISTRIBUTED TO THE FEDERAL GOVERNMENT, OR TO A STATE OR LOCAL GOVERNMENT FOR PUBLIC PURPOSE. ANY SUCH ASSETS NOT SO DISPOSED OF SHALL BE DISPOSED OF BY THE CIRCUIT COURT FOR THE COUNTY IN WHICH THE PRINCIPAL OFFICE OF THE CORPORATION IS THEN LOCATED, EXCLUSIVELY FOR SUCH PURPOSES OR TO SUCH ORGANIZATION OR ORGANIZATIONS, AS SAID COURT SHALL DETERMINE, WHICH IS OR ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR SUCH PURPOSES. |
| 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 DEPARTMENT WORKS WITH THE APPROPRIATE DEPARTMENTS TO PROVIDE RELEVANT INFORMATION TO THE PREPARER OF THE 990 (AN OUTSIDE FIRM SPECIALIZING IN TAX PREPARATION). REVIEW AND DISCUSSION OF ALL INFORMATION TAKES PLACE BETWEEN THE FINANCE DEPARTMENT AND THE CFO. THE FORM 990 IS THEN PROVIDED TO THE FULL BOARD, BEFORE FILING, WHERE THEY ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY FOR ALL BOARD MEMBERS AND SENIOR LEVEL ADMINISTRATION. ANY CONFLICTS WOULD BE REVIEWED AND KEPT UNDER CONSIDERATION ON AN ONGOING BASIS. BOARD MEMBERS AND ADMINISTRATION INFORM OR REMIND THE ATTENDEES IN THESE SITUATIONS AND ABSTAIN FROM BOTH DISCUSSION AND VOTE ON THE ITEM UNDER DISCUSSION. |
| FORM 990, PART VI, SECTION B, LINE 15 | MANAGEMENT: THE HOSPITAL IS COMMITTED TO COMPENSATING ALL EMPLOYEES AN EQUITABLE AND FAIR WAGE. THE HOSPITAL HAS CONSULTED AND CONTINUES TO WORK WITH AN INDEPENDENT SPECIALIST TO REVIEW ALL JOB DESCRIPTIONS TO ASSIST IN THE CLASSIFICATION OF WAGES BASED ON LOCAL, REGIONAL, AND NATIONAL STANDARDS. THE CLASSIFICATION AND COMPARISON OF LOCALITY IS BASED ON THE ABILITY TO RECRUIT AND TRAIN THE SPECIFIC JOB CLASSIFICATION. THIS SAME PROCESS IS FIRST UTILIZED FOR MANAGEMENT AND SENIOR LEADERS. IN ADDITION, SENIOR LEADERS ARE COMPARED TO THE MHA SURVEY THAT IS PUBLICIZED. ANY INCREASES IN SENIOR LEADERS IS PROPOSED BY THE PRESIDENT/CEO AND APPROVED BY THE BOARD OF TRUSTEES. THE CEO AND HUMAN RESOURCES DIRECTOR PROVIDES THE BOARD WITH CEO WAGE INFORMATION AND THE BOARD (CEO IS REQUESTED TO LEAVE THE MEETING AND IS NOT INVOLVED IN THE VOTE) APPROVES AND MAKES ANY CHANGES THAT ARE NECESSARY. THESE RECOMMENDATIONS ARE NOT ANNUAL AS THEY ARE ALSO BASED ON THE FINANCIAL PERFORMANCE OF THE HOSPITAL AND THE CONTRACTUAL ARRANGEMENT OF THE CEO. THESE RECOMMENDATIONS ARE FURTHER COMPARED TO LIKE SIZE" HOSPITAL'S WITHIN THE MHA SURVEY. HUMAN RESOURCES MONITORS THIS PROCESS ANNUALLY AT VARIOUS LEVELS AND WAS LAST COMPLETED IN 2021. PHYSICIANS: AS A RURAL HOSPITAL AND DESIGNATED AS UNDERSERVED, MYMICHIGAN MEDICAL CENTER SAULT HAS BEEN FACED WITH THE NEED TO EMPLOY PHYSICIANS IN ORDER TO RECRUIT AND RETAIN PROVIDERS TO MEET THE NEEDS OF THE COMMUNITY. THE NEEDS OF OUR COMMUNITY ARE BASED ON INDEPENDENT EVALUATIONS AND COMMUNITY SURVEYS. BASED ON THESE NEEDS THE HOSPITAL UTILIZES MGMA DATA BASED ON SPECIALTY FOR ALL PROVIDERS IN THE UNITED STATES. THIS DATA PROVIDES INFORMATION SUCH AS RELATIVE VALUE UNITS, ENCOUNTER, AND COMPENSATION. THE INFORMATION IS CLASSIFIED BY THE 25TH, MEDIAN, 75TH, AND 90TH PERCENTILE AND IS USED TO DESIGNATE THE PHYSICIAN COMPENSATION AS THE HOSPITAL ESTABLISHES COMPENSATION DURING RECRUITMENT AND RETENTION EFFORTS. MEDIAN