MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-13
IRS object ID: 202131339349304293
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-13T15:26:28-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	27400 NORTHWESTERN HIGHWAY	AddressLine1Txt
City	SOUTHFIELD	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48034	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER - MIDLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MIDM	BusinessNameControlTxt
Phone	9898379039	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JUDI GRAVES	PersonNm
Person Title	CORPORATE CONTROLLER	PersonTitleTxt
Phone	9898379039	PhoneNum
Signature	2021-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2021-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GREGORY ROGERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$548,178,529	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MIDMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2816	TotalEmployeeCnt
Total Volunteers	220	TotalVolunteersCnt
Total Gross UBI	$733,031	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$199,259	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,526,782	PYContributionsGrantsAmt
CY Contributions Grants	$23,739,811	CYContributionsGrantsAmt
PY Program Service Revenue	$468,633,014	PYProgramServiceRevenueAmt
CY Program Service Revenue	$486,899,422	CYProgramServiceRevenueAmt
PY Investment Income	$6,775,626	PYInvestmentIncomeAmt
CY Investment Income	-$3,676,426	CYInvestmentIncomeAmt
PY Other Revenue	$5,858,913	PYOtherRevenueAmt
CY Other Revenue	$12,351,330	CYOtherRevenueAmt
PY Total Revenue	$483,794,335	PYTotalRevenueAmt
CY Total Revenue	$519,314,137	CYTotalRevenueAmt
PY Grants And Similar Paid	$197,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$210,262	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$153,085,528	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$169,193,406	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$455,559	CYTotalFundraisingExpenseAmt
PY Other Expenses	$267,233,710	PYOtherExpensesAmt
CY Other Expenses	$308,498,178	CYOtherExpensesAmt
PY Total Expenses	$420,516,338	PYTotalExpensesAmt
CY Total Expenses	$477,901,846	CYTotalExpensesAmt
PY Revenues Less Expenses	$63,277,997	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$41,412,291	CYRevenuesLessExpensesAmt
Total Assets BOY	$743,891,018	TotalAssetsBOYAmt
Total Assets EOY	$835,141,007	TotalAssetsEOYAmt
Total Liabilities BOY	$204,005,369	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$266,461,238	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$539,885,649	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$568,679,769	NetAssetsOrFundBalancesEOYAmt
Mission	CREATING HEALTHY COMMUNITIES - TOGETHER	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$410,573,537	ExpenseAmt
Revenue	$497,535,026	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 13,261 PATIENT ADMISSIONS AND 265,888 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2020. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$210,262	ExpenseAmt
Grant	$210,262	GrantAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$410,783,799	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2816	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JUDI GRAVES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9898379039	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd
POSTLER-SLATTERY DIANE
DIRECTOR	2.00	56.00	Yes (X)	$0	$1,245,143	$255,539
ROGERS GREGORY
PRESIDENT	2.00	64.00	Yes (X)	$0	$803,126	$254,203	Yes (X)
PADGETT FRANCINE
SECRETARY & TREASURER	2.00	68.00		$0	$668,163	$300,179	Yes (X)
SALLACH MD SUSAN
DIRECTOR	2.00	50.00	Yes (X)	$0	$730,790	$30,955
FIREMAN MD MARK
PHYSICIAN	50.00	0.00		$644,060	$0	$23,152		Yes (X)
RAPP DONNA
FORMER SENIOR VP	0.00	0.00		$0	$635,694	$7,091			Yes (X)
NOLD DIANE
VP	2.00	50.00		$347,989	$0	$155,136				Yes (X)
