2021-05-13T15:56:43-05:00 2020-06-30 990 2019-07-01 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898379039 703 N MCEWAN ST CLARE MI 48617 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2021-05-13 2019 2022-09-23 18:48:47Z MARITA HATTEM-SCHIFFMAN 703 N MCEWAN ST CLARE MI 48617 58846813 0 X WWW.MIDMICHIGAN.ORG X 1951 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 22 19 294 32 72520 32081 0 4304071 56427289 52537826 375574 -142437 575649 670552 57378512 57370012 0 0 0 0 18408972 20506676 0 0 0 33983003 32959876 52391975 53466552 4986537 3903460 44488289 55331244 8964356 16800052 35523933 38531192 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 45248571 52998969 MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 807 PATIENT ADMISSIONS AND 92,362 HOSPITAL OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2020. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 45248571 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 294 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X ROGERS GREGORY DIRECTOR 2.00 64.00 X 0 803126 254203 PADGETT FRANCINE SECRETARY & TREASURER 2.00 68.00 X 0 668163 300179 RAPP DONNA FORMER SECRETARY 0.00 0.00 X 0 635694 7091 STOVER RAYMOND PRESIDENT (PART YEAR) 2.00 56.00 X 0 423197 126117 HATTEM-SCHIFFMAN MARITA PRESIDENT 2.00 50.00 X X 0 397294 66302 SALIPI MD ABOOD DIRECTOR 2.00 50.00 X 0 407345 13398 RADER RUSSELL ANESTHESIOLOGY MGR 50.00 0.00 X 241151 0 33064 MUNOZ EDWARDO CRNA 50.00 0.00 X 248815 0 19740 DEFLUITER RICHARD CRNA 50.00 0.00 X 214869 0 36248 KING GLENN VP OF NURSING 50.00 2.00 X 214390 0 31732 MATHISON KELLY CRNA 50.00 0.00 X 194433 0 39198 BOYD KURT NP 50.00 0.00 X 151054 0 23062 SMITH MD JEFFREY DIRECTOR 2.00 2.00 X 1720 61305 0 RANGWANI MD SUNIL DIRECTOR 2.00 2.00 X 0 25000 0 SARVEPALLI MD PRAKASH DIRECTOR 2.00 2.00 X 0 14232 0 WASSENAAR DDS SARA DIRECTOR 2.00 4.00 X 0 3000 0 NIMBLEY MD ERIK DIRECTOR 2.00 2.00 X 1500 0 0 BEBOW KELLY DIRECTOR 2.00 2.00 X 0 0 0 BEVER LAURA DIRECTOR 2.00 2.00 X 0 0 0 CARY MATTHEW DIRECTOR 2.00 2.00 X 0 0 0 GALLAGHER NANCY DIRECTOR 2.00 2.00 X 0 0 0 GATLIN ALAN DIRECTOR 2.00 2.00 X 0 0 0 HAMMOND CHRISTINE DIRECTOR 2.00 2.00 X 0 0 0 HENDERSON BILL DIRECTOR 2.00 4.00 X 0 0 0 HOUSE THOMAS CHAIR 2.00 2.00 X 0 0 0 KLAUS JJ DIRECTOR 2.00 2.00 X 0 0 0 OLIVIERI TODD DIRECTOR 2.00 2.00 X 0 0 0 SCHURR DON VICE CHAIR 2.00 2.00 X 0 0 0 SPRINDLER ERIK DIRECTOR 2.00 2.00 X 0 0 0 WHEELER JIM DIRECTOR 2.00 4.00 X 0 0 0 WHITE AL DIRECTOR 2.00 2.00 X 0 0 0 1267932 3438356 950334 16 1 1 0 0 4304071 4304071 MEDICARE/MEDICAID PAYMENTS 621990 27995183 27995183 NET PATIENT REVENUE 621990 24303351 24303351 CONTRACTED CLINICAL SERVICES 621990 166772 166772 REFERENCE LABORATORY 621500 72520 72520 52537826 383059 383059 951305 1475342 1459 -524037 -1459 -525496 -525496 MANAGED CARE INCOME 900099 166772 166772 CAFETERIA/FOOD SERVICE 722514 136889 136889 AFFILIATE RELATED INCOME 900099 80146 80146 286745 286745 670552 57370012 52998969 72520 -5548 X 242591 242591 16269923 15382710 887213 495452 475580 19872 2362648 2212654 149994 1136062 1078741 57321 35241 35241 14158392 9029913 5128479 92042 78600 13442 742129 514289 227840 1143722 688674 455048 29435 28935 500 175857 175857 1421086 776685 644401 360961 5044 355917 PHYSICIAN PRACTICE INVE 6446260 6446260 MEDICAL SUPPLIES 6094068 6093946 122 QAAP FEES 1221173 1221173 UNCOMPENSATED SERVICES 1039510 1039510 53466552 45248571 8217981 0 1068 1068 176604 9809743 5762368 4592119 715843 492626 320715 336587 35059023 23444685 11154032 11614338 7917221 9289374 18440438 19195389 44488289 55331244 2673002 2546183 6760792 4566345 4408686 1725009 3084391 8964356 16800052 X 35523933 38531192 35523933 38531192 44488289 55331244 X 3903460 268344 -1164545 X X 0 1 X 1 1 0 X 1826668 1826668 17710835 12108550 5602285 1285203 932981 352222 13169734 10299461 2870273 1066583 103693 962890 11614338 HEDGE FUNDS 1266001 F BLACKROCK DOMESTIC EQUITY 5484434 F PARAMETRIC GLOBAL EQUITY 1260057 F BLACKROCK INTERNATIONAL 5220213 F BLACKROCK FIXED INCOME 3026928 F CLARION & CORNERSTONE 2937756 F 19195389 SELF-INSURANCE, DEFERRED COMP, OTHER 2127409 OPERATING LEASE LIABILITY 956982 3084391 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 1373139 1373139 0.02570 1 11015978 9287643 1728335 0.03230 1 12389117 9287643 3101474 0.05800 44 1617 36803 870 35933 0.00070 13 11 3 250 2040 2040 0.00000 60 1878 38843 870 37973 0.00070 61 1878 12427960 9288513 3139447 0.05870 1 139 139 0.00000 7 7 348 348 0.00000 23 160 1192 1192 0.00000 66 225 3053 3053 0.00010 97 392 4732 4732 0.00010 1 1039510 51976 13147490 13660011 -512521 X 1 1 1 1 MIDMICHIGAN MEDICAL CENTER - CLARE 703 N MCEWAN ST CLARE MI 48617 WWW.MIDMICHIGAN.ORG 1060000076 X X X MIDMICHIGAN MEDICAL CENTER - CLARE 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE SCHEDULE H, PART VI X 1 19 1 SEE SCHEDULE H, PART VI 0 1 X 300.000000000000 350.000000000000 X X X X 1 1 X X X 1 X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X X 1 X 0 X X X X 1 X 0 0 MIDMICHIGAN MEDICAL CENTER - CLARE PART V, SECTION B, LINE 5: IN FY 20, MIDMICHIGAN 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. ADDITIONALLY, WE PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE THE CLARE COUNTY HUMAN SERVICE COORDINATING BODY, CENTRAL MICHIGAN RURAL HEALTH NETWORK, CLARE/GLADWIN GREAT START COLLABORATIVE AND TEN 16 RECOVERY NETWORK. WE ALSO PARTNER WITH THE MICHIGAN HEALTH IMPROVEMENT ALLIANCE, INC., OR MIHIA, A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM AND A REGIONAL PERINATAL QUALITY COLLABORATIVE COMMITTEE. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. IN FY 20, MIDMICHIGAN HEALTH PARTICIPATED IN MITHRIVE'S 2018-2021 ASSESSMENT, PROVIDING INPUT AND COLLABORATION IN THEIR REGIONAL EFFORTS TO ASSESS THE HEALTH NEEDS OF THE 31-COUNTY REGION IN WHICH THEY SERVE. THE GOAL OF THIS ASSESSMENT IS TO COLLABORATE REGIONALLY TO MAXIMIZE RESOURCES, ACHIEVE REPLICABLE ASSESSMENT AND DESIGN AND PRODUCE HIGH-QUALITY COUNTY-LEVEL DATA THAT IS COMPARABLE ACROSS THE REGION IN AN EFFORT TO UNDERSTAND LOCAL AND REGIONAL PATTERNS AND IMPACT LONG-TERM POPULATION HEALTH. THERE ARE 154 PARTNERS COLLABORATING ON THIS REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT. MIDMICHIGAN MEDICAL CENTER - CLARE PART V, SECTION B, LINE 11: BASED ON THE RESULTS OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY MIDMICHIGAN MEDICAL CENTER CLARE, THREE KEY FOCUS AREAS WERE IDENTIFIED: MATERNAL, INFANT AND CHILD HEALTH, CHRONIC DISEASE PREVENTION, AND MENTAL HEALTH AND SUBSTANCE USE. THESE FOCUS AREAS WERE IDENTIFIED IN ORDER TO ADDRESS THE MOST SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. IN FY 2020, MIDMICHIGAN MEDICAL CENTER CLARE FOCUSED MATERNAL AND INFANT HEALTH EFFORTS ON EXPANDING PATIENT PARTICIPATION IN PRENATAL AND CHILDBIRTH EDUCATION CLASSES AS WELL AS EXPLORING AND INITIATING IMPLEMENTATION OF A CENTERINGPREGNANCY PILOT PROGRAM. IN ADDITION, MIDMICHIGAN MEDICAL CENTER CLARE STAFF PARTICIPATED IN MANY COMMUNITY COLLABORATIVES AIMED AT IMPROVING MATERNAL AND INFANT HEALTH OUTCOMES IN THE CENTRAL MICHIGAN REGION. EXAMPLES OF THESE COMMUNITY GROUPS INCLUDE GREAT START COLLABORATIVE, REGION 5 PERINATAL QUALITY COLLABORATIVE, AND LOCAL BREASTFEEDING COALITIONS. TO ADDRESS THE FOCUS AREA OF CHRONIC DISEASE PREVENTION, IN FY 2020 MIDMICHIGAN MEDICAL CENTER CLARE INITIATED IMPLEMENTATION OF A PRESCRIPTION FOR HEALTH PROGRAM IN THE CLARE AREA. THIS 6-WEEK EDUCATION PROGRAM OFFERS AN EVIDENCE-BASED NUTRITION EDUCATION CURRICULUM, AS WELL AS ACCESS TO FREE FRUITS AND VEGETABLES FROM THE GROCERY MARKET. IN FY 2020, MIDMICHIGAN MEDICAL CENTER CLARE ADDRESSED SUBSTANCE USE THROUGH A CONTINUED PARTNERSHIP WITH TEN16 RECOVERY NETWORK TO HOUSE PROJECT ASSERT (ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT) WITHIN THE CLARE EMERGENCY DEPARTMENT. THIS PROGRAM PROVIDES COMPREHENSIVE CARE AND EDUCATION ON THE EFFECTS OF ALCOHOL AND DRUG MISUSE THROUGH THE UTILIZATION OF A WELLNESS ADVOCATE TO CONSULT AND COLLABORATE WITH EMERGENCY DEPARTMENT STAFF AND PATIENTS. PART V, SECTION B, LINES 7A AND 10A HTTPS://WWW.MIDMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/ PART V, SECTION B, LINES 16A, 16B, AND 16C WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/ 6 1 - MIDMICHIGAN HEALTH PARK-HOUGHTON LAKE 9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629 REHABILITATION SERVICES, LABORATORY AND MAMMOGRAPHY 2 - MIDMICHIGAN URGENT CARE-CLARE 700 WEST FIFTH ST CLARE MI 48617 URGENT CARE, OCCUPATIONAL MEDICINE 3 - CLARE MMO RHC 602 BEECH STREET CLARE MI 48617 RURAL HEALTH CLINIC 4 - MIDMICHIGAN HEALTH PARK-HARRISON 815 NORTH CLARE AVENUE HARRISON MI 48625 RURAL HEALTH CLINIC, REHABILITATION SERVICES, LABORATORY 5 - FARWELL RHC 2812 WEST CADILLAC DRIVE FARWELL MI 48622 RURAL HEALTH CLINIC 6 - 6TH AND MAPLE STREET 212 W SIXTH STREET CLARE MI 48617 RURAL HEALTH CLINIC PART II, COMMUNITY BUILDING ACTIVITIES: MIDMICHIGAN MEDICAL CENTER - CLARE EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE PARTICIPATING IN STRATEGIC INITIATIVES FOR ORGANIZATIONS LIKE THE CENTRAL MICHIGAN RURAL HEALTH NETWORK, CLARE COUNTY HUMAN SERVICE COORDINATING BODY, AND CLARE/GLADWIN CONTINUUM OF CARE. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY SUPPORT ACTIVITIES THROUGH THE CLARE CHAMBER OF COMMERCE AND ECONOMIC DEVELOPMENT THROUGH THE CLARE COUNTY COMMISSIONERS. HEALTH IMPROVEMENT ADVOCACY EFFORTS WERE PROVIDED THROUGH PARTNERSHIP AND COLLABORATION WITH THE AMERICAN CANCER SOCIETY, CLARE/GLADWIN GREAT START COLLABORATIVE, THE CLARE COUNTY YOUTH COUNCIL. VOLUNTEERS SUPPORTED THE WORK OF THE CLARE COUNTY WRAP AROUND TEAM, THE CLARE/GLADWIN SUBSTANCE ABUSE COALITION, AND THE CLARE COUNTY SANE AND SARRT TEAMS. MIDMICHIGAN MEDICAL CENTER CLARE IS REPRESENTED ON THE CLARE AREA CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT, AND PROVIDES FINANCIAL SUPPORT FOR SMALL BUSINESSES AND WORK OF YOUNG COMMUNITY LEADERS. MIDMICHIGAN MEDICAL CENTER - CLARE IS A KEY PARTNER WITH THE UNITED WAY OF CLARE AND GLADWIN COUNTIES, WHICH SUPPORTS THE WORK OF MANY NON-PROFIT AGENCIES IN THE REGION, INCLUDING 211 NORTHEAST MICHIGAN, CLARE COUNTY HABITAT FOR HUMANITY, AND LISTENING EAR CRISIS CENTER. 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.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 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 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS PART III, LINE 9B MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN 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: A 49-BED HOSPITAL, MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES 24-HOUR EMERGENCY DEPARTMENT COVERAGE, INPATIENT CARE, OUTPATIENT CARE AND URGENT CARE SERVICES. SPECIALIZED INPATIENT UNITS INCLUDE: INTENSIVE CARE, CARDIAC-MONITORED CARE, MEDICAL/SURGICAL CARE AND A SLEEP DIAGNOSTICS CENTER. MIDMICHIGAN URGENT CARE - CLARE PROVIDES WALK-IN AND OCCUPATIONAL MEDICINE CARE TO AREA RESIDENTS. THE MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION. MIDMICHIGAN MEDICAL CENTER - CLARE OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. THESE STRATEGIES WILL BUILD UPON THE ASSETS AND RESOURCES OF OUR HEALTH SYSTEM AND COMMUNITY. ALL OF THE INDICATORS EXPLORED WERE CATEGORIZED INTO THE FOLLOWING FOUR CORRESPONDING FOCUS AREAS: DETERMINANTS OF HEALTH (DEMOGRAPHICS, ENVIRONMENT, SOCIAL ENVIRONMENT, EDUCATION, ECONOMY); CARE ACCESS (ACCESS TO HEALTH SERVICES, TRANSPORTATION); HEALTH BEHAVIORS (PREVENTATIVE CARE, SUBSTANCE USE, NUTRITION AND EXERCISE) AND HEALTH CONDITIONS (CHRONIC CONDITIONS, MENTAL HEALTH, CANCER INCIDENT, MORTALITY RATE).IN ORDER TO RESPOND AND IMPACT THE HEALTH CARE NEEDS THAT WERE IDENTIFIED, THE TOP PRIORITY AREAS FOR MIDMICHIGAN HEALTH CHOSEN BY THE COMMUNITY HEALTH TEAM AND REVIEWED BY THE MIDMICHIGAN HEALTH POPULATION HEALTH COLLABORATION TEAM AND MIDMICHIGAN MEDICAL CENTER - CLARE BOARD ON JUNE 25, 2019 FOLLOW:1. CHRONIC DISEASES2. MATERNAL/INFANT/CHILD HEALTH3. MENTAL HEALTHTHE PLAN INCLUDES GOALS AND EVIDENCED BASED STRATEGIES FOR TOP PRIORITY AREAS AS DETERMINED BY MIDMICHIGAN HEALTH'S COMMUNITY EDUCATION COMMITTEE, AND APPROVED BY MIDMICHIGAN HEALTH'S OPERATION TEAM AND THE MIDMICHIGAN MEDICAL CENTER - CLARE BOARD OF DIRECTORS. THE FOCUS AREAS APPROVED BY THE MIDMICHIGAN MEDICAL CENTER - CLARE BOARD OF DIRECTORS ARE INCLUDED WITHIN THE LISTED TOP PRIORITY AREAS. 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 PLAN TO FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MIDMICHIGAN MEDICAL CENTER - CLARE AND MIDMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS. 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. ADDITIONALLY, SOCIAL WORKERS, DISCHARGE PLANNERS AND CASE MANAGERS, THROUGH TRANSITIONS OF CARE, PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHHS FOR FOLLOW-UP OR EXPEDITE 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 HTTP://WWW.MIDMICHIGAN.ORG/PATIENTSVISITORS/BILLING-INSURANCE/FAQ-BILLING/#NOINSURANCE. MIDMICHIGAN PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS AND NEEDS. IN ADDITION, WE MAY BE ABLE TO HELP FIND FREE OR LOW-COST HEALTH INSURANCE, OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN. PART VI, LINE 4: MIDMICHIGAN MEDICAL CENTER - CLARE LOCATED IN CLARE, MI, SERVES CLARE COUNTY; COMPRISED OF ZIP CODES: 48617 (CLARE), 48622 (FARWELL), 48625 (HARRISON), 48632 (LAKE), 48633 (LAKE GEORGE), AND 48632 (LAKE STATION).THE SERVICE AREA IN ROSCOMMON COUNTY IS COMPRISED OF ZIP CODES: 48627(HIGGINS LAKE), 48629(HOUGHTON LAKE), 48630(HOUGHTON LAKE HEIGHTS), 48651(PRUDENVILLE), 48653(ROSCOMMON) AND 48656(SAINT HELEN).ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 30,653 RESIDENTS IN CLARE COUNTY. OF THOSE, 19.8 PERCENT ARE UNDER 18 YEARS OF AGE AND 23.5 PERCENT ARE 65 AND OLDER. OF THE POPULATION, 94.8 PERCENT IS WHITE, 2 PERCENT ARE HISPANIC, .7 PERCENT IS AFRICAN AMERICAN, AND .9 PERCENT IS NATIVE AMERICAN. *ACCORDING TO THE UNITED STATES CENSUS BUREAU'S, THE "VALUE IS GREATER THAN ZERO BUT LESS THAN HALF UNIT OF MEASURE SHOWN; MEANING THE INDIVIDUALS REPRESENTING THIS ETHIC GROUP COMPRISE LESS THAN 0.1 PERCENT OF THE TOTAL POPULATION. PART VI, LINE 5: MIDMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR PURPOSE STATEMENT. EACH MIDMICHIGAN HEALTH SUBSIDIARY ADDRESSES HEALTH AND WELLBEING WITHIN THE COMMUNITIES SERVED. FOUR PORTFOLIOS OF POPULATION HEALTH ARE ADDRESSED: PHYSICAL AND BEHAVIORAL HEALTH; SOCIAL AND SPIRITUAL WELL-BEING; COMMUNITY HEALTH AND WELL-BEING AND COMMUNITIES OF SOLUTIONS. PORTFOLIO ONE AIMS AT IMPROVING THE PHYSICAL AND OR MENTAL HEALTH OF INDIVIDUALS SERVED THROUGH QUALITY MEASUREMENT AND PERFORMANCE IMPROVEMENT INITIATIVES, AS WELL AS THE USE OF PATIENT CARE NAVIGATORS AND CARE MANAGERS IN PRIMARY CARE OFFICES AND INITIATIVES TO IMPROVE ACCESS TO CARE, LIKE INCREASED OPPORTUNITIES FOR TELEMEDICINE. PORTFOLIO TWO ADDRESSES SOCIAL AND SPIRITUAL DRIVERS OF HEALTH AND WELL-BEING, MANY OF WHICH ARE IDENTIFIED THROUGH SYSTEMATIC EVALUATION OF SOCIAL DETERMINANTS OF HEALTH COMPLETED AT SEVERAL POINTS OF CONTACT INCLUDING: NEW PATIENTS, EMERGENCY DEPARTMENT PATIENTS, ANNUAL PHYSICALS, POST HOSPITAL DISCHARGES, REFERRALS TO CARE MANAGERS AND PATIENTS WHO CONSISTENTLY DO NOT SHOW UP FOR APPOINTMENTS TO DETERMINE WHAT BARRIERS THEY MAY BE ENCOUNTERING. PORTFOLIO THREE ACTIVITIES AIM TO IMPROVE COMMUNITY HEALTH AND WELL-BEING BY COMMUNITY PARTNERS WORKING TOGETHER TO ASSESS DATA, DETERMINE FOCUS AREAS OF HEALTH AND POOL STAFF AND RESOURCES TO IMPLEMENT HEALTH IMPROVEMENT PROJECTS LIKE INCREASING PHYSICAL ACTIVITY, ACCESS TO HEALTHY FOODS AND REDUCING OPIOID USAGE. PORTFOLIO FOUR ADDRESSES OUR ROLE AS AN ANCHOR INSTITUTION. WE ARE THE MAJOR EMPLOYER IN EACH COMMUNITY WE SERVE AND AS SUCH, WE PROMOTE HEALTH AND WELL-BEING BY CAPITALIZING ON COMMUNITY ASSETS AND ACTIVE ENGAGEMENT WITH REGIONAL INITIATIVES. PART VI, LINE 6: A TOTAL OF $42,705 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER CLARE IN FISCAL YEAR 2020 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. OVER $91 MILLION IN COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. IN FY 2020, 1,319 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE CPR AND FIRST AID, ADVANCED DIRECTIVES, INFANT FEEDING, SAFETY, AND FAMILY PLANNING, AS WELL AS DIABETES EDUCATION.THERE WERE 28 INDIVIDUALS WHO PARTICIPATED IN FREE OR LOW-COST MAMMOGRAPHY SCREENINGS. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER CLARE PROVIDED CHILDBIRTH, PRENATAL AND INFANT CARE EDUCATION TO 14 COMMUNITY MEMBERS.LOCAL HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH ADULTS ABOUT SCREENING RECOMMENDATIONS, REGULAR EXERCISE, AND MAINTAINING A HEALTHY WEIGHT. THESE HEALTH FAIRS INCLUDED THE ANNUAL PAULA PIRNSTILL HEALTH AND SAFETY FAIR, CLARE COMMUNITY CONNECT, HOUGHTON LAKE HEALTH FAIR, AND NOVEMBEARD A LOCAL HEALTH FAIR SPECIFIC TO HUNTERS. OVER 81 YOUTH IN HARRISON SCHOOLS RECEIVED HANDS ONLY CPR TRAINING FROM MIDMICHIGAN HEALTH STAFF DURING FY 2020. PART VI, LINE 7, REPORTS FILED WITH STATES MI X X X X 1 1 0 0 0 0 0 1 0 ROGERS GREGORY DIRECTOR 0 532654 0 240823 0 29649 0 235215 0 18988 0 1057329 0 0 PADGETT FRANCINE SECRETARY & TREASURER 0 463388 0 173698 0 31077 0 283909 0 16270 0 968342 0 0 RAPP DONNA FORMER SECRETARY 0 15045 0 0 0 620649 0 6506 0 585 0 642785 0 168638 STOVER RAYMOND PRESIDENT (PART YEAR) 0 296734 0 113311 0 13152 0 101853 0 24264 0 549314 0 0 HATTEM-SCHIFFMAN MARITA PRESIDENT 0 282419 0 107890 0 6985 0 44383 0 21919 0 463596 0 0 SALIPI MD ABOOD DIRECTOR 0 369686 0 37146 0 513 0 5600 0 7798 0 420743 0 0 RADER RUSSELL ANESTHESIOLOGY MGR 220905 0 17041 0 3205 0 12279 0 20785 0 274215 0 0 0 MUNOZ EDWARDO CRNA 239971 0 6000 0 2844 0 12375 0 7365 0 268555 0 0 0 DEFLUITER RICHARD CRNA 211225 0 800 0 2844 0 11031 0 25217 0 251117 0 0 0 KING GLENN VP OF NURSING 166883 0 39256 0 8251 0 10406 0 21326 0 246122 0 0 0 MATHISON KELLY CRNA 193258 0 800 0 375 0 10337 0 28861 0 233631 0 0 0 BOYD KURT NP 101020 0 46110 0 3924 0 6042 0 17020 0 174116 0 0 0 PART I, LINE 4B: ROGERS, PADGETT, STOVER, AND HATTEM-SCHIFFMAN ARE PARTICIPANTS IN A 457(F) PLAN. RAPP, A FORMER PARTICIPANT, RECEIVED A FINAL PAYMENT IN 2019. 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 MIDMICHIGAN 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 I, LINE 4A: THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED A SEVERENCE PAYMENT. DONNA RAPP RECEIVED SEVERANCE PAYMENTS BIWEEKLY, FOR 104 WEEKS, TOTALING $410,086 DURING THE TAX YEAR. PART I, LINE 7: MIDMICHIGAN 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 INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED ITS COMPREHENSIVE ASSESSMENT IN MAY 2019. AN INDEPENDENT ASSESSMENT IS COMPLETED EVERY 3-5 YEARS. THE COMPENSATION COMMITTEE REVIEWED THE RESULTS IN MAY 2019 PRIOR TO AWARDING ANY ANNUAL COMPENSATION ADJUSTMENTS. IN ADDITION, AS PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE MAY 2018 COMPENSATION COMMITTEE MEETING. PART III: MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MIDMICHIGAN 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. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN 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. A MICHIGAN FINANCE AUTHORITY 2011D 800596186 2011-06-09 455850 CAPITAL PROJECTS 0 0 1 B MICHIGAN FINANCE AUTHORITY 2014 800596186 59447P5V9 2014-12-18 4817128 REFUNDING '06 & '09 0 0 0 A 442745 455850 1062 2011 1 0 1 1 B 258191 4817128 4774103 43025 2014 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 0 B 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MICHIGAN FINANCE AUTHORITY 2014 DATE THE REBATE COMPUTATION WAS PERFORMED: 12/18/2019 FORM 990, SCHEDULE K, PART IV, LINE 2B MICHIGAN FINANANCE AUTHORITY 2011D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS, THEREFORE, NO ARBITRAGE REBATE CALCULATION IS REQUIRED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF MIDMICHIGAN 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 PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR 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 SOLE MEMBER; 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 SOLE MEMBER. 