Community Benefit Insight - Tax-exempt hospital

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Memorial Hospital

Memorial Healthcare

826 West King Street
Owosso, MI 48867

Bed count	115	Medicare provider number	230121	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 381358208

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

3.03%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,265,493 0.51 %
Medicaid as % of operating expenses	$ 283,458 0.11 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 628,185 0.25 %
Subsidized health services as % of operating expenses	$ 4,953,571 1.98 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 235,487 0.09 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 217,459 0.09 %
Community building* as % of operating expenses	$ 293,422 0.12 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 293,422 0.12 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 18,561 6.33 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 3,186 1.09 %
Workforce development as % of community building expenses	$ 209,431 71.38 %
Other as % of community building expenses	$ 62,244 21.21 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 8,711,305 3.48 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 2,613,392 30.00 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 18635788 including grants of $ 0) (Revenue $ 18666535)
A MEDICAL AND SURGICAL HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO ALL PATIENTS.INPATIENT DISCHARGES: 3,895, PATIENT DAYS: 24,993, INPATIENT SURGERIES: 814, BIRTHS: 463

4B (Expenses $ 99906234 including grants of $ 0) (Revenue $ 173401276)
ANCILLARY SERVICES (OUTPATIENT VISITS: 303,421, OUTPATIENT SURGERIES: 3,613, PAIN MANAGEMENT VISITS: 6,871)

4C (Expenses $ 61590924 including grants of $ 0) (Revenue $ 21281265)
MMA SERVICES (PHYSICIAN CLINICS, MMA RVU'S: 404,769)

4D (Expenses $ 39116392 including grants of $ 0) (Revenue $ 22543331)
ALL OTHER PROGRAM SERVICES

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 5: REFER TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LOCATED AT THE FOLLOWING WEBSITE:HTTPS://WWW.MEMORIALHEALTHCARE.ORG/VISITORS/COMMUNITY-RESOURCESPARTICIPANTS IN THE CHNA:GREAT LAKES BAY HEALTHSAFECENTERSHIAWASSEE REGIONAL EDUCATION SERVICE DISTRICTSHIAWASSEE COUNTY HEALTH DEPARTMENTSHIAWASSEE HEALTH AND WELLNESSCATHOLIC CHARITIESMEMORIAL HEALTHCAREMEMORIAL HEALTHCARE FOUNDATIONMICHIGAN STATE UNIVERSITY EXTENSIONRESPITE VOLUNTEERS OF SHIAWASSEE COUNTYSHIAWASSEE GREAT START INITIATIVEGREATER LANSING FOOD BANKSHIAWASSEE HOPECOMMUNITY MEMBERSOWOSSO PUBLIC SCHOOLSSHIAWASSEE FAMILY YMCA - LIVE HEALTHYSHIAWASSEE HEALTH AND HUMAN SERVICES COUNCILSHIAWASSEE MINISTERIAL REPRESENTATIVESUNITED WAY OF GENESEE COUNTY (SHIAWASSEE)SHIAWASSEE COUNCIL ON AGINGHOMELESS ANGELSDISABILITY NETWORK CAPITAL AREABAKER PATHWAYSPARTICIPANTS IN THE IMPLEMENTATION PLANNING:BILL ARCHER, SHIAWASSEE COUNTY VASTEPHANIE ROWELL, MEMORIAL HEALTHCARE, TAYLOR LIFE CENTERDENNIS CHERNIN, SHIAWASSEE COUNTY HEALTH DEPARTMENT PENNY CORBIN, SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY (SCCMHA) KRISTEN GILPIN, CATHOLIC CHARITIES NICOLE GREENWAY, SHIAWASSEE COUNTY HEALTH DEPARTMENT PHIL HATHAWAY, TOWN PLANS LLC, LIVE HEALTHY COALITIONCOURTNEY HERRICK, SHIAWASSEE EDUCATION SERVICE DISTRICT (SRESS)LARRY JOHNSON, SHIAWASSEE COUNTY HEALTH DEPARTMENTJEFF MCMANUS, RESPITE VOLUNTEERS OF SHIAWASSEE COUNTYMICHAEL DEWEY, SHIAWASSEE UNITED WAYMARLA PRICE, MEMORIAL HEALTHCARE DIETICIANCATHY SPRAGUE-EMANS, CATHOLIC CHARITIESTHOMAS TEAL, MD, MEMORIAL HEALTHCAREABBIE TIPTON. MEMORIAL HEALTHCAREJORRI TREMAIN, MEMORIAL HEALTHCAREMARLENE WEBSTER, SHIAWASSEE HOPESARA WRIGHT, GREAT LAKES BAY HEALTH CENTER SHIAWASSEE COUNTY

