2025-05-14T12:39:34-05:00 2024-06-30 990 2023-07-01 386000029 MYMICHIGAN MEDICAL CENTER ALPENA MYMI 9898379039 1501 W CHISHOLM ST ALPENA MI 49707 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2025-05-14 1 2023 2025-03-06 01:10:19Z HUNTER NOSTRANT 1501 W CHISHOLM ST ALPENA MI 49707 316383245 0 X WWW.MYMICHIGAN.ORG X 1940 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 10 7 1044 88 2855656 243102 3093617 250000 242988809 286623208 1381041 -354849 7272537 8307952 254736004 294826311 0 0 0 0 63455693 66971366 0 0 0 170333196 200636610 233788889 267607976 20947115 27218335 264181882 307636093 65563742 73265563 198618140 234370530 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 243684388 292104796 MYMICHIGAN MEDICAL CENTER ALPENA'S PRIMARY LINE OF BUSINESS IS AN ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. FOR THE REPORTING PERIOD, 4,550 TOTAL ADMISSIONS WERE PROVIDED INCLUDING 3,827 ACUTE CARE, 345 NEWBORNS, 489 PSYCHIATRIC AND 234 INPATIENT REHABILITATION PATIENTS. ALSO PROVIDED WERE 18,720 VISITS IN OUR EMERGENCY ROOM, 6,625 OUTPATIENT SURGERY CASES AND 152,544 OTHER OUTPATIENT VISITS. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 243684388 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1044 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X HITZELBERGER DO WILLIAM PHYSICIAN 50.00 0.00 X 1048109 0 57233 DOMBROSKI MD JEFFREY PHYSICIAN 50.00 0.00 X 1046917 0 28000 CROSS BRYAN DIRECTOR 2.00 50.00 X 0 714691 173563 HARBER DO DANIEL PHYSICIAN 50.00 0.00 X 842239 0 43879 ROSE MICHAEL SECRETARY/TREASURER 2.00 50.00 X X 0 704385 141452 SHERWIN CHUCK FORMER PRESIDENT 0.00 0.00 X 0 620213 113189 HANNA DO BRIAN DIRECTOR (PART YEAR) 2.00 50.00 X 2000 660476 49472 HUFFAKER DO SCOTT PHYSICIAN 50.00 0.00 X 650931 0 45569 ERICKSON MICHAEL PRESIDENT 2.00 50.00 X X 0 515277 85186 CONBOY MD BRENDAN PHYSICIAN 50.00 0.00 X 456833 0 26438 KANE THOMAS VP OF NURSING 50.00 0.00 X 182810 0 32097 RAPP DONNA FORMER SECRETARY 0.00 0.00 X 0 114507 0 SMITH ERIC DIRECTOR 2.00 2.00 X 0 4800 0 COSTAIN MD JEFFREY DIRECTOR (PART YEAR) 2.00 0.00 X 2000 0 0 DECKER MD JAMES CHAIR 2.00 0.00 X X 0 0 0 DAWLEY GARY VICE CHAIR (PART YEAR) 2.00 0.00 X X 0 0 0 BURTON ANN DIRECTOR (PART YEAR) 2.00 2.00 X 0 0 0 HALL BEACH DIRECTOR 2.00 0.00 X 0 0 0 MEINHARDT MD DAVID DIRECTOR 2.00 0.00 X 0 0 0 WILLIAMS MARIE DIRECTOR 2.00 0.00 X 0 0 0 WILLIS MD RICHARD DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 4231839 3334349 796078 63 1 1 0 0 250000 250000 MEDICARE/MEDICAID PMTS 621990 175702259 175702259 NET PATIENT REVENUE 621990 109187730 109187730 SUBSIDIARY RELATED INC 900099 828433 828433 340B INCOME 900099 780639 780639 CONTRACTED CLINICAL SERVICES 621990 124147 124147 286623208 1190367 398579 791788 372283 0 372283 372283 34333 337950 19811269 8000 21350176 14309 -1538907 -6309 -1545216 -1545216 77330 45993 31337 31337 168634 146456 22178 22178 PENSION NON-SERVICE INCOME 900099 3808901 3808901 RETAIL PHARMACY 456110 2532804 2532804 CAFETERIA/FOOD SERVICE 722514 667256 667256 873193 584674 288519 7882154 294826311 292104796 2855656 -384141 X 225820 225820 