2024-05-14T13:16:46-05:00 2023-06-30 990 2022-07-01 113703981 ADVANCED PET IMAGING NETWORK ADVA 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2024-05-14 JUDI GRAVES 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROD ZAPOLSKI 4000 WELLNESS DR MIDLAND MI 48670 860000 0 X WWW.MYMICHIGAN.ORG X 2003 MI TO PROVIDE MOBILE POSITRON EMISSION TOMOGRAPHY IMAGING EQUIPMENT AND SERVICES TO 7 HOSPITALS THAT OTHERWISE DID NOT OFFER THIS SERVICE TO PATIENTS. 6 0 0 0 0 0 0 0 826800 860000 95 0 0 0 826895 860000 0 0 0 0 0 0 0 0 0 787894 961103 787894 961103 39001 -101103 402851 311457 47038 56747 355813 254710 TO PROVIDE MOBLE POSITRON EMISSION TOMOGRAPHY IMAGING EQUIPMENT AND SERVICES TO 7 HOSPITALS THAT OTHERWISE DID NOT OFFER THIS SERVICE TO PATIENTS. 0 0 814770 860000 ADVANCED PET IMAGING PROVIDES POSITRON EMISSION TOMOGRAPHY SERVICES TO PATIENTS IN SEVERAL LOCATIONS. THESE INCLUDE: MIDLAND, ALMA, SAGINAW, TAWAS, MARLETTE, ALPENA AND WEST BRANCH. 3,207 SCANS WERE COMPLETED IN FISCAL YEAR 2023 WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. 814770 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 0 1 1 0 0 1 0 1 1 0 0 0 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X CROSS BRYAN FORMER SECRETARY/TREASURER 0.00 50.00 X 0 630391 81554 ERICKSON MICHAEL FORMER SECRETARY/TREASURER 0.00 50.00 X 0 408540 43183 PROVENZANO JEFFREY SECRETARY/TREASURER (PART YEAR) 2.00 50.00 X X 0 267804 36741 MORGAN VICTOR DIRECTOR 2.00 50.00 X 0 211101 29865 ZAPOLSKI ROD PRESIDENT 2.00 50.00 X X 0 209235 30822 HAYWOOD NANCY DIRECTOR 2.00 0.00 X 0 0 0 LEAMAN-CASE SHARON DIRECTOR 2.00 0.00 X 0 0 0 NEWMAN MICHELLE DIRECTOR 2.00 0.00 X 0 0 0 0 1727071 222165 0 1 1 0 ASCENSION ST MARY'S OF MICHIGAN 8305 JEFFERSON AVE SAGINAW MI 48601 CONTRACT LABOR 294272 NORTHERN LOGISTICS INC 4915 EAST COLONVILLE RD PO BOX 650 CLARE MI 48617 TRANSPORT SERVICES 261092 2 MEDICAL SERVICES 532000 860000 860000 860000 860000 860000 0 0 X 76020 76020 663300 596980 66320 6803 6803 100 100 2022 2022 39931 35938 3993 EQUIPMENT RENTAL & MAIN 172927 172927 961103 814770 146333 0 284004 191176 114466 117922 1757489 1755130 4381 2359 402851 311457 47038 56747 47038 56747 X 355813 254710 355813 254710 402851 311457 -101103 0 X 0 0 0 X X 2 MYMICHIGAN MEDICAL CENTER MIDLAND 380833014 3 1 0 0 ST MARY'S OF MICHIGAN 380997730 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1757489 1755130 2359 2359 0 1 0 0 0 0 0 0 0 CROSS BRYAN FORMER SECRETARY/TREASURER 0 474203 0 133925 0 22263 0 59690 0 21864 0 711945 0 0 ERICKSON MICHAEL FORMER SECRETARY/TREASURER 0 317577 0 75151 0 15812 0 12355 0 30828 0 451723 0 0 PROVENZANO JEFFREY SECRETARY/TREASURER (PART YEAR) 0 235646 0 31028 0 1130 0 8672 0 28069 0 304545 0 0 MORGAN VICTOR DIRECTOR 0 178612 0 24059 0 8430 0 17829 0 12036 0 240966 0 0 ZAPOLSKI ROD PRESIDENT 0 175807 0 24118 0 9310 0 12707 0 18115 0 240057 0 0 PART I, LINE 4B CROSS AND ERICKSON ARE PARTICIPANTS IN A 457(F) PLAN. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MYMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE. PART II - OTHER ADDITIONAL INFORMATION COMPENSATION WAS REQUESTED FROM ST. MARY'S OF MICHIGAN FOR HAYWOOD, LEAMAN-CASE, AND NEWMAN, HOWEVER, IT WAS NOT RECEIVED. PART III - OTHER ADDITIONAL INFORMATION: ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. EACH ORGANIZATION HAS CONTROLS OVER COMPENSATION WHICH RESULT IN ONLY PAYING MARKET VALUE TO ITS EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS TWO MEMBERS, MYMICHIGAN MEDICAL CENTER MIDLAND AND ST. MARY'S MEDICAL CENTER OF SAGINAW, INC., BOTH OF WHICH ARE 501(C)(3) NONPROFIT ORGANIZATIONS. MEMBERSHIP IN THE CORPORATION SHALL BE LIMITED TO ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBERS OF THE ORGANIZATION EACH HAVE THE RESPONSIBILITY TO ELECT VOTING MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY A SENIOR FINANCE STAFF MEMBER AT MYMICHIGAN HEALTH, THE SOLE MEMBER OF MYMICHIGAN MEDICAL CENTER MIDLAND. THE STAFF MEMBER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND CFO. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MYMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE MYMICHIGAN HEALTH COMPENSATION COMMITTEE. 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 CFO. 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 IDENTIFIED. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION B, LINES 12, 13, & 15 THERE ARE NO EMPLOYEES AND THEREFORE THIS POLICY DOES NOT EXIST AT ADVANCED PET IMAGING NETWORK. HOWEVER, ANY CONFLICTS ARE NOTED AT THE BOARD AND DOCUMENTED. THE MEMBERS, MYMICHIGAN HEALTH AND ST. MARY'S MEDICAL CENTER OF SAGINAW, BOTH HAVE POLICIES IN PLACE. FORM 990, PART VI, SECTION A, LINE 1: THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. FORM 990, PART VII: COMPENSATION WAS REQUESTED FROM ST. MARY'S OF MICHIGAN FOR HAYWOOD, LEAMAN-CASE, AND NEWMAN, HOWEVER, IT WAS NOT RECEIVED. FORM 990, PART IX, LINE 11G ASSOCIATION DUES & OTHER FEES: PROGRAM SERVICE EXPENSES 100. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100. PURCHASED/CONTRACT SERVICE: PROGRAM SERVICE EXPENSES 596,880. MANAGEMENT AND GENERAL EXPENSES 66,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 663,200. MYMICHIGAN MEDICAL CENTER MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MYMICHIGAN HEALTH 0 ST MARY'S OF MICHIGAN 800 S WASHINGTON AVE SAGINAW MI 48601 380997730 HOSPITAL MI 501(C)(3) LINE 3 ASCENSION HEALTH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0