2026-05-14T08:51:15-05:00 2025-06-30 990 2024-07-01 386000029 MYMICHIGAN MEDICAL CENTER ALPENA MYMI 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2026-05-14 1 2024 2025-03-06 01:10:19Z MICHAEL ERICKSON 4000 WELLNESS DR MIDLAND MI 48670 378563639 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. 13 7 1166 82 351814 39503 250000 463954 286623208 357615214 -354849 6512435 8307952 5272150 294826311 369863753 0 0 0 0 66971366 85674651 0 0 0 200636610 249641364 267607976 335316015 27218335 34547738 307636093 333259173 73265563 71448942 234370530 261810231 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 309086732 367783249 MYMICHIGAN MEDICAL CENTER ALPENA'S PRIMARY LINE OF BUSINESS IS AN ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. FOR THE REPORTING PERIOD, 4,899 TOTAL ADMISSIONS WERE PROVIDED INCLUDING 3,795 ACUTE CARE, 381 NEWBORNS, 514 PSYCHIATRIC AND 209 INPATIENT REHABILITATION PATIENTS. ALSO PROVIDED WERE 18,469 VISITS IN OUR EMERGENCY ROOM, 6,624 OUTPATIENT SURGERY CASES AND 173,292 OTHER OUTPATIENT VISITS. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. 309086732 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 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1166 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X HITZELBERGER DO WILLIAM PHYSICIAN 50.00 0.00 X 1239665 0 46407 ROSE MICHAEL SR VP, CFO & TREASURER 2.00 50.00 X X 0 1032806 150373 DOMBROSKI MD JEFFREY PHYSICIAN 50.00 0.00 X 1114272 0 22477 CROSS BRYAN DIRECTOR 2.00 50.00 X 0 932183 198664 HARBER DO DANIEL PHYSICIAN 50.00 0.00 X 908150 0 27430 SHERWIN CHUCK FORMER PRESIDENT 0.00 0.00 X 0 741256 103623 HUFFAKER DO SCOTT PHYSICIAN 50.00 0.00 X 643657 0 31307 ERICKSON MICHAEL FORMER PRESIDENT 0.00 0.00 X 0 568097 90525 PRESTON MD GLENN PHYSICIAN 50.00 0.00 X 593388 0 23635 PAULSELL MD MICHAEL DIRECTOR 2.00 50.00 X 0 519894 18381 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YEAR) 2.00 50.00 X X 0 340860 16352 PADGETT FRANCINE FORMER SECRETARY/TREASURER 0.00 0.00 X 0 348143 0 KANE THOMAS VP OF NURSING 50.00 0.00 X 208096 0 32068 NOSTRANT HUNTER PRESIDENT 2.00 50.00 X X 0 117516 13381 WILSON MD BLAKE DIRECTOR (PART YEAR) 2.00 0.00 X 0 68775 0 DECKER MD JAMES CHAIR 2.00 0.00 X X 0 0 0 DAWLEY GARY VICE CHAIR 2.00 0.00 X X 0 0 0 BURTON ANN DIRECTOR 2.00 2.00 X 0 0 0 LAMP BERNARD DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 MEINHARDT MD DAVID DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 SMITH ERIC DIRECTOR 2.00 2.00 X 0 0 0 WILLIAMS MARIE DIRECTOR 2.00 0.00 X 0 0 0 WILSON LYNN DIRECTOR (PART YEAR) 2.00 0.00 X 0 0 0 4707228 4669530 774623 66 1 1 0 0 463954 463954 MEDICARE/MEDICAID PMTS 621990 203748904 203748904 NET PATIENT REVENUE 621990 150474323 150474323 340B INCOME 900099 2297014 2297014 SUBSIDIARY RELATED INC 900099 989977 989977 CONTRACTED CLINICAL SERVICES 621990 104996 104996 357615214 1495960 598004 897956 426317 0 426317 426317 44184 382133 13527306 8494306 16525 5033000 -16525 5016475 5033000 -16525 69717 68545 1172 1172 182805 120510 62295 62295 PENSION NON-SERVICE INCOME 900099 3160501 3160501 JOINT VENTURE OUTSIDE INCOME 900099 283803 283803 RETAIL PHARMACY 456110 258936 258936 1079126 1030432 48694 4782366 369863753 367783249 351814 1264736 X 312740 312740 73985593 72297401 1688192 2989898 2978359 11539 3568846 3167622 401224 4817574 4679583 137991 18118 18118 47519 47519 92447097 69136533 23310564 23467 5632 17835 316196 292774 23422 121482 118716 2766 2680771 