58251216 56376855 1874361 2557355 2490481 66874 1967784 1564266 403518 3969191 3844294 124897 15695 15695 65518 65518 90301261 69248236 21053025 13550 7100 6450 424175 393347 30828 71126 70185 941 2240687 2239353 1334 393333 375613 17720 74449 72893 1556 1265241 1265241 10190052 10189666 386 994951 968273 26678 PHARMACEUTICALS 72678916 72678916 MEDICAL SUPPLIES 12947542 12945043 2499 BAD DEBT EXPENSE 7870947 7870947 MINOR EQUIPMENT 542874 479847 63027 546293 538314 7979 267607976 243684388 23923588 0 2662 2797 2839734 22459202 24560010 33490993 5104930 7383133 1619261 1399355 165346099 54227199 118481117 111118900 60400986 76354489 49918165 54123628 1255017 1303596 264181882 307636093 8915801 13151789 406239 298077 36618977 36627790 19622725 23187907 65563742 73265563 X 197591140 233102130 1027000 1268400 198618140 234370530 264181882 307636093 X 27218335 15920155 -7386100 X X 0 1 X 1 1 1 X X 0 0 0 0 0 0 0 0 1 15695 15695 0 PART II-B, LINE 1: MYMICHIGAN MEDICAL CENTER ALPENA PAYS DUES TO MICHIGAN HEALTH & HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION. A PERCENTAGE OF THESE DUES ARE INDIRECT LOBBYING ACTIVITES. 2699000 2699000 130251174 34484795 95766379 1360998 965518 395480 29810709 18776886 11033823 1224218 1224218 111118900 HEDGE FUNDS 6789072 F BLACKROCK DOMESTIC 18926372 F BLACKROCK INTERNATIONAL 9801151 F CLARION & CORNERSTONE 18607033 F 54123628 ACCRUED PENSION & POST RETIREMENT 7792047 SELF INSURANCE, DEFERRED COMP, OTHER 11078493 OPERATING LEASE 969197 ASSET RETIREMENT OBLIGATION 3348170 23187907 AUXILIARY SALES 77330 77330 45993 77330 77330 45993 45993 31337 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 3580541 0 3580541 0.01380 1 41391047 42437598 0 0.00000 1 44971588 42437598 3580541 0.01380 110 774 36838 0 36838 0.00010 6 267 8163340 5181112 2982228 0.01150 512 129 7162 7162 0.00000 628 1170 8207340 5181112 3026228 0.01160 629 1170 53178928 47618710 6606769 0.02540 67 0 11002 11002 0.00000 2 0 200 200 0.00000 4 0 2520 2520 0.00000 3 0 448 448 0.00000 14 0 1390 1390 0.00000 4 60 1470 1470 0.00000 94 60 17030 17030 0.00000 1 7870947 393547 58813321 51298348 7514973 X 1 1 1 NORTH EASTERN MICHIGAN CANCER CENTER RADIATION ONCOLOGY DIAGNOSIS & TREATMENT 0.50000 0.00000 0.00000 1 1 MYMICHIGAN MEDICAL CENTER ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 WWW.MYMICHIGAN.ORG 1060000019 X X X INPATIENT PSYCHIATRIC & REHAB MYMICHIGAN MEDICAL CENTER ALPENA 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, PAGE 8 X 1 22 1 SEE PART V, PAGE 8 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X WWW.MYMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MYMICHIGAN MEDICAL CENTER ALPENA PART V, SECTION B, LINE 5: MYMICHIGAN MEDICAL CENTER ALPENA'S COMMUNITY HEALTH SUPERVISOR IS A MEMBER OF THE HEALTH SERVICES COORDINATING COUNCIL (HSCC) IN ALPENA, ALCONA, MONTMORENCY AND PRESQUE ISLE COUNTIES. THE HSCC'S ARE RESPONSIBLE FOR THE COLLABORATION OF SERVICES TO BETTER MEET THE NEEDS OF THE COMMUNITIES SERVED. EXTERNAL STAKEHOLDER INPUT WAS OBTAINED AND INCLUDED REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: PARTNERS