SHIVELY LAURIE
CRNA	50.00	0.00		$392,407	$0	$52,242		Yes (X)
ERICKSON MICHAEL
VP	50.00	0.00		$350,559	$0	$56,611		Yes (X)
KUHN MD MARGUERITTE
VP MEDICAL AFFAIRS	50.00	0.00		$326,381	$0	$32,089		Yes (X)
HILLS COURTNEY
CRNA	50.00	0.00		$297,394	$0	$40,718		Yes (X)
TERRELL TAMMY
VP OF NURSING & CNO	50.00	2.00		$260,686	$0	$28,523				Yes (X)
PENNEY JANICE
FORMER VICE PRESIDENT CNO	0.00	0.00		$147,121	$0	$4,910			Yes (X)
BIDDINGER MD KENT
DIRECTOR	2.00	0.00	Yes (X)	$39,345	$0	$0
NEWMAN MD JEFF
DIRECTOR	2.00	0.00	Yes (X)	$8,800	$0	$0
BLOCK CLIFFORD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
COLLINS BILL
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DORRIEN GREG
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
GRANSDEN BRIDGETTE
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
HURLEY BARB
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
KENDALL CHUCK
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
MORTENSEN SHARON
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
NILES PAUL
DIRECTOR (PART-YEAR)	2.00	0.00	Yes (X)	$0	$0	$0
THOMPSON MD MARGARET
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
WILSON AMY
DIRECTOR (PART-YEAR)	2.00	0.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,814,742	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,082,916	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,241,348	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	154	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$23,739,811	GovernmentGrantsAmt
Total Contributions	$23,739,811	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS	621990	$258,787,410	$258,787,410
PATIENT REVENUE, NET	621990	$212,249,836	$212,249,836
SUBSIDIARY RELATED INCOME	900099	$9,241,712	$9,241,712
340B PHARMACY REVENUE	900099	$3,933,342	$3,933,342
CONTRACTED CLINICAL SERVICES	621990	$2,687,122	$2,687,122

Field	Value	IRS element (for citing)
Total Program Service Revenue	$486,899,422	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,855,814	TotalRevenueColumnAmt
Related Or Exempt Func Income	$272,338	RelatedOrExemptFuncIncomeAmt
Exclusion	$6,583,476	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$21,800	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,800	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,800	TotalRevenueColumnAmt
Exclusion	$21,800	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$18,326,052	SecuritiesAmt
Other	$6,100	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$28,421,174	SecuritiesAmt
Other	$443,218	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$10,095,122	SecuritiesAmt
Other	-$437,118	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$10,532,240	TotalRevenueColumnAmt
Exclusion	-$10,532,240	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INSURANCE PROCEEDS	900099	$5,643,930	$5,643,930
CAFETERIA/FOOD SERVICE	722514	$1,233,233		$1,233,233
REFERENCE LAB	621500	$402,227			$402,227

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,050,140	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,719,336	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$330,804	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,329,530	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$519,314,137	TotalRevenueColumnAmt
Related Or Exempt Func Income	$497,535,026	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$733,031	UnrelatedBusinessRevenueAmt
Exclusion	-$2,693,731	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$210,262	TotalAmt
Program Services	$210,262	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$632,252	TotalAmt
Management And General	$632,252	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$138,863,641	TotalAmt
Program Services	$113,069,094	ProgramServicesAmt
Management And General	$25,519,454	ManagementAndGeneralAmt
Fundraising	$275,093	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,820,445	TotalAmt
Program Services	$4,907,603	ProgramServicesAmt
Management And General	$900,348	ManagementAndGeneralAmt
Fundraising	$12,494	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,265,759	TotalAmt
Program Services	$10,363,243	ProgramServicesAmt
Management And General	$3,862,525	ManagementAndGeneralAmt
Fundraising	$39,991	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,611,309	TotalAmt
Program Services	$7,933,444	ProgramServicesAmt
Management And General	$1,656,134	ManagementAndGeneralAmt
Fundraising	$21,731	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$905,296	TotalAmt
Management And General	$905,296	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,085,441	TotalAmt
Program Services	$23,867,485	ProgramServicesAmt
Management And General	$3,217,956	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$122,044	TotalAmt
Program Services	$54,613	ProgramServicesAmt
Management And General	$65,047	ManagementAndGeneralAmt
Fundraising	$2,384	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,845,633	TotalAmt
Program Services	$4,715,121	ProgramServicesAmt
Management And General	$3,128,019	ManagementAndGeneralAmt
Fundraising	$2,493	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$458,986	TotalAmt
Program Services	$405,638	ProgramServicesAmt
Management And General	$53,111	ManagementAndGeneralAmt
Fundraising	$237	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,299,112	TotalAmt
Program Services	$3,764,346	ProgramServicesAmt
Management And General	$1,534,766	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$540,642	TotalAmt
Program Services	$305,613	ProgramServicesAmt
Management And General	$232,337	ManagementAndGeneralAmt
Fundraising	$2,692	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$383,570	TotalAmt
Program Services	$251,496	ProgramServicesAmt
Management And General	$132,074	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,655,381	TotalAmt
Program Services	$5,655,381	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,596,376	TotalAmt
Program Services	$20,041,873	ProgramServicesAmt
Management And General	$2,554,503	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,072,598	TotalAmt
Management And General	$3,072,598	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$89,083,527	$89,083,527
PURCHASED SERVICES	$74,500,236	$56,377,478	$18,024,314	$98,444
PHYSICIAN PRACTICE SUBS	$58,970,253	$58,970,253
BAD DEBT EXPENSE	$7,657,915	$7,657,915

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,321,168	TotalAmt
Program Services	$3,149,414	ProgramServicesAmt
Management And General	$1,171,754	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$477,901,846	TotalAmt
Program Services	$410,783,799	ProgramServicesAmt
Management And General	$66,662,488	ManagementAndGeneralAmt
Fundraising	$455,559	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,245	BOYAmt
EOY	$11,545	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$893,457	BOYAmt
EOY	$71,850,780	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$46,370,307	BOYAmt
EOY	$43,098,416	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,057,662	BOYAmt
EOY	$7,479,561	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,872,816	BOYAmt
EOY	$23,802,460	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$420,620,804	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$237,933,020	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$173,144,956	BOYAmt
EOY	$182,687,784	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$154,077,435	BOYAmt
EOY	$169,246,570	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$343,024,469	BOYAmt
EOY	$335,603,027	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,438,671	BOYAmt
EOY	$1,360,864	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$743,891,018	BOYAmt
EOY	$835,141,007	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,940,072	BOYAmt
EOY	$31,535,613	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$60,762,267	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$158,106,094	BOYAmt
EOY	$151,573,943	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,959,203	BOYAmt
EOY	$22,589,415	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,005,369	BOYAmt
EOY	$266,461,238	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$539,885,649	BOYAmt
EOY	$568,679,769	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$539,885,649	BOYAmt
EOY	$568,679,769	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$743,891,018	BOYAmt
EOY	$835,141,007	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$41,412,291	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,572,513	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,190,684	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,152,894	OtherCostOrOtherBasisAmt
Book Value	$1,152,894	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$246,119,763	OtherCostOrOtherBasisAmt
Depreciation	$127,750,160	DepreciationAmt
Book Value	$118,369,602	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,585,502	OtherCostOrOtherBasisAmt
Depreciation	$15,239,190	DepreciationAmt
Book Value	$8,346,311	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$131,028,389	OtherCostOrOtherBasisAmt
Depreciation	$94,581,807	DepreciationAmt
Book Value	$36,446,583	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,734,256	OtherCostOrOtherBasisAmt
Depreciation	$361,863	DepreciationAmt
Book Value	$18,372,394	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$182,687,784	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEDGE FUNDS	$22,134,153	F
BLACKROCK DOMESTIC EQUITY	$95,887,223	F
PARAMETRIC GLOBAL EQUITY	$22,030,230	F
BLACKROCK INTERNATIONAL	$91,267,712	F
BLACKROCK FIXED INCOME	$52,921,376	F
CLARION & CORNERSTONE	$51,362,333	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$335,603,027	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DEFERRED COMP, SELF INSURANCE, AND OTHER	$10,954,383
ASSET RETIREMENT OBLIGATION	$6,336,775
CAPITAL LEASE OBLIGATION	$959,447
OPERATING LEASE LIABILITY	$4,338,810

Field	Value	IRS element (for citing)
Total Liability	$22,589,415	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,703,372	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,703,372	NetCommunityBenefitExpnsAmt
Total Expense	0.01190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$63,297,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,698,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,598,730	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$69,000,522	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,698,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,302,102	NetCommunityBenefitExpnsAmt
Total Expense	0.02360	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	945	ActivitiesOrProgramsCnt
Persons Served	66605	PersonsServedCnt
Total Community Benefit Expns	$527,379	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,595	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$465,784	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	83	ActivitiesOrProgramsCnt
Persons Served	1046	PersonsServedCnt
Total Community Benefit Expns	$10,345,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,417,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,927,782	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	99	PersonsServedCnt
Total Community Benefit Expns	$691,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$446,562	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,025	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	80	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,740	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1110	ActivitiesOrProgramsCnt
Persons Served	67750	PersonsServedCnt
Total Community Benefit Expns	$11,577,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,925,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,652,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1111	ActivitiesOrProgramsCnt
Persons Served	67750	PersonsServedCnt
Total Community Benefit Expns	$80,578,293	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,623,860	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,954,433	NetCommunityBenefitExpnsAmt
Total Expense	0.03120	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	222	PersonsServedCnt
Total Community Benefit Expns	$4,408	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,408	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$1,172	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,172	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	466	PersonsServedCnt
Total Community Benefit Expns	$17,164	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,164	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	693	PersonsServedCnt
Total Community Benefit Expns	$22,744	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,657,915	BadDebtExpenseAmt
Bad Debt Expense Attributable	$382,896	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$119,555,078	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,139,376	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,415,702	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NPS ASSOCIATES LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.44000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.56000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER - MIDLAND	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MIDMICHIGAN.ORG	WebsiteAddressTxt
State License	1060000089	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER - MIDLAND	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART VI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE H, PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MIDMICHIGAN MEDICAL CENTER - MIDLAND	PART V, SECTION B, LINE 5: MIDMICHIGAN MEDICAL CENTER-MIDLAND'S COMMUNITY EDUCATION MANAGER IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY.
MIDMICHIGAN MEDICAL CENTER - MIDLAND	PART V, SECTION B, LINE 11: 1. CHRONIC DISEASE PREVENTION AND TREATMENTGOAL: EDUCATE, ENCOURAGE AND PROVIDE OPPORTUNITY FOR IMPROVED HEALTH BEHAVIORS AND INCREASED ACCESS TO HEALTHY FOODS. A. EXPAND PRESCRIPTION FOR HEALTH PROGRAM AND EXPLORE MEANS TO CONNECT PATIENTS TO HEALTH FOOD SOURCESB. PROVIDE DIABETES PREVENTION PROGRAMC. OFFER MIDMICHIGAN HEALTH SPEAKER'S BUREAU FOR EDUCATIONAL PROGRAMMINGD. NUTRITIONAL PROGRAMMING FOR SCHOOL-AGED CHILDRENE. HEALTH CARE SCREENING EDUCATION2. MATERNAL/INFANT HEALTHGOAL: PREPARE, CARE AND SUPPORT CHILDBEARING FAMILIES IN ORDER TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDBEARING AGED WOMEN AND INFANTS.A. INCREASE PROPORTION OF PREGNANT WOMEN WHO RECEIVE PRENATAL CARE, ALONG WITH CHILDBITH PREPARATION EDUCATIONB. INCREASE ABSTINENCE FROM CIGARETTES AMONG PREGNANT WOMENC. PROVIDE OPPORTUNITY FOR FOLLOW-UP CARE POST DISCHARGED. PROVIDE OPPORTUNITY AND SUPPORT FOR BREASTFEEDING TO INCREASE THE PROPROTION OF INFANTS WHO ARE BREASTFED3. MENTAL HEALTH AND SUBSTANCE ABUSEGOAL MENTAL HEALTH: LEAD, PARTNER OR SUPPORT EFFORTS TO ENSURE A COMPREHENSIVE SYSTEM OF CARE TO MEET THE BEHAVIORAL HEALTH OF ALL AT THE RIGHT TIME, IN THE RIGHT PLACE WITH THE RIGHT CARE.GOAL SUBSTANCE ABUSE: PROVIDE PREVENTION, SCREENING, ASSESSMENT, TREATMENT, EDUCATION AND SUPPORT SO ALL NEEDS ARE MET.A. IMPROVE ACCESS TO MENTAL HEALTH RESOURCES AND TREATMENTB. IMPROVE ACCESS TO SUBSTANCE ABUSE RESOURCES AND TREATMENTC. CONTINUE PROJECT ASSERT (ALCOHOL AND SUSTANCE ABUSE SERVICES, EDUCATION AND REFERRAL TO TREATMENT)D. IDENTIFY/SCREEN FOR SOCIAL DETERMINANTS OF HEALTH, (SDOH) INCLUDING LONELINESSE. INDENTIFY/SCREEN FOR DEPRESSION/SUICIDE AND CO-OCCURING SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS
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/

Field	Value	IRS element (for citing)
Facility	41	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (41 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - BAY CITY HEALTH PARK - REHAB SERVICES
3051 KIESEL ROAD	BAY CITY	MI	48706	REHABILITATION SERVICES (PT, OT)
2 - CAMPUS RIDGE FAMILY PRACTICE
4401 CAMPUS RIDGE SUITE D2100	MIDLAND	MI	48640	PHYSICIAN OFFICE
3 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN
337 LEMKE STREET	MIDLAND	MI	48642	REHABILITATION SERVICES (PT, OT)
4 - MICHIGAN MEDICINE GYN SPECIALTY
4320 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	PHYSICIAN OFFICE
5 - MIDLAND PROFESSIONAL SUITE (LAB & RADIOLOG
555 W WACKERLY ROAD	MIDLAND	MI	48640	LAB DRAW STATION, IMAGING SERVICES
6 - MIDMICHIGAN GRATIOT CANCER CENTER (RADIATI
315 EAST WARWICK DRIVE SUITE C	ALMA	MI	48801	PHYSICIAN OFFICE
7 - MIDMICHIGAN HEALTH MEDICAL OFFICES EAST EN
715 EAST MAIN STREET SUITE 100	MIDLAND	MI	48640	PHYSICIAN OFFICE
8 - MIDMICHIGAN URGENT CARE - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	URGENT CARE CLINIC
9 - MIDMICHIGAN PHYSICIANS GROUP FAMILY PRACTI
5694 MIDLAND ROAD	FREELAND	MI	48623	PHYSICIAN OFFICE
10 - MIDMICHIGAN REHAB - FREELAND
5694 MIDLAND ROAD	FREELAND	MI	48623	REHABILITATION SERVICES (PT, OT)
11 - MIDMICHIGAN HEMATOLOGYONCOLOGY
4500 CAMPUS RIDGE DRIVE BUILDING 2	MIDLAND	MI	48640	PHYSICIAN OFFICE
12 - MIDMICHIGAN MEDICAL CENTER - ORTHOPEDIC SU
4401 CAMPUS RIDGE DRIVE SUITE 2200	MIDLAND	MI	48640	PHYSICIAN OFFICE
13 - MIDMICHIGAN MEDICAL CENTER - SURGERY SPECI
4201 CAMPUS RIDGE DRIVE SUITE 2000	MIDLAND	MI	48640	PHYSICIAN OFFICE
14 - MIDMICHIGAN MEDICAL CENTER HEART FAILURE S
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
15 - MIDMICHIGAN MEDICAL CENTER MIDLAND - CARDI
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
16 - MIDMICHIGAN MEDICAL CENTER MIDLAND - ENDOC
4201 CAMPUS RIDGE DRIVE SUITE 3201	MIDLAND	MI	48640	PHYSICIAN OFFICE	TOWSL
17 - MIDMICHIGAN MEDICAL CENTER MIDLAND - INTER
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48670	PHYSICIAN OFFICE
18 - MIDMICHIGAN MEDICAL CENTER MIDLAND - NEURO
4201 CAMPUS RIDGE DRIVE SUITE 4200	MIDLAND	MI	48640	PHYSICIAN OFFICE
19 - MIDMICHIGAN MEDICAL CENTER MIDLAND - OBSTE
4401 CAMPUS RIDGE DRIVE SUITE LL110	MIDLAND	MI	48640	PHYSICIAN OFFICE
20 - MIDMICHIGAN MEDICAL CENTER MIDLAND - PSYCH
4201 CAMPUS RIDGE DRIVE SUITE 2700	MIDLAND	MI	48640	PHYSICIAN OFFICE	TOWSL
21 - MIDMICHIGAN MEDICAL CENTER MIDLAND CARDIOV
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
22 - MIDMICHIGAN MEDICAL CENTER MIDLAND ELECTRO
2600 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
23 - MIDMICHIGAN MEDICAL CENTER MIDLAND VASCULA
2660 WEST SUGNET	MIDLAND	MI	48640	PHYSICIAN OFFICE
24 - MIDMICHIGAN MEDICAL CENTER MIDLAND WOUND T
4300 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	WOUND TREATMENT, HYPERBARIC
25 - MIDMICHIGAN MEDICAL CENTER PEDIATRICS
4401 CAMPUS RIDGE DRIVE SUITE 2000	MIDLAND	MI	48640	PHYSICIAN OFFICE
26 - MIDMICHIGAN MEDICAL CENTER REHAB SERVICES
304 WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
27 - MIDMICHIGAN MEDICAL CENTER - MIDLAND REHAB
424 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
28 - MIDMICHIGAN MEDICAL CENTER - MIDLAND REHAB
601 EAST WACKERLY ROAD	MIDLAND	MI	48642	REHABILITATION SERVICES (PT, OT)
29 - MIDMICHIGAN MEDICAL CENTER - MIDLAND REHAB
728 WEST WACKERLY ROAD	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT)
30 - MIDMICHIGAN MEDICAL CENTER - MIDLAND RHEUM
4401 CAMPUS RIDGE DRIVE SUITE 1100	MIDLAND	MI	48640	PHYSICIAN OFFICE
31 - MIDMICHIGAN MEDICAL CENTER - MIDLAND UROLO
4401 CAMPUS RIDGE DRIVE SUITE 2040	MIDLAND	MI	48640	PHYSICIAN OFFICE
32 - MIDMICHIGAN MEDICAL CENTER - MIDLAND UROLO
4201 CAMPUS RIDGE DRIVE SUITE 3400	MIDLAND	MI	48640	PHYSICIAN OFFICE
33 - MIDMICHIGAN MEDICAL OFFICES - AUBURN
939 WEST MIDLAND ROAD	AUBURN	MI	48611	PHYSICIAN OFFICE
34 - MIDMICHIGAN MEDICAL OFFICES - MIDLAND (SLE
4100 CAMPUS RIDGE DRIVE BUILDING	MIDLAND	MI	48670	SLEEP LAB	FLOOR 3
35 - MIDMICHIGAN MEDICAL OFFICES - CAMPUS RIDGE
4401 CAMPUS RIDGE DRIVE	MIDLAND	MI	48640	REHABILITATION SERVICES (PT, OT), LAB DRAW SITE
36 - MIDMICHIGAN MEDICAL OFFICES - MIDLAND FAMI
4611 CAMPUS RIDGE DRIVE	MIDLAND	MI	48670	PHYSICIAN OFFICE
37 - MIDMICHIGAN PHYSICIANS GROUP - SANFORD FAM
40 WEST SAGINAW ROAD	SANFORD	MI	48657	PHYSICIAN OFFICE
38 - MIDMICHIGAN URGENT CARE - MIDLAND
3009 NORTH SAGINAW ROAD	MIDLAND	MI	48657	URGENT CARE CLINIC
39 - PULMONARY & CRITICAL CARE MEDICINE
4201 CAMPUS RIDGE DRIVE SUITE 3000	MIDLAND	MI	48640	PHYSICIAN OFFICE
40 - REICKER SURGERY CENTER
4400 WELLNESS DRIVE	MIDLAND	MI	48640	AMBULATORY SURGERY CENTER
41 - WELL SPORT
4401 CAMPUS RIDGE DRIVE SUITE 1000	MIDLAND	MI	48640	SPORTS MEDICINE PROGRAM

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	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:	MIDMICHIGAN MEDICAL CENTER-MIDLAND 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: MASC MIDLAND ALLIANCE FOR SENIOR CARE; MIDLAND COUNTY CHILD DEATH REVIEW; MIDLAND COUNTY COORDINATING COUNCIL ON DOMESTIC VIOLENCE/SEXUAL ASSAULT; MIDLAND AREA COMMUNITY FOUNDATION; GREATER MIDLAND COMMUNITY CENTER; MIDLAND FAITH BASED COMMUNITY ASSISTANCE GROUP; MIDLAND CENTER FOR THE ARTS NEXT GENERATION COUNCIL; HEALTH AND HUMAN SERVICES COUNCIL; SENIOR SERVICES BOARD; MIDLAND BUSINESS ALLIANCE; AND THE MIDLAND COUNTY VULNERABLE ADULT NETWORK. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY SUPPORT ACTIVITIES THROUGH THE MIDLAND AND BAY AREA CHAMBERS OF COMMERCE AND ECONOMIC DEVELOPMENT THROUGH THE BAY AREA CHAMBER OF COMMERCE. ADDITIONALLY, COMMUNITY HEALTH IMPROVEMENT ADVOCACY WAS ENACTED THROUGH WORK BY MIDMICHIGAN MEDICAL CENTER-MIDLAND STAFF FOR ORGANIZATIONS THAT FOLLOW: REMEMBERING WHEN (A PARTNERSHIP WITH MIDLAND FIRE AND SENIOR SERVICES); NORTHWOOD UNIVERSITY ESP INCOMING STUDENTS; MICHIGAN HEALTH IMPROVEMENT ALLIANCE; MIDLAND AREA COMMUNITY FOUNDATION - BOARD OF TRUSTEES; AND MIDLAND COUNTY HABITAT FOR HUMANITY. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDED: FREELAND HIGH SCHOOL FIELD TRIP; CMU FRESHMAN HONORS SIMULATION EVENT; READY, SET, GET HIRED; MERIDIAN HIGH SCHOOL SIMULATION ACTIVITIES; HEALTHCARE EXPLORERS CAMP; CMU CLINICAL INSTRUCTION; AND GUEST SPEAKER FOR MERIDIAN EARLY COLLEGE CTE CLASS: SAFETY IN THE WORKPLACE/HEALTHCARE PROFESSIONS.
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 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 FORBENEFICARIES, 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.
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 2019 MIDLAND HEALTH SURVEY WAS CONDUCTED TO UNDERSTAND THE HEALTH AND HEALTH NEEDS OF PEOPLE LIVING IN MIDLAND COUNTY. A SAGINAW VALLEY STATE UNIVERSITY TEAM WORKED WITH THE HEALTH AND HUMAN SERVICES COUNCIL (HHSC) OF MIDLAND COUNTY TO ADAPT THE SURVEY TO ENSURE IT MET THE NEEDS OF THE HHSC AND MIDLAND COUNTY AGENCIES, AND COLLECTED DATA ON ANY HEALTH ISSUES/FACTORS EMERGING SINCE THE PREVIOUS DATA COLLECTION. THE SAGINAW VALLEY STATE UNIVERSITY TEAM AIMED TO COLLECT DATA FROM A SAMPLE ACROSS MIDLAND COUNTY, INCLUDING A REPRESENTATIVE SAMPLE FROM THE CITY AND OUT COUNTY AREAS. THE TEAM USED EXISTING US CENSUS DATA TO OBTAIN POPULATION ESTIMATES FOR EACH TOWNSHIP/CITY IN MIDLAND COUNTY, TO ENSURE APPROPRIATE REPRESENTATION FROM EACH LOCATION. EFFORTS WERE ALSO MADE TO OBTAIN A SAMPLE THAT WAS REPRESENTATIVE OF THE MIDLAND COUNTY POPULATION (AGE, RACE, EDUCATION, INCOME). THE SAMPLE GENERATED A TOTAL OF 759 SURVEYS TO BE USED FOR ANALYSES (603 ONLINE SURVEYS AND 156 PAPER SURVEYS).A 324 