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 MIDMICHIGAN 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 CFO. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN 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 CFO. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN 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 FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM IS REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE 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 MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVED PAY FOR THE PURPOSE OF SERVING ON THE BOARD IN 2019. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. FORM 990, PART IX, LINE 11G ASSOCIATION DUES AND OTHER FEES: PROGRAM SERVICE EXPENSES 5,142,473. MANAGEMENT AND GENERAL EXPENSES 4,573,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,715,567. PURCHASED/CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,887,440. MANAGEMENT AND GENERAL EXPENSES 555,385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,442,825. FORM 990, PART XI, LINE 9: CASH TRANSFER TO MIDMICHIGAN PHYSICIANS GROUP -1,164,545. MIDMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I 0 MIDMICHIGAN MEDICAL CENTER - MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - GLADWIN 515 QUARTER ST GLADWIN MI 48624 386020434 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 386000029 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501(C)(3) LINE 10 MIDMICHIGAN HEALTH 1 MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MEDICAL OFFICE MI 501(C)(3) LINE 12A, I MIDMICHIGAN HEALTH 1 MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES 4000 WELLNESS DR MIDLAND MI 48670 382459947 OPERATIONS MI 501(C)(2) MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - CLARE VOLUNTEERS 703 N MCEWAN ST CLARE MI 48617 382944967 SUPPORT MI 501(C)(3) LINE 12A, I 0 MIDMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DR MIDLAND MI 48670 812813405 FOUNDATION MI 501(C)(3) LINE 12A, I MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - WEST BRANCH 2463 S M-30 WEST BRANCH MI 48661 464088182 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 TOLFREE FOUNDATION 335 E HOUGHTON AVE WEST BRANCH MI 48661 383067917 FUNDRAISING MI 501(C)(3) LINE 12A, I MIDMICHIGAN HEALTH 1 MIDMICHIGAN HEALTH PAIN MANAGEMENT 2463 S M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT MI N/A ISOMM 211 S CRAPO ST STE H MT PLEASANT MI 48858 270867311 MRI SERVICES MI N/A 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 MIDMICHIGAN PHYSICIANS GROUP B 326355 COST MIDMICHIGAN HEALTH B 850000 COST MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES K 561005 COST MIDMICHIGAN MEDICAL CENTER - MIDLAND P 1754434 COST MIDMICHIGAN HEALTH P 3125894 COST MIDMICHIGAN PHYSICIANS GROUP P 1365441 COST MIDMICHIGAN HEALTH FOUNDATION C 62957 COST