IN PREVENTION, LIGHT OF HOPE CLUBHOUSE, DISTRICT HEALTH DEPARTMENT #4, FOOD BANK OF NORTHEAST MICHIGAN, NEMSCA, ALPENA SENIOR CITIZEN CENTER, HOPE SHORES ALLIANCE, LAW ENFORCEMENT, ALPENA PUBLIC SCHOOLS, CATHOLIC HUMAN SERVICES AND NORTHEAST MICHIGAN COMMUNITY MENTAL HEALTH. MYMICHIGAN MEDICAL CENTER ALPENA 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 ALPENA 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 ALPENA BOARD ON APRIL 19, 2022 FOLLOW; ALONG WITH AN UPDATE OF STRATEGIES IMPLEMENTED OCTOBER 25, 2022: A. CHRONIC DISEASE PREVENTION AND TREATMENT. POSITIVELY IMPACT HEALTH OUTCOMES THROUGH EDUCATION, BEHAVIOR MODIFICATION, RISK IDENTIFICATION/REDUCTION AND ACCESS TO SERVICES. IMPROVE KNOWLEDGE AND ACCESS TO FRUIT AND VEGETABLE CONSUMPTION, PHYSICAL ACTIVITY REQUIREMENTS AND WEIGHT MANAGEMENT FOR HEALTH BEHAVIOR MODIFICATION AND RISK FACTOR REDUCTION THROUGH RUN UNITED AND TRUE COLORS YOGA PROGRAM FOR YOUTH. STRATEGIES TO PREVENT AND TREAT CHRONIC DISEASE INCLUDED DIABETES EDUCATION AND SUPPORT GROUPS IN COLLABORATION WITH THE DIABETES CENTER, IMPLEMENTING FOOD LOCKERS/PHARMACIES FOR THOSE WITH A POSITIVE SOCIAL DETERMINENT OF HEALTH NEED AND ONLINE RISK ASSESSMENTS FOR COMMUNITY MEMBERS. B. BEHAVIORAL HEALTH. INCREASE THE AVAILABILITY, ACCESSIBILITY AND AWARENESS OF MENTAL HEALTH AND SUBSTANCE USE SERVICES. IMPLEMENTING SUICIDE PREVENTION TRAINING FOR STAFF AND COMMUNITY VIA THE LIVING WORKS AND QPR FRAMEWORKS THROUGH PARTNERS IN PREVENTION, DEVELOPING A TOBACCO CESSATION STRATEGY THROUGH IMPLEMENTATION OF THE N-O-T IN SCHOOL SYSTEMS AND ONLINE CESSATION PORTALS, AND SUPPORTING ENDING THE SILENCE IN THE SCHOOL SYSTEMS FOR SUICIDE AWARENESS/PREVENTION THROUGH THE SUNSET PROJECT. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MYMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ 16 1 - ORTHOPEDIC ASSOCIATES 401 LONG RAPIDS PLAZA ALPENA MI 49707 PHYSICIAN CLINIC 2 - PHYSICIAN SERVICES 346 LONG RAPIDS PLAZA ALPENA MI 49707 PHYSICIAN CLINIC 3 - OSCODA REHABILITATION SERVICES 208 S STATE ST OSCODA MI 48750 REHABILITATION SERVICES 4 - HOME CARE & PRIVATE DUTY 1521 W CHISHOLM ST ALPENA MI 49707 HOME CARE ADMIN OFFICES 5 - CARDIOLOGY ASSOCIATES 460 LONG RAPIDS PLAZA ALPENA MI 49707 PHYSICIAN CLINIC 6 - ROGERS CITY REHABILITATION SERVICES 201 S BRADLEY HWY ROGERS CITY MI 49779 REHABILITATION SERVICES 7 - ROGERS CITY RADIOLOGY SERVICES 201 S BRADLEY HWY ROGERS CITY MI 49779 IMAGING SERVICES 8 - OSSINKE PHARMACY 11745 US 23 SOUTH OSSINEKE MI 49766 OUTPATIENT PHARMACY 9 - LINCOLN RADIOLOGY SERVICES 177 N BARLOW ROAD LINCOLN MI 48742 IMAGING SERVICES 10 - URGENT CARE 393 LONG RAPIDS ROAD ALPENA MI 49707 PHYSICIAN CLINIC 11 - ATLANTA REHABILITATION SERVICES 11899 M-32 WEST ATLANTA MI 49709 REHABILITATION SERVICES 12 - HILLMAN RADIOLOGY SERVICES 15774 STATE STREET HILLMAN MI 49746 IMAGING SERVICES 13 - ATLANTA RADIOLOGY SERVICES 11899 M-32 WEST ATLANTA MI 49709 IMAGING SERVICES 14 - LINCOLN REHABILITATION SERVICES 177 N BARLOW ROAD LINCOLN MI 48742 REHABILITATION SERVICES 15 - ONAWAY RADIOLOGY SERVICES 21258 M-69 ONAWAY MI 49765 IMAGING SERVICES 16 - OSCODA RADIOLOGY SERVICES 208 S STATE ST OSCODA MI 48750 IMAGING SERVICES 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 $ 7,870,947. 