BASED COMPENSATION IS MOST TYPICAL FOR PHYSICIAN CONTRACTS WITH THE ABILITY FOR THE PROVIDER TO EARN ADDITIONAL COMPENSATION BASED ON THEIR ACTUAL WORKLOAD/ PRODUCTIVITY (RVU AND ENCOUNTER) WITH NO RELATIONSHIP TO REFERRALS TO THE HOSPITAL. IN RETENTION CONTRACTS THE BASE COMPENSATION IS SOMETIMES INCREASED BASED ON HISTORICAL WORKLOADS/ PRODUCTIVITY AND BASED ON THE MARKET COMPETITIVENESS FOR THE RESPECTIVE SPECIALTY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE 990 AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH A DISSEMINATION AGENT AND UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | DIETARY: PROGRAM SERVICE EXPENSES 7,916. MANAGEMENT AND GENERAL EXPENSES 360,520. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,436. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,661,621. MANAGEMENT AND GENERAL EXPENSES 905,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,567,342. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 165,350. MANAGEMENT AND GENERAL EXPENSES 90,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 255,500. |
| FORM 990, PART XII, LINE 2C: | NO CHANGES FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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 MIDLAND | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN HEALTH | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 382459948 | SUPPORT | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MYMICHIGAN MEDICAL CENTER ALMA | |||||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN MEDICAL CENTER CLARE | |||||||||||
| 703 N MCEWAN ST | CLARE | MI | 48617 | 381518643 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN MEDICAL CENTER GLADWIN | |||||||||||
| 515 QUARTER ST | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN MEDICAL CENTER ALPENA | |||||||||||
| 1501 W CHISHOLM ST | ALPENA | MI | 49707 | 386000029 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN HOME CARE | |||||||||||
| 3007 N SAGINAW RD | MIDLAND | MI | 48640 | 381459397 | HOME CARE | MI | 501(C)(3) | LINE 10 | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN MEDICAL GROUP | |||||||||||
| 2620 W SUGNET RD | MIDLAND | MI | 48640 | 383317788 | MEDICAL OFFICE | MI | 501(C)(3) | LINE 12A, I | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501(C)(2) | MYMICHIGAN HEALTH | Yes (1) | ||
| MYMICHIGAN MEDICAL CENTER MIDLAND VOLUNTEERS | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 061723993 | SUPPORT | MI | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| MYMICHIGAN HEALTH FOUNDATION | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MYMICHIGAN HEALTH | Yes (1) | |
| MYMICHIGAN MEDICAL CENTER WEST BRANCH | |||||||||||
| 2463 S M-30 | WEST BRANCH | MI | 48661 | 464088182 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MYMICHIGAN HEALTH | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| MYMICHIGAN HEALTH PAIN MANAGEMENT | |||||||||
| 2463 SOUTH M-30 | WEST BREANCH | MI | 48661 | 834186622 | HEALTHCARE PAIN MANAGEMENT | MI | N/A | 0 | 0 |
| ISOMM | |||||||||
| 211 S CRAPO ST STE H | MT PLEASANT | MI | 48858 | 270867311 | MRI SERVICES | MI | N/A | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |