Special Hospital Payments Provisions (FY2020 Appropriation Act - Public Act 67 of 2019)

August 1, 2020

Sec. 1700. (1) By December 1 of the current fiscal year, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office on the distribution of funding provided, and the net benefit if the special hospital payment is not financed with general fund/general purpose revenue, to each eligible hospital during the previous fiscal year from the following special hospital payments: (a) DSH, separated out by unique DSH pool. (b) GME. (c) Special rural hospital payments provided under section 1802(2) of this part. (d) Lump-sum payments to rural hospitals for obstetrical care provided under section 1802(1) of this part. (2) By August 1 of the current fiscal year, the department shall report to the senate and house appropriations subcommittees on the department budget, the senate and house fiscal agencies, and the state budget office on the projected distribution of funding, and the projected net benefit if the special hospital payment is not financed with general fund/general purpose revenue, to each eligible hospital from the following special hospital payments: (a) DSH, separated out by unique DSH pool. (b) GME. (c) Special rural hospital payments provided under section 1802(2) of this part. (d) Lump-sum payments to rural hospitals for obstetrical care provided under section 1802(1) of this part.

MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES DISPROPORTIONATE SHARE HOSPITAL SUMMARY

Total Fiscal Year Total Tax Total Fiscal Year 2019 Step-1 $185M Supporting Hospital Benefit Total Fiscal Year Total Fiscal 2019 Step-1 $45M Outpatient Outpatient from Outpatient 2019 Step-1 Year 2019 Step- Total Fiscal Year Regular DSH Uncompensated Uncompensated Uncompensated Government 1 University Total Fiscal Year 2019 Step-1 DSH Facility Name Payments DSH Payments DSH DSH Provider DSH DSH 2019 Step-1 DSH (Net benefit) Allegan General Hospital $ - $ - $ 107,451 $ (107,451) $ - $ - $ - $ (107,451) Ascension Borgess Hospital $ 567,139 $ 3,244,465 $ 998,916 $ 2,245,549 $ - $ - $ 3,811,604 $ 2,812,688 Ascension Borgess Lee Hospital $ 4,548 $ 1,449,032 $ 81,177 $ 1,367,855 $ - $ - $ 1,453,580 $ 1,372,403 Ascension Borgess Pipp Hospital $ - $ 381,254 $ 58,328 $ 322,926 $ - $ - $ 381,254 $ 322,926 Ascension Brighton Center for Recovery $ - $ - $ 67,006 $ (67,006) $ - $ - $ - $ (67,006) Ascension Crittenton Hospital $ 5,340 $ 582,089 $ 518,185 $ 63,904 $ - $ - $ 587,429 $ 69,244 Ascension Macomb Oakland Hospital, Warren Campus $ 377,528 $ 3,231,693 $ 846,016 $ 2,385,677 $ - $ - $ 3,609,221 $ 2,763,205 Ascension Providence Hospital $ 16,578 $ 4,921,546 $ 1,680,961 $ 3,240,585 $ - $ - $ 4,938,124 $ 3,257,163 Ascension River District Hospital $ 81,791 $ 605,789 $ 79,111 $ 526,678 $ - $ - $ 687,580 $ 608,469 Aspirus Iron River Hospital & Clinics $ - $ 560,853 $ 61,678 $ 499,175 $ - $ - $ 560,853 $ 499,175 Aspirus Ironwood Hospital $ - $ 1,271,422 $ 74,111 $ 1,197,311 $ - $ - $ 1,271,422 $ 1,197,311 Aspirus Keweenaw Hospital $ - $ 508,815 $ 95,475 $ 413,340 $ - $ - $ 508,815 $ 413,340 Aspirus Ontonagon Hospital $ - $ 97,153 $ 15,488 $ 81,665 $ - $ - $ 97,153 $ 81,665 Baraga County Memorial Hospital $ - $ - $ 39,013 $ (39,013) $ - $ - $ - $ (39,013) Barbara Ann Karmanos Cancer Hospital $ 454 $ 626,814 $ 829,205 $ (202,391) $ - $ - $ 627,268 $ (201,937) BCA StoneCrest Center $ - $ - $ 113,698 $ (113,698) $ - $ - $ - $ (113,698) Beaumont Hospital - Dearborn $ 1,122,109 $ 3,066,032 $ 2,021,724 $ 1,044,308 $ - $ - $ 4,188,141 $ 2,166,417 Beaumont Hospital - Farmington Hills $ - $ - $ 886,335 $ (886,335) $ - $ - $ - $ (886,335) Beaumont Hospital - Grosse Pointe $ - $ 1,862,567 $ 572,140 $ 1,290,427 $ - $ - $ 1,862,567 $ 1,290,427 Beaumont Hospital - Royal Oak $ - $ 8,157,860 $ 3,867,634 $ 4,290,226 $ - $ - $ 8,157,860 $ 4,290,226 Beaumont Hospital - Taylor $ 20,749 $ 2,166,730 $ 374,682 $ 1,792,048 $ - $ - $ 2,187,479 $ 1,812,797 Beaumont Hospital - Trenton $ - $ 830,377 $ 505,917 $ 324,460 $ - $ - $ 830,377 $ 324,460 Beaumont Hospital - Troy $ - $ 3,561,652 $ 1,761,472 $ 1,800,180 $ - $ - $ 3,561,652 $ 1,800,180 Beaumont Hospital - Wayne $ 229,009 $ 2,012,055 $ 469,772 $ 1,542,283 $ - $ - $ 2,241,064 $ 1,771,292 Bell Memorial Hospital $ - $ 226,649 $ 121,404 $ 105,245 $ - $ - $ 226,649 $ 105,245 Bronson Battle Creek Hospital $ 417,572 $ 4,534,148 $ 385,239 $ 4,148,909 $ - $ - $ 4,951,720 $ 4,566,481 Bronson Lake View Hospital $ 1,044 $ 2,386,147 $ 139,770 $ 2,246,377 $ - $ - $ 2,387,191 $ 2,247,421 Bronson Methodist Hospital $ 1,376,875 $ 6,858,635 $ 1,565,456 $ 5,293,179 $ - $ - $ 8,235,510 $ 6,670,054 Bronson South Haven Hospital $ - $ - $ 123,439 $ (123,439) $ - $ - $ - $ (123,439) Children's Hospital of Michigan $ - $ - $ 1,852,146 $ (1,852,146) $ - $ - $ - $ (1,852,146) Chippewa War Memorial Hospital $ 223,069 $ 583,222 $ 250,308 $ 332,914 $ - $ - $ 806,291 $ 555,983 Clinton Memorial Hospital $ - $ 598,730 $ 101,333 $ 497,397 $ - $ - $ 598,730 $ 497,397 Covenant Medical Center, Inc. $ - $ - $ 1,502,419 $ (1,502,419) $ - $ - $ - $ (1,502,419) Deckerville Community Hospital $ - $ 165,169 $ 15,793 $ 149,376 $ - $ - $ 165,169 $ 149,376 Detroit Receiving Hospital $ 7,246,525 $ 2,433,667 $ 835,643 $ 1,598,024 $ - $ - $ 9,680,192 $ 8,844,549 Dickinson County Memorial Hospital $ - $ 770,731 $ 259,502 $ 511,229 $ 147,344 $ - $ 918,075 $ 658,573 Eaton Rapids Medical Center $ - $ 942,002 $ 30,066 $ 911,936 $ - $ - $ 942,002 $ 911,936 Edward W. Sparrow Hospital $ 530,373 $ 3,724,122 $ 2,609,389 $ 1,114,733 $ - $ - $ 4,254,495 $ 1,645,106 Forest Health Medical Center, Inc. $ - $ - $ 103,232 $ (103,232) $ - $ - $ - $ (103,232) Forest View Psychiatric Hospital $ - $ - $ 122,953 $ (122,953) $ - $ - $ - $ (122,953) Garden City Hospital $ - $ 1,722,526 $ 348,970 $ 1,373,556 $ - $ - $ 1,722,526 $ 1,373,556 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES DISPROPORTIONATE SHARE HOSPITAL SUMMARY

Total Fiscal Year Total Tax Total Fiscal Year 2019 Step-1 $185M Supporting Hospital Benefit Total Fiscal Year Total Fiscal 2019 Step-1 $45M Outpatient Outpatient from Outpatient 2019 Step-1 Year 2019 Step- Total Fiscal Year Regular DSH Uncompensated Uncompensated Uncompensated Government 1 University Total Fiscal Year 2019 Step-1 DSH Facility Name Payments DSH Payments DSH DSH Provider DSH DSH 2019 Step-1 DSH (Net benefit) Genesys Regional Medical Center $ - $ 1,363,805 $ 819,246 $ 544,559 $ - $ - $ 1,363,805 $ 544,559 Harbor Beach Community Hospital $ - $ - $ 16,301 $ (16,301) $ - $ - $ - $ (16,301) Harbor Oaks Hospital $ - $ - $ 75,587 $ (75,587) $ - $ - $ - $ (75,587) Harper University Hospital $ 7,887,561 $ 925,837 $ 1,590,371 $ (664,534) $ - $ - $ 8,813,398 $ 7,223,027 Havenwyck Hospital $ - $ - $ 218,533 $ (218,533) $ - $ - $ - $ (218,533) Hayes Green Beach Memorial Hospital $ - $ 2,018,933 $ 104,589 $ 1,914,344 $ - $ - $ 2,018,933 $ 1,914,344 Healthsource Saginaw $ - $ - $ 102,814 $ (102,814) $ - $ - $ - $ (102,814) Helen Newberry Joy Hospital $ - $ 547,090 $ 35,633 $ 511,457 $ 2,476,499 $ - $ 3,023,589 $ 2,987,956 Henry Ford Allegiance CareLink $ - $ - $ 30,022 $ (30,022) $ - $ - $ - $ (30,022) Henry Ford Allegiance Health $ 318,232 $ 3,510,909 $ 1,303,158 $ 2,207,751 $ - $ - $ 3,829,141 $ 2,525,983 Henry Ford Hospital $ 1,980,051 $ 7,996,900 $ 4,048,963 $ 3,947,937 $ - $ - $ 9,976,951 $ 5,927,988 Henry Ford Macomb Hospital $ 745,239 $ 2,689,934 $ 1,038,507 $ 1,651,427 $ - $ - $ 3,435,173 $ 2,396,666 Henry Ford West Bloomfield Hospital $ - $ 1,215,803 $ 670,892 $ 544,911 $ - $ - $ 1,215,803 $ 544,911 Henry Ford Wyandotte Hospital $ 165,732 $ 2,952,714 $ 619,364 $ 2,333,350 $ - $ - $ 3,118,446 $ 2,499,082 Hills & Dales General Hospital $ - $ 506,781 $ 55,372 $ 451,409 $ - $ - $ 506,781 $ 451,409 Hillsdale Hospital $ 236,995 $ 2,728,884 $ 148,383 $ 2,580,501 $ - $ - $ 2,965,879 $ 2,817,496 Holland Community Hospital $ 122,979 $ 3,394,317 $ 705,529 $ 2,688,788 $ - $ - $ 3,517,296 $ 2,811,767 Hurley Medical Center $ 7,813,362 $ 1,721,654 $ 1,473,838 $ 247,816 $ 7,404,312 $ - $ 16,939,328 $ 15,465,490 Huron Valley - Sinai Hospital $ - $ 594,948 $ 606,445 $ (11,497) $ - $ - $ 594,948 $ (11,497) Ionia County Memorial Hospital $ - $ 1,091,184 $ 115,572 $ 975,612 $ - $ - $ 1,091,184 $ 975,612 Kalkaska Memorial Health Center $ - $ 895,421 $ 62,964 $ 832,457 $ 190,349 $ - $ 1,085,770 $ 1,022,806 Kingswood Psychiatric Hospital $ 338,993 $ - $ 56,252 $ (56,252) $ - $ - $ 338,993 $ 282,741 Lake Huron Medical Center $ - $ - $ 193,455 $ (193,455) $ - $ - $ - $ (193,455) Lakeland Hospital - St. Joseph $ 300,324 $ 2,977,861 $ 1,147,713 $ 1,830,148 $ - $ - $ 3,278,185 $ 2,130,472 Lakeland Hospital Watervliet $ 2,955 $ 629,799 $ 83,181 $ 546,618 $ - $ - $ 632,754 $ 549,573 Mackinac Straits Hospital $ - $ 834,824 $ 55,308 $ 779,516 $ - $ - $ 834,824 $ 779,516 Marlette Regional Hospital $ - $ 369,052 $ 54,652 $ 314,400 $ - $ - $ 369,052 $ 314,400 Marquette General Hospital $ - $ - $ 759,165 $ (759,165) $ - $ - $ - $ (759,165) Mary Free Bed Rehabilitation Hospital $ - $ 7,353 $ 290,808 $ (283,455) $ - $ - $ 7,353 $ (283,455) McKenzie Memorial Hospital $ - $ - $ 31,546 $ (31,546) $ - $ - $ - $ (31,546) McLaren - Central Michigan $ - $ 1,530,911 $ 215,109 $ 1,315,802 $ - $ - $ 1,530,911 $ 1,315,802 McLaren - Greater Lansing $ - $ 2,309,948 $ 816,720 $ 1,493,228 $ - $ 3,500,000 $ 5,809,948 $ 4,993,228 McLaren Bay Regional $ - $ - $ 644,725 $ (644,725) $ - $ - $ - $ (644,725) McLaren Bay Special Care $ - $ - $ 6,739 $ (6,739) $ - $ - $ - $ (6,739) McLaren Caro Region $ - $ 363,209 $ 32,363 $ 330,846 $ - $ - $ 363,209 $ 330,846 McLaren Flint $ 736,474 $ 1,634,327 $ 843,864 $ 790,463 $ - $ - $ 2,370,801 $ 1,526,937 McLaren Lapeer Region $ - $ - $ 279,239 $ (279,239) $ - $ - $ - $ (279,239) McLaren Macomb $ - $ 2,236,178 $ 818,080 $ 1,418,098 $ - $ - $ 2,236,178 $ 1,418,098 McLaren Oakland $ 363,185 $ 1,875,650 $ 479,663 $ 1,395,987 $ - $ - $ 2,238,835 $ 1,759,172 McLaren Port Huron $ 406,086 $ 2,200,661 $ 552,140 $ 1,648,521 $ - $ - $ 2,606,747 $ 2,054,607 McLaren Thumb Region $ - $ 338,223 $ 98,989 $ 239,234 $ - $ - $ 338,223 $ 239,234 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES DISPROPORTIONATE SHARE HOSPITAL SUMMARY

Total Fiscal Year Total Tax Total Fiscal Year 2019 Step-1 $185M Supporting Hospital Benefit Total Fiscal Year Total Fiscal 2019 Step-1 $45M Outpatient Outpatient from Outpatient 2019 Step-1 Year 2019 Step- Total Fiscal Year Regular DSH Uncompensated Uncompensated Uncompensated Government 1 University Total Fiscal Year 2019 Step-1 DSH Facility Name Payments DSH Payments DSH DSH Provider DSH DSH 2019 Step-1 DSH (Net benefit) McLaren-Northern Michigan $ - $ 10,119 $ 524,005 $ (513,886) $ - $ - $ 10,119 $ (513,886) Memorial Healthcare $ 167,118 $ 1,782 $ 310,945 $ (309,163) $ - $ - $ 168,900 $ (142,045) Mercy Health Muskegon $ 308,164 $ 4,140,984 $ 1,210,687 $ 2,930,297 $ - $ - $ 4,449,148 $ 3,238,461 Mercy Health Partners - Lakeshore Campus $ 7,264 $ 1,077,843 $ 39,007 $ 1,038,836 $ - $ - $ 1,085,107 $ 1,046,100 Metro Health Hospital $ - $ 2,638,587 $ 895,662 $ 1,742,925 $ - $ - $ 2,638,587 $ 1,742,925 Mid Michigan Medical Center - Gladwin $ - $ 994,022 $ 69,747 $ 924,275 $ - $ - $ 994,022 $ 924,275 MidMichigan Medical Center - Alpena $ 66,342 $ 1,265,002 $ 259,475 $ 1,005,527 $ - $ - $ 1,331,344 $ 1,071,869 MidMichigan Medical Center - Clare $ - $ - $ 117,856 $ (117,856) $ - $ - $ - $ (117,856) MidMichigan Medical Center - Gratiot $ 36,567 $ 1,967,668 $ 241,967 $ 1,725,701 $ - $ - $ 2,004,235 $ 1,762,268 MidMichigan Medical Center - Midland $ - $ - $ 934,660 $ (934,660) $ - $ - $ - $ (934,660) MidMichigan Medical Center - West Branch $ - $ - $ 105,629 $ (105,629) $ - $ - $ - $ (105,629) Munising Memorial Hospital $ - $ - $ 22,486 $ (22,486) $ - $ - $ - $ (22,486) Munson Healthcare Cadillac Hospital $ - $ - $ 161,362 $ (161,362) $ - $ - $ - $ (161,362) Munson Healthcare Charlevoix Hospital $ - $ 402,957 $ 101,443 $ 301,514 $ - $ - $ 402,957 $ 301,514 Munson Healthcare Grayling Hospital $ - $ - $ 117,067 $ (117,067) $ - $ - $ - $ (117,067) Munson Healthcare Manistee Hospital $ - $ 593,790 $ 196,618 $ 397,172 $ - $ - $ 593,790 $ 397,172 Munson Healthcare Otsego Memorial Hospital $ - $ - $ 165,027 $ (165,027) $ - $ - $ - $ (165,027) Munson Medical Center $ 60,736 $ 2,810,794 $ 1,316,889 $ 1,493,905 $ - $ - $ 2,871,530 $ 1,554,641 North Ottawa Community Hospital $ - $ 1,175,193 $ 131,957 $ 1,043,236 $ - $ - $ 1,175,193 $ 1,043,236 Oaklawn Hospital $ - $ 1,599,544 $ 257,012 $ 1,342,532 $ - $ - $ 1,599,544 $ 1,342,532 Paul Oliver Memorial Hospital $ - $ - $ 25,031 $ (25,031) $ - $ - $ - $ (25,031) Pine Rest Christian Hospital $ - $ - $ 321,477 $ (321,477) $ - $ - $ - $ (321,477) Pioneer Specialty Hospital $ - $ - $ 3,598 $ (3,598) $ - $ - $ - $ (3,598) Pontiac General Hospital $ - $ - $ 102,724 $ (102,724) $ - $ - $ - $ (102,724) Promedica Bixby Hospital $ - $ 1,466,950 $ 252,184 $ 1,214,766 $ - $ - $ 1,466,950 $ 1,214,766 ProMedica Coldwater Regional Hospital $ - $ 2,055,947 $ 74,499 $ 1,981,448 $ - $ - $ 2,055,947 $ 1,981,448 ProMedica Herrick Hospital $ 210,865 $ 540,386 $ 63,137 $ 477,249 $ - $ - $ 751,251 $ 688,114 ProMedica Monroe Regional Hospital $ 134,118 $ 1,588,517 $ 363,992 $ 1,224,525 $ - $ - $ 1,722,635 $ 1,358,643 Rehabilitation Institute $ 115,353 $ 760,774 $ 274,761 $ 486,013 $ - $ - $ 876,127 $ 601,366 Saint Mary's Standish Community Hospital $ - $ 517,562 $ 44,720 $ 472,842 $ - $ - $ 517,562 $ 472,842 Samaritan Behavioral Center $ - $ - $ 23,336 $ (23,336) $ - $ - $ - $ (23,336) Scheurer Hospital $ - $ 318,358 $ 59,357 $ 259,001 $ - $ - $ 318,358 $ 259,001 Schoolcraft Memorial Hospital $ - $ - $ 50,844 $ (50,844) $ - $ - $ - $ (50,844) Select Specialty Hospital - Ann Arbor $ - $ - $ 28,721 $ (28,721) $ - $ - $ - $ (28,721) Select Specialty Hospital - Battle Creek $ - $ - $ 18,594 $ (18,594) $ - $ - $ - $ (18,594) Select Specialty Hospital - Downriver $ - $ - $ 15,579 $ (15,579) $ - $ - $ - $ (15,579) Select Specialty Hospital - Flint $ - $ - $ 14,365 $ (14,365) $ - $ - $ - $ (14,365) Select Specialty Hospital - Grand Rapids $ - $ - $ - $ - $ - $ - $ - $ - Select Specialty Hospital - Macomb County $ - $ - $ 27,636 $ (27,636) $ - $ - $ - $ (27,636) Select Specialty Hospital - Muskegon $ - $ - $ 17,862 $ (17,862) $ - $ - $ - $ (17,862) Select Specialty Hospital - Saginaw $ - $ - $ 24,893 $ (24,893) $ - $ - $ - $ (24,893) MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES DISPROPORTIONATE SHARE HOSPITAL SUMMARY

Total Fiscal Year Total Tax Total Fiscal Year 2019 Step-1 $185M Supporting Hospital Benefit Total Fiscal Year Total Fiscal 2019 Step-1 $45M Outpatient Outpatient from Outpatient 2019 Step-1 Year 2019 Step- Total Fiscal Year Regular DSH Uncompensated Uncompensated Uncompensated Government 1 University Total Fiscal Year 2019 Step-1 DSH Facility Name Payments DSH Payments DSH DSH Provider DSH DSH 2019 Step-1 DSH (Net benefit) Select Specilaty Hospital - Spectrum Health $ - $ - $ 15,418 $ (15,418) $ - $ - $ - $ (15,418) Sheridan Community Hospital $ - $ 411,801 $ 33,605 $ 378,196 $ - $ - $ 411,801 $ 378,196 Sinai-Grace Hospital $ 6,081,352 $ 2,481,621 $ 1,021,021 $ 1,460,600 $ - $ - $ 8,562,973 $ 7,541,952 Southeast Michigan Surgical Hospital $ - $ - $ 83,990 $ (83,990) $ - $ - $ - $ (83,990) Sparrow Carson Hospital $ 30,507 $ 632,895 $ 110,462 $ 522,433 $ - $ - $ 663,402 $ 552,940 Sparrow Specialty Hospital $ - $ - $ 38,766 $ (38,766) $ - $ - $ - $ (38,766) Spectrum Health $ - $ - $ 6,965,348 $ (6,965,348) $ - $ - $ - $ (6,965,348) Spectrum Health Big Rapids $ 192,125 $ 1,531,868 $ 195,151 $ 1,336,717 $ - $ - $ 1,723,993 $ 1,528,842 Spectrum Health Gerber Memorial $ 56,529 $ 2,720,682 $ 212,507 $ 2,508,175 $ - $ - $ 2,777,211 $ 2,564,704 Spectrum Health Ludington Hospital $ - $ 1,719,051 $ 174,138 $ 1,544,913 $ - $ - $ 1,719,051 $ 1,544,913 Spectrum Health Pennock $ - $ 1,440,327 $ 167,015 $ 1,273,312 $ - $ - $ 1,440,327 $ 1,273,312 Spectrum Health Reed City Campus $ - $ 1,083,848 $ 149,594 $ 934,254 $ - $ - $ 1,083,848 $ 934,254 Spectrum Health United Hospital $ - $ - $ 227,451 $ (227,451) $ - $ - $ - $ (227,451) Spectrum Health United Memorial - Kelsey Campus $ - $ 728,174 $ 29,191 $ 698,983 $ - $ - $ 728,174 $ 698,983 Spectrum Health Zeeland Community Hospital $ - $ 1,331,482 $ 239,853 $ 1,091,629 $ - $ - $ 1,331,482 $ 1,091,629 St. Francis Hospital & Medical Group $ 30,873 $ 802,005 $ 192,045 $ 609,960 $ - $ - $ 832,878 $ 640,833 St. John Hospital and Medical Center $ 1,983,660 $ - $ 2,028,707 $ (2,028,707) $ - $ - $ 1,983,660 $ (45,047) St. Joseph Mercy Chelsea $ - $ 927,267 $ 375,241 $ 552,026 $ - $ - $ 927,267 $ 552,026 St. Joseph Mercy Hospital - Ann Arbor $ - $ 3,063,699 $ 2,115,822 $ 947,877 $ - $ - $ 3,063,699 $ 947,877 St. Joseph Mercy Livingston Hospital $ - $ 2,545,829 $ 407,152 $ 2,138,677 $ - $ - $ 2,545,829 $ 2,138,677 St. Joseph Mercy Oakland $ - $ - $ 964,366 $ (964,366) $ - $ - $ - $ (964,366) St. Mary Mercy Hospital $ - $ 1,418,165 $ 633,544 $ 784,621 $ - $ - $ 1,418,165 $ 784,621 St. Mary's Health Care (Grand Rapids) $ 578,201 $ 4,274,391 $ 1,482,617 $ 2,791,774 $ - $ - $ 4,852,592 $ 3,369,975 St. Mary's of Michigan Medical Center $ - $ 1,757,356 $ 584,917 $ 1,172,439 $ - $ - $ 1,757,356 $ 1,172,439 Straith Memorial Hospital $ - $ - $ - $ - $ - $ - $ - $ - Sturgis Memorial Hospital $ 20,514 $ 1,095,721 $ 129,190 $ 966,531 $ - $ - $ 1,116,235 $ 987,045 Surgeons Choice Medical Center $ - $ - $ 93,767 $ (93,767) $ - $ - $ - $ (93,767) Tawas St. Joseph Hospital $ - $ - $ 92,210 $ (92,210) $ - $ - $ - $ (92,210) The Behavioral Center of Michigan $ - $ - $ 9,509 $ (9,509) $ - $ - $ - $ (9,509) Three Rivers Health $ 25,697 $ 730,785 $ 164,730 $ 566,055 $ - $ - $ 756,482 $ 591,752 University of Michigan Health System $ 1,255,144 $ 12,657,633 $ 10,506,467 $ 2,151,166 $ 62,307,676 $ - $ 76,220,453 $ 65,713,986 UP Health System - Portage $ - $ 171,565 $ 141,534 $ 30,031 $ - $ - $ 171,565 $ 30,031 Vibra of Southeastern Michigan $ - $ - $ 91,010 $ (91,010) $ - $ - $ - $ (91,010) Total $ 45,000,000 $ 185,000,000 $ 86,457,500 $ 98,542,500 $ 72,526,180 $ 3,500,000 $ 306,026,180 $ 219,568,680 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES GRADUATE MEDICAL EDUCATION PAYMENTS

Fiscal Year 2020 Fiscal Year 2020 Graduate Medical Graduate Medical Total Fiscal Year Education Historic Education Primary 2020 Graduate Pool (GMEH) Care Pool (GMEP) Medical Education Hospital Name Payments Payments (GME) Payments Ascension Borgess Hospital $ 1,085,420 $ 222,303 $ 1,307,723 Ascension Crittenton Hospital $ 409,983 $ 163,179 $ 573,162 Ascension Macomb Oakland Hospital, Warren Campus $ 1,822,997 $ 545,071 $ 2,368,068 Ascension Providence Hospital $ 1,594,592 $ 415,520 $ 2,010,112 Ascension River District Hospital $ 4,864 $ 8,020 $ 12,884 Barbara Ann Karmanos Cancer Hospital $ 987,827 $ 205,853 $ 1,193,680 Beaumont Hospital - Dearborn $ 1,935,497 $ 591,793 $ 2,527,290 Beaumont Hospital - Farmington Hills $ 1,699,048 $ 499,014 $ 2,198,062 Beaumont Hospital - Grosse Pointe $ 155,518 $ 134,459 $ 289,977 Beaumont Hospital - Taylor $ 293,794 $ 17,862 $ 311,656 Beaumont Hospital - Trenton $ 247,394 $ 89,037 $ 336,431 Beaumont Hospital - Wayne $ 259,706 $ 349,017 $ 608,723 Beaumont Hospital, Royal Oak $ 4,666,479 $ 653,949 $ 5,320,428 Beaumont Hospital, Troy $ 135,905 $ 94,229 $ 230,134 Bronson Methodist Hospital $ 2,112,031 $ 401,468 $ 2,513,499 Children's Hospital of Michigan $ 22,064,896 $ 1,959,659 $ 24,024,555 Covenant Medical Center, Inc. $ 946,136 $ 203,183 $ 1,149,319 Detroit Receiving Hospital $ 6,878,189 $ 759,533 $ 7,637,722 Edward W. Sparrow Hospital $ 2,847,281 $ 663,819 $ 3,511,100 Garden City Hospital $ 902,817 $ 305,781 $ 1,208,598 Genesys Regional Medical Center $ 1,000,018 $ 357,032 $ 1,357,050 Harper University Hospital $ 7,060,927 $ 651,111 $ 7,712,038 Healthsource Saginaw $ 28,649 $ - $ 28,649 Henry Ford Allegiance Health $ 1,869,042 $ 286,290 $ 2,155,332 Henry Ford Hospital $ 14,817,092 $ 1,267,866 $ 16,084,958 Henry Ford Macomb Hospital $ 459,853 $ 252,538 $ 712,391 Henry Ford West Bloomfield Hospital $ 41,339 $ 2,672 $ 44,011 Henry Ford Wyandotte Hospital $ 261,629 $ 49,170 $ 310,799 Hillsdale Hospital $ 8,415 $ - $ 8,415 Hurley Medical Center $ 2,630,957 $ 1,386,958 $ 4,017,915 Huron Valley - Sinai Hospital $ 179,547 $ 51,332 $ 230,879 Kingswood Psychiatric Hospital $ 145,867 $ - $ 145,867 Lakeland Hospital - St. Joseph $ 527,310 $ 301,124 $ 828,434 Marquette General Hospital $ 277,698 $ 109,504 $ 387,202 McLaren - Greater Lansing $ 1,442,912 $ 372,607 $ 1,815,519 McLaren Bay Regional $ 77,327 $ 48,262 $ 125,589 McLaren Flint $ 642,104 $ 339,516 $ 981,620 McLaren Macomb $ 978,874 $ 317,663 $ 1,296,537 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES GRADUATE MEDICAL EDUCATION PAYMENTS

Fiscal Year 2020 Fiscal Year 2020 Graduate Medical Graduate Medical Total Fiscal Year Education Historic Education Primary 2020 Graduate Pool (GMEH) Care Pool (GMEP) Medical Education Hospital Name Payments Payments (GME) Payments McLaren Oakland $ 1,305,897 $ 338,789 $ 1,644,686 Mercy Health Muskegon $ 301,901 $ 430,324 $ 732,225 Metro Health Hospital $ 513,395 $ 284,193 $ 797,588 MidMichigan Medical Center - Gratiot $ 45,754 $ 69,739 $ 115,493 MidMichigan Medical Center - Midland $ 169,905 $ 99,497 $ 269,402 Munson Medical Center $ 198,279 $ 93,782 $ 292,061 Pine Rest Christian Hospital $ 499,711 $ - $ 499,711 Pontiac General Hospital $ 411,283 $ 144,902 $ 556,185 ProMedica Coldwater Regional Hospital $ 39,984 $ 57,653 $ 97,637 ProMedica Monroe Regional Hospital $ 182,975 $ 137,643 $ 320,618 Rehabilitation Institute $ 186,406 $ 15,098 $ 201,504 Sinai-Grace Hospital $ 5,409,666 $ 972,363 $ 6,382,029 Sparrow Carson Hospital $ 4,219 $ - $ 4,219 Spectrum Health $ 6,781,492 $ 774,374 $ 7,555,866 St. John Hospital and Medical Center $ 5,921,734 $ 1,059,881 $ 6,981,615 St. Joseph Mercy Hospital - Ann Arbor $ 964,632 $ 246,126 $ 1,210,758 St. Joseph Mercy Livingston Hospital $ 198,224 $ 116,387 $ 314,611 St. Joseph Mercy Oakland $ 892,457 $ 411,134 $ 1,303,591 St. Mary Mercy Hospital $ 575,666 $ 258,728 $ 834,394 St. Mary's Health Care (Grand Rapids) $ 876,486 $ 416,887 $ 1,293,373 St. Mary's of Michigan Medical Center $ 332,415 $ 136,534 $ 468,949 University of Michigan Health System $ 32,306,285 $ 1,129,172 $ 33,435,457 Total $ 141,618,700 $ 21,269,600 $ 162,888,300 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES RURAL AND SOLE COMMUNITY HOSPITAL POOL PAYMENTS

Fiscal Year System Hospital 2020 Amount Ascension Health Allegan General Hospital $ 444,259 Aspirus Aspirus Iron River Hospital & Clinics $ 440,192 Aspirus Aspirus Ironwood Hospital $ 187,890 Aspirus Aspirus Keweenaw Hospital $ 189,218 Aspirus Aspirus Ontonagon Hospital $ 98,180 Unaffiliated Baraga County Memorial Hospital $ 168,885 Lifepoint Bell Memorial Hospital $ 236,232 Ascension Health Borgess Pipp Hospital $ 280,751 Ascension Health Borgess-Lee Memorial Hospital $ 765,502 Bronson Healthcare Group Bronson Lake View Hospital $ 188,589 Bronson Healthcare Group Bronson South Haven Hospital $ 601,379 McLaren Health Care Corp. Caro Community Hospital $ 98,041 Unaffiliated Chippewa War Memorial Hospital $ 1,700,502 Sparrow Health System Clinton Memorial Hospital $ 225,330 Promedica Community Health Center of Branch County $ 401,195 Unaffiliated Deckerville Community Hospital $ 139,601 Unaffiliated Dickinson County Memorial Hospital $ 646,736 Unaffiliated Eaton Rapids Medical Center $ 77,065 Unaffiliated Harbor Beach Community Hospital $ 30,671 Sparrow Health System Hayes Green Beach Memorial Hospital $ 285,357 Unaffiliated Helen Newberry Joy Hospital $ 191,294 Unaffiliated Hills & Dales General Hospital $ 64,199 Unaffiliated Hillsdale Hospital $ 282,410 McLaren Health Care Corp. Huron Medical Center $ 91,825 Sparrow Health System Ionia County Memorial Hospital $ 215,984 Unaffiliated Kalkaska Memorial Health Center $ 125,627 Spectrum Health Lakeland Hospital Watervliet $ 207,129 Unaffiliated Mackinac Straits Hospital $ 378,557 Unaffiliated Marlette Regional Hospital $ 92,820 Lifepoint Marquette General Hospital $ 414,490 Unaffiliated McKenzie Memorial Hospital $ 99,383 McLaren Health Care Corp. McLaren-Northern Michigan $ 592,106 Trinity Health Mercy Health Partners - Lakeshore Campus $ 280,580 MidMichigan Health Mid Michigan Medical Center - Gladwin $ 130,609 MidMichigan Health MidMichigan Medical Center - Alpena $ 1,078,934 MidMichigan Health MidMichigan Medical Center - Clare $ 204,243 MidMichigan Health MidMichigan Medical Center - Midland $ 668,402 Unaffiliated Munising Memorial Hospital $ 65,980 Munson Healthcare Munson Healthcare Cadillac Hospital $ 673,248 Munson Healthcare Munson Healthcare Charlevoix Hospital $ 326,973 Munson Healthcare Munson Healthcare Grayling Hospital $ 332,782 Munson Healthcare Munson Healthcare Manistee Hospital $ 525,212 Munson Healthcare Munson Medical Center $ 1,753,596 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES RURAL AND SOLE COMMUNITY HOSPITAL POOL PAYMENTS