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 ALPENA 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: ALPENA COUNTY CHILD DEATH REVIEW; HOPE SHORES ALLIANCE; ALPENA SUICIDE PREVENTION TEAM; ALPENA SENIOR CENTER; ALPENA COUNTY HEALTH SERVICES COORDINATING COUNCIL; MITHRIVE AND NORTHEASTERN COMMUNITY FOUNDATION. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY SUPPORT ACTIVITIES THROUGH THE ALPENA CHAMBER OF COMMERCE. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDED ALPENA HIGH SCHOOL HEALTH OCCUPATIONS CLASS JOB SHADOWS. 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 FY 2024, MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. IN 2022, A WELLBEING SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH NEEDS AND THE VITALITY OF PEOPLE LIVING IN ALCONA, ALPENA, MONTMORENCY AND PRESQUE ISLE COUNTIES. THE SURVEY WAS PRESENTED TO THE CHNA COMMUNITY COLLABORATIVE TEAM FOR APPROVAL AND FOR FINAL SUGGESTIONS TO ENSURE THE SURVEY MET THE NEEDS OF THE HSCC AND OTHER COUNTY AGENCIES IN EACH OF THE COMMUNITIES SERVED. THE COLLABORATIVE TEAM THEN AIMED TO COLLECT DATA FROM ACROSS EACH COUNTY. EFFORTS WERE MADE TO OBTAIN A SAMPLE OF DATA THAT WAS REPRESENTATIVE OF EACH COUNTY AND EACH ZIP CODE. DATA COLLECTION OCCURRED BOTH ONLINE AND VIA PAPER SURVEYS. SURVEYMONKEY.COM WAS USED TO ADMINISTER THE ONLINE SURVEY AND THE LINK WAS SENT VIA EMAIL TO AGENCIES, ORGANIZATIONS AND EMAIL CONTACT LISTS FROM EACH ORGANIZATION. PAPER COPIES OF THE SURVEY WERE ADMINISTERED AT VARIOUS LOCATIONS THROUGHOUT EACH COUNTY AND MAILED TO ORGANIZATIONS WITH HARDER TO REACH POPULATIONS WITH LIMITED ACCESS TO INTERNET. PARTICIPANTS COMPLETED THE PAPER SURVEYS AT HOME AND RETURNED IT IN A POSTAGE PAID ENVELOPE. THE SURVEY WAS ALSO ADVERTISED ON AGENCY SOCIAL MEDIA PAGES AND LOCAL NEWSPAPERS. EFFORTS WERE ALSO MADE TO SECURE INPUT FROM LOW-INCOME AND OTHER MEDICALLY UNDERSERVED POPULATIONS. MYMICHIGAN IS INVOLVED WITH THE COMMUNITY AT VARIOUS COMMUNITY EVENTS, FOR A WIDE RANGE OF AGES AND SOCIAL ECONOMIC NEEDS. STAFF ARE ENGAGED WITH THE COMMUNITY MEMBERS AT THESE EVENTS, ALWAYS LISTENING, OBSERVING AND ASKING QUESTIONS OF THE COMMUNITY. WE ATTEND NUMEROUS COUNCILS THAT PROVIDE SIMILAR FEEDBACK AS TO THE NEEDS. ADDITIONALLY, PATIENTS ARE SCREENED WITH SOCIAL DETERMINANTS OF HEALTH (SDOH) QUESTIONS DURING VISITS AND REFERRED OUT FOR SERVICES IF NEEDED. 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 ALPENA, LOCATED IN ALPENA, MI. THE SERVICE AREA IS COMPRISED OF THE FOLLOWING 23 ZIP CODES: ALCONA COUNTY: 48705 (BARTON CITY), 48721(BLACK RIVER), 48728 (CURRAN), 48737 (GLENNIE), 48738 (GREENBUSH), 48740 (HARRISVILLE), 48742 (LINCOLN), 48745(MIKADO), 48762 (SPRUCE); ALPENA COUNTY: 49707(ALPENA), 49744 (HERRON), 49747 (HUBBARD LAKE), 49753 (LACHINE), 49766 (OSSINEKE); MONTMORENCY COUNTY: 49709 (ATLANTA), 49746 (HILLMAN), 49756 (LEWISTON); PRESQUE ISLE COUNTY: 49743 (HAWKS), 49759 (MILLERSBURG), 49765 (ONAWAY), 49776 (POSEN), 49777 (PRESQUE ISLE), 49779 (ROGERS CITY). THE TOTAL POPULATION OF THE MYMICHIGAN MEDICAL CENTER ALPENA'S SERVICE AREA IN 2019 WAS ESTIMATED AT 60,730. OF THOSE, 16.4% ARE UNDER 18 YEARS OF AGE AND 24% ARE 65 AND OLDER. THE MEDIAN AGE IN THE 4-COUNTY SERVICE AREA IS 54.4 YEARS OF AGE. OF THE TOTAL SERVICE AREA POPULATION, AN AVERAGE OF 97.6% ARE WHITE (NON-HISPANIC), 1% ARE BLACK, 0.9% ARE AMERICAN INDIAN, 0.6% ARE ASIAN & PACIFIC ISLANDER AND 1.5% ARE HISPANIC/LATINO. THE AVERAGE LIFE EXPECTANCY IN THE SERVICE AREA IS 77.3 YEARS. PART VI, LINE 5: EACH MYMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELLBEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL AND BEHAVIORAL HEALTH; SOCIAL AND SPIRITUAL WELL-BEING; COMMUNITY HEALTH AND WELL-BEING, AND COMMUNITIES OF SOLUTIONS. PORTFOLIO ONE AIMS AT IMPROVING THE PHYSICAL AND OR MENTAL HEALTH OF INDIVIDUALS SERVED THROUGH QUALITY MEASUREMENT AND PERFORMANCE IMPROVEMENT INITIATIVES, AS WELL AS THE USE OF PATIENT CARE NAVIGATORS AND CARE MANAGERS IN PRIMARY CARE OFFICES AND INITIATIVES TO IMPROVE ACCESS TO CARE, LIKE INCREASED OPPORTUNITIES FOR TELEMEDICINE. PORTFOLIO TWO ADDRESSES SOCIAL AND SPIRITUAL DRIVERS OF HEALTH AND WELL-BEING, MANY OF WHICH ARE IDENTIFIED THROUGH SYSTEMATIC EVALUATION OF SOCIAL DETERMINANTS OF HEALTH COMPLETED AT SEVERAL POINTS OF CONTACT INCLUDING: NEW PATIENTS, EMERGENCY DEPARTMENT PATIENTS, ANNUAL PHYSICALS, POST HOSPITAL DISCHARGES, REFERRALS TO CARE MANAGERS AND PATIENTS WHO CONSISTENTLY DO NOT SHOW UP FOR APPOINTMENTS TO DETERMINE WHAT BARRIERS THEY MAY BE ENCOUNTERING. PORTFOLIO THREE ACTIVITIES AIM TO IMPROVE COMMUNITY HEALTH AND WELL-BEING BY COMMUNITY PARTNERS WORKING TOGETHER TO ASSESS DATA, DETERMINE FOCUS AREAS OF HEALTH AND POOL STAFF AND RESOURCES TO IMPLEMENT HEALTH IMPROVEMENT PROJECTS LIKE INCREASING PHYSICAL ACTIVITY, ACCESS TO HEALTHY FOODS AND REDUCING OPIOID USAGE. PORTFOLIO FOUR ADDRESSES OUR ROLE AS AN ANCHOR INSTITUTION. WE ARE THE MAJOR EMPLOYER IN EACH COMMUNITY WE SERVE AND AS SUCH, WE PROMOTE HEALTH AND WELL-BEING BY CAPITALIZING ON COMMUNITY ASSETS AND ACTIVE ENGAGEMENT WITH REGIONAL INITIATIVES. A TOTAL OF $61,030 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER ALPENA IN 2024 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FY 2024 1,230 PEOPLE WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE NUTRITION, CHRONIC DISEASE MANAGEMENT AND CPR/FIRST AID. PART VI, LINE 6: THE COMMUNITY BENEFITS PROVIDED BY MYMICHIGAN MEDICAL CENTER ALPENA IN FISCAL YEAR 2024 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $103 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH 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 ALPENA 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 1 X X X X 0 1 0 0 0 0 0 1 0 HITZELBERGER DO WILLIAM PHYSICIAN 809870 0 236529 0 1710 0 26400 0 30833 0 1105342 0 0 0 DOMBROSKI MD JEFFREY PHYSICIAN 913476 0 131731 0 1710 0 26400 0 1600 0 1074917 0 0 0 CROSS BRYAN DIRECTOR 0 555834 0 127837 0 31020 0 149236 0 24327 0 888254 0 0 HARBER DO DANIEL PHYSICIAN 600851 0 232916 0 8472 0 16500 