2680467 304 484276 455694 28582 115934 106976 8958 1265241 1265241 10071992 10050586 21406 1380766 1380766 PHARMACEUTICALS 114851538 114851538 MEDICAL SUPPLIES 13352060 13352060 BAD DEBT EXPENSE 10931943 10931943 MINOR EQUIPMENT 1000721 845129 155592 532243 442193 90050 335316015 309086732 26229283 0 2797 3012 22459202 33587436 33490993 40941532 7383133 5914886 1399355 1558631 170842317 64085032 111118900 106757285 76354489 82119232 54123628 61258192 1303596 1118967 307636093 333259173 13151789 13475738 298077 212846 36627790 36636603 23187907 21123755 73265563 71448942 X 233102130 260379431 1268400 1430800 234370530 261810231 307636093 333259173 X 34547738 7134706 -14242743 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 18118 18118 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 ACTIVITIES. 2699000 2699000 131603300 41308970 90294330 2340266 1044738 1295528 32035606 21731324 10304282 2164145 2164145 106757285 HEDGE FUNDS 7860462 F BLACKROCK DOMESTIC 21275897 F BLACKROCK INTERNATIONAL 11623507 F CLARION & CORNERSTONE 20498326 F 61258192 ACCRUED PENSION & POST RETIREMENT 7327751 SELF INSURANCE, DEFERRED COMP, OTHER 9421054 OPERATING LEASE 961023 ASSET RETIREMENT OBLIGATION 3413927 21123755 LOGO WEAR 36458 36458 30211 SHOE SALE 6721 6721 4946 5 26538 26538 33388 69717 69717 68545 68545 1172 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 4664985 4664985 0.01440 2 0 45627255 44188797 1438458 0.00440 1 0 3 50292240 44188797 6103443 0.01880 192 2427 183444 183444 0.00060 23 76 8975382 5524444 3450938 0.01060 337 4 2434 2434 0.00000 552 2507 9161260 5524444 3636816 0.01120 555 2507 59453500 49713241 9740259 0.03000 59 497 11669 11669 0.00000 3 224 694 694 0.00000 31 4012 4012 0.00000 1 371 371 0.00000 1 278 278 0.00000 1 23 23 0.00000 96 721 17047 17047 0.00000 1 10931943 546597 53053964 52802897 251067 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 25 1 0 1 1 X SEE PART V, PAGE 8 X 1 25 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 CENTER, HOPE SHORES ALLIANCE, LAW ENFORCEMENT, ALPENA PUBLIC SCHOOLS, CATHOLIC HUMAN SERVICES AND COMMUNITY MENTAL HEALTH. MYMICHIGAN MEDICAL CENTER ALPENA PART V, SECTION B, LINE 6B: MYMICHIGAN MEDICAL CENTER ALPENA COLLABORATED WITH THE FOLLOWING ORGANIZATIONS IN CONDUCTING ITS MOST RECENT CHNA:-ALPENA-MONTMORENCY-ALCONA EDUCATIONAL SERVICE DISTRICT-AREA AGENCY ON AGING OF NORTHWEST MICHIGAN-AUSABLE VALLEY COMMUNITY MENTAL HEALTH-BENZIE-LEELANAU DISTRICT HEALTH DEPARTMENT-CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT-COREWELL HEALTH-DISABILITY NETWORK WEST MICHIGAN-DISTRICT HEALTH DEPARTMENT #2-DISTRICT HEALTH DEPARTMENT #4-DISTRICT HEALTH DEPARTMENT #10-GRAND TRAVERSE COUNTY HEALTH DEPARTMENT-GREAT START COLLABORATIVE-GROUNDWORK CENTER FOR RESILIENT COMMUNITIES-HEALTH DEPARTMENT OF NORTHWEST MICHIGAN-ISABELLA CITIZENS FOR HEALTH, INC-MCLAREN NORTHERN MICHIGAN-MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES-MUNSON HEALTHCARE-NORTHEAST MICHIGAN COMMUNITY SERVICE AGENCY-PARTNERS IN PREVENTION-STRANGERS NO LONGER-TRAVERSE CITY HEALTH CLINIC-WEST 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 THAT FELL OUTSIDE THE BENCHMARK RANGE WERE COMPARED WITH CURRENT STANDARDS, AND EVALUATED BY OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH, 2. ACCESS TO CARE, 3. HEALTH BEHAVIORS AND 4. HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, LOCAL QUANTITATIVE DATA INDICATORS WERE COMPARED TO MICHIGAN STATE BENCHMARKS, REVEALING AREAS OF POOR PERFORMANCE. SECOND, QUALITATIVE DATA ANALYSIS IDENTIFIED RECURRING THEMES OF UNACCEPTABLE HEALTH OUTCOMES. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MYMICHIGAN MEDICAL CENTER ALPENA LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND COMMUNITY GROUPS.FURTHER PRIORITIZATION CONTINUES TO DEVELOP THE FINAL FOCUS AREAS. THE COMMUNITY HEALTH TEAM, ALONG WITH THE POPULATION HEALTH TEAM WORK TOGETHER TO NARROW DOWN FOCUS AREAS BASED ON MODIFIABLE RISK FACTORS THAT HEALTH NEEDS HAVE IN COMMON. THE HIGH RATES OF OBESITY, DIABETES, HYPERTENSION AND CANCER INCIDENCE RATES COUPLED WITH DECREASING RATES OF CANCER SCREENINGS LED TO CHRONIC DISEASE PREVENTION AS AN AREA OF FOCUS. THESE CHRONIC DISEASES HAVE SIMILAR MODIFIABLE RISK FACTORS THAT ALLOW US TO DEVELOP STRATEGIES TO IMPACT MANY CHRONIC DISEASES. SIMILARLY, INCREASING RATES OF SUICIDE, SUBSTANCE USE DISORDER, TOBACCO AND VAPE USE PARTICULARLY IN THE YOUTH POPULATION, FALL WITHIN THE UMBRELLA OF BEHAVIORAL HEALTH AND SUBSTANCE USE WITH SIMILAR RISK FACTORS IN YOUTH ASSETS AND MENTAL HEALTH NEEDS. IN ADDITION, THE GROWING NEED RELATED TO HEALTH CARE ACCESS AND UNDERSTANDING, PREVENTATIVE CARE ACCESS AND OTHER SOCIAL SERVICES RELATED TO SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING, FOOD SECURITY AND TRANSPORTATION ALL FALL WITHIN THE UMBRELLA OF ACCESS TO CARE AND SOCIAL SERVICES ISSUES. 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 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 49749 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 $ 10,931,943. 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/ALCONA/MONTMORENCY/PRESQUE ISLE COUNTY HEALTH SERVICES COORDINATING COUNCILS, 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 AND THE CTE CLASS, ALONG WITH JOB FAIRS AND PRESENTATIONS. 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 2025, MYMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR PURPOSE STATEMENT. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. IN 2024, A WELLBEING SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH NEEDS AND THE VITALITY OF THE PEOPLE LIVING IN ALCONA, ALPENA, MONTMORENCY AND PRESQUE ISLE COUNTIES. THE SURVEY WAS DEVELOPED IN PARTNERSHIP WITH LOCAL COLLABORATIVES AND THE LOCAL HEALTH DEPARTMENTS IN NORTHERN MICHIGAN. 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. MITHRIVE HELD THE PLATFORM FOR THE ONLINE SURVEY AND THE LINK WAS SENT VIA E-MAIL TO AGENCIES, ORGANIZATIONS AND E-MAIL CONTACT LISTS FROM EACH ORGANIZATION AND REPRESENTING EACH COUNTY. 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) AND 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) AND 49779 (ROGERS CITY). IN FISCAL YEAR 2025, ALCONA COUNTY HAD APPROXIMATELY 10,489 PEOPLE RESIDING THERE WITH 12.8% BEING UNDER AGE 18 YEARS OF AGE AND 37% BEING ABOVE AGE 65. THE POPULATION CONSISTED OF APPROXIMATELY 0.8% AFRICAN AMERICAN, 0.9% AMERICAN INDIAN, 0.5% ASIAN, 1.7% HISPANIC AND 94.5% WHITE. THERE ARE ABOUT 49.8% FEMALES LIVING IN THIS REGION. THE DEMOGRAPHIC LOCATION IS 92.9% RURAL. ALPENA COUNTY HAD APPROXIMATELY 28,904 PEOPLE RESIDING THERE WITH 18.8% BEING UNDER AGE 18 AND 25.6% ABOVE AGE 65. THE POPULATION CONSISTED OF 0.7% AFRICAN AMERICAN, 0.8% AMERICAN INDIAN, 0.6% ASIAN, 1.7% HISPANIC AND 97.7% WHITE, WITH 50.3% OF THE POPULATION BEING FEMALE. THE DEMOGRAPHIC REGION IS 46.6% RURAL. MONTMORENCY COUNTY HAD APPROXIMATELY 9,687 PEOPLE RESIDING THERE, WITH 