Fiscal Year System Hospital 2020 Amount Unaffiliated Oaklawn Hospital $ 1,147,102 Munson Healthcare Otsego County Memorial Hospital $ 707,248 Munson Healthcare Paul Oliver Memorial Hospital $ 156,162 Promedica ProMedica Herrick Hospital $ 91,681 Ascension Health Saint Mary's Standish Community Hospital $ 87,065 Unaffiliated Scheurer Hospital $ 206,972 Unaffiliated Schoolcraft Memorial Hospital $ 222,825 Unaffiliated Sheridan Community Hospital $ 113,191 Sparrow Health System Sparrow Carson Hospital $ 761,599 Spectrum Health Spectrum Health Big Rapids $ 412,180 Spectrum Health Spectrum Health Gerber Memorial $ 422,577 Spectrum Health Spectrum Health Ludington Hospital $ 268,657 Spectrum Health Spectrum Health Pennock $ 455,458 Spectrum Health Spectrum Health Reed City Campus $ 216,899 Spectrum Health Spectrum Health United Hospital $ 335,457 Spectrum Health Spectrum Health United Memorial Kelsey Campus $ 214,648 Unaffiliated St. Francis Hospital & Medical Group $ 388,699 Ascension Health St. John River District Hospital $ 178,166 Trinity Health St. Joseph Mercy Livingston Hospital $ 268,169 Unaffiliated Sturgis Memorial Hospital $ 151,581 Ascension Health Tawas St. Joseph Hospital $ 174,902 Unaffiliated Three Rivers Health $ 796,359 Lifepoint UP Health System - Portage $ 906,618 MidMichigan Health West Branch Regional Medical Center $ 213,166 Statewide Total $ 24,899,339

System Amount Ascension Health $ 1,930,645 Aspirus $ 915,480 Bronson Healthcare Group $ 789,968 Lifepoint $ 1,557,340 McLaren Health Care Corp. $ 781,972 MidMichigan Health $ 2,295,354 Munson Healthcare $ 4,475,221 Promedica $ 492,876 Sparrow Health System $ 1,488,270 Spectrum Health $ 2,533,005 Trinity Health $ 548,749 Unaffiliated $ 7,090,459 Statewide Total $ 24,899,339 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES RURAL OBSTETRICS PAYMENTS

Fiscal Year 2019 System Hospital Total Pool Payment Unaffiliated Chippewa War Memorial Hospital $ 217,043 Promedica Community Health Center of Branch County $ 183,178 Unaffiliated Dickinson County Memorial Hospital $ 271,689 Unaffiliated Hillsdale Hospital $ 296,318 McLaren Health Care Corp. Huron Medical Center $ 250,139 Lifepoint Marquette General Hospital $ 409,458 McLaren Health Care Corp. McLaren-Northern Michigan $ 375,593 MidMichigan Health MidMichigan Medical Center - Alpena $ 322,486 MidMichigan Health MidMichigan Medical Center - Midland $ 869,713 Munson Healthcare Munson Healthcare Cadillac Hospital $ 302,475 Munson Healthcare Munson Healthcare Grayling Hospital $ 309,402 Munson Healthcare Munson Healthcare Manistee Hospital $ 149,314 Munson Healthcare Munson Medical Center $ 1,222,986 Unaffiliated Oaklawn Hospital $ 536,451 Munson Healthcare Otsego County Memorial Hospital $ 365,587 Spectrum Health Spectrum Health Big Rapids $ 426,390 Spectrum Health Spectrum Health Ludington Hospital $ 231,667 Spectrum Health Spectrum Health United Hospital $ 420,233 Ascension Health St. John River District Hospital $ 276,307 Ascension Health Tawas St. Joseph Hospital $ 222,431 Unaffiliated Three Rivers Health $ 207,038 Lifepoint UP Health System - Portage $ 129,302 Total $ 7,995,200