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 6B: MEMORIAL WAS THE LEAD ON THE CHNA BUT THERE WAS A SHIAWASSEE COMMUNITY HEALTH NEEDS TEAM THAT CONSISTED OF THE FOLLOWING ORGANIZATIONS:A. SHIAWASSEE UNITED WAYB. SHIAWASSEE REGIONAL EDUCATION SERVICEC. SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITYD. SHIAWASSEE COUNTY HEALTH DEPARTMENT

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 7D: A COPY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON THE HOSPITAL'S WEBSITE LOCATED AT HTTPS://WWW.MEMORIALHEALTHCARE.ORG/WP-CONTENT/UPLOADS/2020/01/UPDATED-SHIAWASSEE-COUNTY-2019-CHA-1-21-20.PDFA COPY OF THE COMMUNIT HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE ON THE HOSPITAL COUNCIL OF NORTHWEST OHIO'S WEBSITE LOCATED AT HTTP://WWW.HCNO.ORG/COMMUNITY-SERVICES/COMMUNITY-HEALTH-ASSESSMENTS/

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 11: DUE TO COVID-19, MEMORIAL HEALTHCARE WILL BEGIN WORKING ON ITS IMPLEMENTATION PLAN IN JULY OF 2020. HOWEVER ,THE PRIMARY NEEDS IDENTIFIED IN THE SURVEY WERE MENTAL HEALTH, OBESITY, AND SUBSTANCE ABUSE BASED ON THE RESPONSES. THESE DOMAINS WILL BE THE FOCUS OF MEMORIAL HEALTHCARE'S EFFORTS MOVING FORWARD AND WILL ENCOMPASS BOTH ADULTS AND CHILDREN. REFER TO THE MOST CURRENT IMPLEMENTATION PLAN LOCATED AT THE FOLLOWING WEBSITE: HTTPS://WWW.MEMORIALHEALTHCARE.ORG/VISITORS/COMMUNITY-RESOURCES

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 16J: THE FAP POLICY IS ALSO STATED ON ALL BILLING STATEMENTS SENT FROM THE HOSPITAL.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.

MEMORIAL HEALTHCARE
PART V, SECTION B, LINE 20E: SEND SELF-PAY ACCOUNTS TO ADVOMAS, A MEDICAL BILLING SERVICE, PRIOR TO SENDING TO CAREPAYMENT AND BEFORE SENDING TO BAD DEBT.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
THE COSTING METHODOLOGY USED FOR LINE 7A WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 IN ADDITION TO DISCOUNTS AT COST PER THE HOSPITAL'S ACCOUNTING RECORDS. THE COSTING METHODOLOGY USED FOR LINES 7B - 7C WAS THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE COSTING METHODOLOGY USED FOR LINES 7E - 7I WERE ACTUAL COSTS PER THE HOSPITAL'S ACCOUNTING RECORDS.

PART I, LINE 7G:
SUBSIDIZED HEALTH SERVICES INCLUDE EMERGENCY ROOM AND OR SERVICES. NO PHYSICIAN CLINICS ARE INCLUDED.

PART I, LN 7 COL(F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990 PART IX LINE 25 COLUMN A WAS SUBTRACTED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSES. THE BAD DEBT EXPENSE EXCLUDED WAS $8,711,305.