0 27379 0 886118 0 0 0 ROSE MICHAEL SECRETARY/TREASURER 0 580831 0 116692 0 6862 0 107604 0 33848 0 845837 0 0 SHERWIN CHUCK FORMER PRESIDENT 0 489191 0 95490 0 35532 0 79244 0 33945 0 733402 0 0 HANNA DO BRIAN DIRECTOR (PART YEAR) 0 591655 0 63919 2000 4902 0 16500 0 32972 2000 709948 0 0 HUFFAKER DO SCOTT PHYSICIAN 495253 0 149041 0 6637 0 16500 0 29069 0 696500 0 0 0 ERICKSON MICHAEL PRESIDENT 0 340074 0 70013 0 105190 0 52179 0 33007 0 600463 0 66449 CONBOY MD BRENDAN PHYSICIAN 324606 0 131937 0 290 0 26400 0 38 0 483271 0 0 0 KANE THOMAS VP OF NURSING 160011 0 19113 0 3686 0 9405 0 22692 0 214907 0 0 0 RAPP DONNA FORMER SECRETARY 0 0 0 0 0 114507 0 0 0 0 0 114507 0 0 PART I, LINE 4B CROSS, ROSE, ERICKSON AND SHERWIN ARE PARTICIPANTS IN A 457(F) PLAN. ERICKSON RECEIVED A PAYMENT IN 2023 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL. PART I, LINE 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES. THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. PHYSICIAN COMPENSATION OFFERS EXCEEDING THE 90TH PERCENTILE MUST BE APPROVED BY THE COMPENSATION COMMITTEE. PART III: MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. FORM 990, PART VI, SECTION A, LINE 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 SURVEYS ARE REVIEWED BY THE MYMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE 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 IX, LINE 11G CONTRACT LABOR, MAINTENANCE & SERVICES: PROGRAM SERVICE EXPENSES 29,748,618. MANAGEMENT AND GENERAL EXPENSES 1,606,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,355,288. PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 8,101,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,101,563. MEDICAID ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 10,129,156. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,129,156. OTHER FEES: PROGRAM SERVICE EXPENSES 321,009. MANAGEMENT AND GENERAL EXPENSES 591,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912,782. RECRUITING FEES: PROGRAM SERVICE EXPENSES 685,757. MANAGEMENT AND GENERAL EXPENSES 9,381. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 695,138. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 249,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,091. PHYSICIAN PRACTICE INVESTMENT: PROGRAM SERVICE EXPENSES 20,013,042. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,013,042. CORPORATE OVERHEAD: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,845,201. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,845,201. FORM 990, PART XI, LINE 9: POST RETIREMENT BENEFITS ADJUSTMENT -7,518,735. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)-MYMICHIGAN HEALTH FOUNDATION 132,635. MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12C, III-FI 0 MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER ALMA 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 500 OSBORN BOULEVARD SAULT STE MARIE MI 49783 382602147 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI MYMICHIGAN MEDICAL CENTER ALPENA RELATED 13814 7647 0 0 0.00500 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0