15.6% BEING UNDER AGE 18 AND 33.3% ABOVE AGE 65. THE POPULATION CONSISTED OF 0.6% AFRICAN AMERICAN, 0.9% AMERICAN INDIAN, 0.4% ASIAN, 1.9% HISPANIC AND 94.5% WHITE WITH 48.6% OF THE POPULATION BEING FEMALE. THE DEMOGRAPHIC REGION IS 100% RURAL. PRESQUE ISLE COUNTY HAD APPROXIMATELY 13,285 PEOPLE RESIDING THERE WITH 15.0% BEING UNDER AGE 18 AND 34.8% ABOVE AGE 65. THE POPULATION CONSISTED OF 0.6% AFRICAN AMERICAN, 1.0% AMERICAN INDIAN, 0.7% ASIAN, 1.8% HISPANIC AND 94.8% WHITE WITH 49.6% OF THE POPULATION BEING FEMALE. THE DEMOGRAPHIC REGION IS 100% RURAL. ALCONA, ALPENA AND PRESQUE ISLE COUNTIES ARE BORDERED BY LAKE HURON. THERE ARE MANY INLAND LAKES AND A RANGE OF TOPOGRAPHY AND FORESTS. PART VI, LINE 5: EACH MYMICHIGAN HEALTH MEMBER HOSPITAL 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 $202,925 IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN MEDICAL CENTER ALPENA IN FISCAL YEAR 2025 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FISCAL YEAR 2025, THERE WERE 2,427 PEOPLE 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 2025 INCLUDE COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. OVER $242 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MYMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. THE UNDERLYING PREMISE FOR EACH MYMICHIGAN HEALTH SUBSIDIARY IS SHARED OWNERSHIP FOR COMMUNITY HEALTH. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MYMICHIGAN MEDICAL CENTER 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 826438 0 410605 0 2622 0 20700 0 25707 0 1286072 0 0 0 ROSE MICHAEL SR VP, CFO & TREASURER 0 618147 0 227830 0 186829 0 121651 0 28722 0 1183179 0 180289 DOMBROSKI MD JEFFREY PHYSICIAN 818996 0 293566 0 1710 0 20700 0 1777 0 1136749 0 0 0 CROSS BRYAN DIRECTOR 0 633961 0 276382 0 21840 0 169408 0 29256 0 1130847 0 0 HARBER DO DANIEL PHYSICIAN 682005 0 218323 0 7822 0 6900 0 20530 0 935580 0 0 0 SHERWIN CHUCK FORMER PRESIDENT 0 525522 0 198167 0 17567 0 76606 0 27017 0 844879 0 0 HUFFAKER DO SCOTT PHYSICIAN 506779 0 131562 0 5316 0 6900 0 24407 0 674964 0 0 0 ERICKSON MICHAEL FORMER PRESIDENT 0 411167 0 143653 0 13277 0 62248 0 28277 0 658622 0 0 PRESTON MD GLENN PHYSICIAN 495739 0 82743 0 14906 0 6900 0 16735 0 617023 0 0 0 PAULSELL MD MICHAEL DIRECTOR 0 412542 0 105505 0 1847 0 6900 0 11481 0 538275 0 0 GOODWIN PETER GENERAL COUNSEL & SECRETARY (PART YE 0 245530 0 92652 0 2678 0 15161 0 1191 0 357212 0 0 PADGETT FRANCINE FORMER SECRETARY/TREASURER 0 0 0 0 0 348143 0 0 0 0 0 348143 0 0 KANE THOMAS VP OF NURSING 167550 0 38251 0 2295 0 10671 0 21397 0 240164 0 0 0 PART I, LINE 4B CROSS, ROSE, ERICKSON, SHERWIN, AND NOSTRANT ARE PARTICIPANTS IN A 457(F) PLAN. ROSE RECEIVED A PAYMENT IN 2024 WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN F. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; TERMINATION OF EMPLOYMENT AFTER AT LEAST THREE CONSECUTIVE YEARS OF SERVICE; OR, A PLAN SPONSOR CHANGE IN CONTROL. PART I, LINE 7 MYMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES. THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MYMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MYMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ANNUALLY CONDUCTS A COMPREHENSIVE ASSESSMENT OF EXECUTIVE COMPENSATION. PHYSICIAN COMPENSATION OFFERS EXCEEDING THE 90TH PERCENTILE MUST BE APPROVED BY THE COMPENSATION COMMITTEE. PART III: MYMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MYMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MYMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MYMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. RENEE LAMP FAMILY MEMBER OF BERNARD LAMP, BOARD DIRECTOR 141525 EMPLOYMENT 0 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 43,315,320. MANAGEMENT AND GENERAL EXPENSES 1,992,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,308,271. PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 9,246,800. MANAGEMENT AND GENERAL EXPENSES 51,624. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,298,424. MEDICAID ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 11,435,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,435,230. OTHER FEES: PROGRAM SERVICE EXPENSES 1,648,161. MANAGEMENT AND GENERAL EXPENSES 594,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,242,262. RECRUITING FEES: PROGRAM SERVICE EXPENSES 565,658. MANAGEMENT AND GENERAL EXPENSES 2,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 567,658. CONSULTATION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 72,890. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,890. PHYSICIAN PRACTICE INVESTMENT: PROGRAM SERVICE EXPENSES 2,925,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,925,364. CORPORATE OVERHEAD: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,596,998. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,596,998. FORM 990, PART XI, LINE 9: POST RETIREMENT BENEFITS ADJUSTMENT -14,423,003. TRANSFER OF NET ASSETS FROM RELATED 501(C)(3)-MYMICHIGAN HEALTH FOUNDATION 180,260. 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 4000 WELLNESS DR MIDLAND MI 48670 381437919 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER CLARE 4000 WELLNESS DR MIDLAND MI 48670 381518643 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER GLADWIN 4000 WELLNESS DR MIDLAND MI 48670 386020434 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HOME CARE 4000 WELLNESS DR MIDLAND MI 48670 381459397 HOME CARE MI 501(C)(3) LINE 10 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL GROUP 4000 WELLNESS DR MIDLAND MI 48670 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12C, III-FI N/A 0 MYMICHIGAN MEDICAL CENTER WEST BRANCH 4000 WELLNESS DR MIDLAND MI 48670 464088182 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAULT 4000 WELLNESS DR MIDLAND MI 48670 382602147 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAGINAW 4000 WELLNESS DR MIDLAND MI 48670 380997730 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER STANDISH 4000 WELLNESS DR MIDLAND MI 48670 381671120 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER TAWAS 4000 WELLNESS DR MIDLAND MI 48670 381443395 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 382246366 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN MEDICAL CENTER TAWAS FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 010790428 FOUNDATION MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 FIELD NEUROSCIENCES INSTITUTE 4000 WELLNESS DR MIDLAND MI 48670 382790703 SUPPORT MI 501(C)(3) LINE 12A, I MYMICHIGAN HEALTH 0 MYMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI N/A RELATED 23642 9483 0 0 0.00500 ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 0 MT PLEASANT SURGERY CENTER LLC 4851 E PICKARD ST SUITE 1100 MT PLEASANT MI 48858 300872082 AMBULATORY SURGERY MI N/A 0 0 TOWNE CENTRE SURGERY CENTER LLC 4599 TOWNE CENTRE SAGINAW MI 48604 204943843 AMBULATORY SURGERY MI N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0