PART II, COMMUNITY BUILDING ACTIVITIES:
MEMORIAL HEALTHCARE HAS A STRONG REPUTATION AS A COLLABORATOR AND SUPPORTER OF AGENCIES AND ORGANIZATIONS WORKING TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. INCLUDED IN THESE EFFORTS IS A VIGOROUS SUPPORT BOTH FINANCIALLY AND IN-KIND OF THE ECONOMIC DEVELOPMENT EFFORTS IN OUR COUNTY. WE PLAY A LEADERSHIP ROLE IN THE HEALTH & HUMAN SERVICES COLLABORATIVE IN SHIAWASSEE COUNTY WHICH HAS MADE A DIFFERENCE IN IMPORTANT ISSUES TO OUR RESIDENTS SUCH AS: TRANSPORTATION, ACCESS TO HEALTH AND DENTAL CARE FOR THOSE ON MEDICAID OR UNINSURED, HOMELESSNESS PREVENTION, SUICIDE PREVENTION, ELDER CARE, ETC.DURING THE COVID-19 PANDEMIC, MEMORIAL PROVIDED THE COMMUNITY AS WELL AS THEIR OWN EMPLOYEES WITH TESTING SITES WHICH INCLUDED A DRIVE-THRU LOCATION WITH MINIMAL CONTACT. TO FURTHER THEIR EFFORTS TO MINIMIZE THE SPREAD OF COVID MEMORIAL ALSO EXTENDED BEYOND SHIAWASSEE COUNTY TO PROVIDE SERVICES TO WAYNE COUNTY TO PROVIDE EXCELLENT CARE IN TESTING ALL THE INMATES AND SHERIFFS. MEMORIAL WAS ALSO AMONG THE FIRST TO PROVIDE THE 1ST DOSE OF THE VACCINE TO THE COMMUNITY AND THEIR EMPLOYEES. MEMORIAL CONTINUES TO PROVIDE EXCEPTIONAL COMMUNITY SUPPORT INCLUDING ESTABLISHING ITSELF AS AN INDUSTRY LEADER IN THE CONTINUED FIGHT AGAINST THE SPREAD OF COVID-19.

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.

PART III, LINE 3:
IT HAS BEEN ESTIMATED THAT APPROXIMATELY 30 PERCENT OF EXPENSES RELATING TO BAD DEBT ARE ATTRIBUTABLE TO PATIENTS THAT MAY HAVE QUALIFIED FOR FINANCIAL ASSISTANCE. THE ESTIMATE IS BASED ON THE HOSPITALS EXPERIENCE AND REVIEW OF CHARITY CARE APPLICATIONS.

PART III, LINE 4:
ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF OUR FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDE PRIMARILY TO SELF-PAY PATIENTS.ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVAN PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHE TRENDS AFFECTING MEMORIAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS.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), MEMORIAL RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAS EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FO WHICH THEY ARE FINANCIALLY RESPONSIBLE.

PART III, LINE 8:
MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. INPATIENT AND OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. COSTS ON STRESS, SUBACUTE AND LONG TERM CARE ARE ALSO INCLUDED. MEDICARE REVENUE AND COSTS RELATED TO THE SUBSIDIZED HEALTH SERVICES HAVE BEEN REMOVED IN ORDER TO AVOID DUPLICATION. ANY SHORTFALLS CALCULATED HERE ARE CONSIDERED TO BE A COMMUNITY BENEFIT.

PART III, LINE 9B:
PATIENTS RECEIVE A STATEMENT 14 DAYS AFTER THEIR INSURANCE PAYS OR 14 DAYS AFTER SERVICE FOR SELF PAY PATIENTS. PATIENT WILL RECEIVE A PAST DUE NOTICE (2ND STATEMENT) 30 DAYS AFTER FIRST STATEMENT IF NO PAYMENT MADE OR PAYMENT ARRANGEMENT SET UP. PATIENTS WILL THEN BE REFERRED TO OUR VENDOR CAREPAYMENT TO SET UP A 25 MONTH PAYMENT PLAN. IF THE PATIENT DEFAULTS (AFTER A MINIMUM OF 90 DAYS) ON THE PAYMENT PLAN THE ACCOUNT WILL BE RETURNED TO MEMORIAL AND THEN WILL BE SENT ONTO TO UNITED COLLECTION BUREAU FOR COLLECTION ACTIVITY. PATIENT WILL RECEIVE NOTICE OF ANY ECA'S 30 DAYS PRIOR TO BEING SENT TO COLLECTIONS.

PART VI, LINE 2:
WE ASSESS THE HEALTH NEEDS OF OUR RESIDENTS THROUGH COLLABORATIONS WITH THE COUNTY HEALTH DEPARTMENT, OUR 10 SCHOOL DISTRICTS, OUR COUNCIL OF HEALTH & HUMAN SERVICE AGENCIES AND THROUGH PHYSICIAN OBSERVATION AND REQUESTS.

PART VI, LINE 3:
WE COMMUNICATE THIS THROUGH SEVERAL METHODS INCLUDING: POSTING AT REGISTRATION POINTS, IN THE PATIENT HANDBOOK PROVIDED TO ALL INPATIENTS, IN A GUIDE TO THE BILLING PROCESS PAMPHLET HANDED OUT AT REGISTRATION POINTS, ON THE BACK OF OUR PATIENT STATEMENTS, VERBALLY THRU OUR FINANCIAL COUNSELING STAFF WHEN PATIENTS ARE IN-HOUSE AS WELL AS THROUGH PHONE CONVERSATIONS WITH PATIENTS CONCERNING THEIR BILLS.

PART VI, LINE 4:
"MEMORIAL HEALTHCARE SERVES SHIAWASSEE COUNTY AND THE SURROUNDING REGION, APPROXIMATELY 105,000 PEOPLE. IT IS A RURAL COUNTY WITH A CENTRAL CITY OF OWOSSO (POPULATION 15,000). THE CENTER CORE OF THE COUNTY, OWOSSO, IS KNOWN AS A ""MICROPOLITAN"". THERE IS LITTLE RACIAL DIVERSITY, 94% OF THE RESIDENTS ARE WHITE, 4% ARE HISPANIC, 1% IS AFRICAN AMERICAN, AND 2% ARE OTHER/2 OR MORE RACES. THE DIVERSITY IS MORE APPARENT IN THE SOCIAL ECONOMIC DISPARITIES. IN JANUARY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 4.40% WHICH WAS SLIGHTLY HIGHER THAN THE STATE AVERAGE OF 3.8%. IN MAY OF 2020, THE UNEMPLOYMENT RATE FOR SHIAWASSEE COUNTY WAS 29.2% WHICH WAS ALSO HIGHER THAN THE STATE AVERAGE OF 21.2%. 18.3% OF CHILDREN LIVE IN POVERTY."

PART VI, LINE 5:
MEMORIAL HEALTHCARE DEVELOPED A COLLABORATION WITH GREAT LAKES BAY HEALTH CENTER OF SAGINAW TO SET UP A COMMUNITY HEALTH CENTER IN SHIAWASSEE COUNTY. THIS CENTER SERVES AS THE MEDICAL HOME FOR THOUSANDS WHO HAD NO ACCESS TO CARE. THROUGH A PARTNERSHIP WITH COMMUNITY MENTAL HEALTH, THIS CENTER ALSO NOW HAS A FULL TIME SOCIAL WORKER. CURRENTLY, WE ARE WORKING TO INCREASE ACCESS TO DENTAL HEALTH.

PART VI, LINE 6:
MEMORIAL HEALTHCARE FOUNDATION PROVIDES FUND DEVELOPMENT SERVICES TO ASSIST MEMORIAL HEALTHCARE. MEMORIAL HEALTHCARE OPERATES A SHORT-TERM, ACUTE-CARE FACILITY OFFERING INPATIENT AND OUTPATIENT HEALTHCARE, MENTAL HEALTH SERVICES, AND HOME CARE PRIMARILY TO CITIZENS OF SHIAWASSEE COUNTY, MICHIGAN.

PART VI, LINE 7, REPORTS FILED WITH STATES
MI

Operating expenses	$ 250,455,649
Total amount spent on community benefits as % of operating expenses	$ 7,583,653 3.03 %