LICENSED-BED HOSPITAL LOCATED ON 180 ACRES OF WOODED CAMPUS, MIDMICHIGAN MEDICAL CENTER - MIDLAND IS THE FLAGSHIP OF THE MIDMICHIGAN HEALTH SYSTEM. FROM ITS BEGINNING IN 1944, THE MEDICAL CENTER HAS ESTABLISHED ITSELF AS A LEADER IN QUALITY STATE-OF-THE-ART HEALTH CARE. IN AUGUST 2018, MIDMICHIGAN MEDICAL CENTER - MIDLAND WAS NAMED ONE OF THE TOP BEST HOSPITALS IN MICHIGAN BY U.S. NEWS & WORLD REPORT - THE ONLY HOSPITAL IN THE GREAT LAKES BAY REGION TO MAKE THE LIST. ACCREDITED BY THE JOINT COMMISSION, THE MEDICAL CENTER RECENTLY RECEIVED MICHIGAN'S QUALITY IMPROVEMENT ORGANIZATION (MPRO) 2019 GOVERNOR'S AWARD OF EXCELLENCE FOR OUTSTANDING ACHIEVEMENT IN EFFECTIVE REPORTING AND MEASUREMENT IN OUTPATIENT QUALITY REPORTING ACUTE CARE HOSPITALS. IN ADDITION, THE MEDICAL CENTER WAS RECOGNIZED AS ONE OF THE NATION'S 2016 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS, WAS ONE OF A SELECT FEW TO EARN THE 2016 100 TOP HOSPITAL'S EVEREST AWARD AND WAS RECOGNIZED AS ONE OF THE NATION'S 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN IN 2017. THE ACTIVE MEDICAL STAFF CONSISTS OF 166 PHYSICIANS, 99 PERCENT OF WHOM ARE BOARD CERTIFIED. THEY REPRESENT 32 MEDICAL SPECIALTIES PROVIDING A FULL RANGE OF PRIMARY CARE AS WELL AS OUTSTANDING SPECIALTY CARE.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 - MIDLAND BOARD ON JUNE 28, 2019 FOLLOW: 1. CHRONIC DISEASE2. MATERNAL/INFANT/CHILD CARE3. MENTAL HEALTH AND SUBSTANCE ABUSEA STRATEGIC PLAN WAS DEVELOPED FOR THE ABOVE PROJECTS AS WELL AS OTHERS THAT EACH CONTAINS GOALS AND OUTCOME MEASURES UPON WHICH WE WILL EVALUATE PROGRAMS TOWARD GOAL COMPLETION. THE COMPLETED CHNA AND IMPLEMENTATION PLAN CAN BE ACCESSED BY THE PUBLIC ON THE MIDMICHIGAN HEALTH WEBSITE AT: HTTPS://WWW.MIDMICHIGAN.ORG/APP/FILES/PUBLIC/32444/MIDLAND-CHNA-FINAL-2019.PDF.THE UNDERLYING PREMISE FOR EACH MIDMICHIGAN 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 MIDMICHIGAN MEDICAL CENTER - MIDLAND 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 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 HTTP://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/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 - MIDLAND, LOCATED IN MIDLAND, MICHIGAN, SERVES MIDLAND COUNTY; COMPRISED OF ZIP CODES: 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND), 48657 (SANFORD), 48667 (MIDLAND), 48670 (MIDLAND), 48674 (MIDLAND), 48686 (MIDLAND). SERVICE FOR MIDMICHIGAN MEDICAL CENTER MIDLAND EXTENDS TO: 48706 (BAY), 48708 (BAY), 48611 (AUBURN), AND 48623 (FREELAND).MIDLAND COUNTY IS THE 24TH MOST POPULATED COUNTY IN MICHIGAN. ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,411 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.5 PERCENT ARE UNDER 18 YEARS OF AGE AND 17.9 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.7 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.3 PERCENT. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.7 YEARS OF AGE. OF THE POPULATION, 91.5 PERCENT ARE WHITE (NON-HISPANIC) AND 8.5 PERCENT ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE EXCELLENT WAS 11.4 PERCENT AND FAIR OR POOR WAS 12 PERCENT.
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. ADDITIONALLY, STAFF PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE MIDLAND CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. 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. THE COMMUNITY HEALTH MANAGER FOR MIDMICHIGAN MEDICAL CENTER - MIDLAND IS AN ACTIVE MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE (CHAI) OF THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY AND SERVES AS THE CHAIR OF THE MIDLAND HEALTH AND HUMAN SERVICES COUNCIL.
PART VI, LINE 6:	A TOTAL OF $3,675,075.03 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER - MIDLAND IN 2020 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES FOR THOSE WHO COULD NOT PAY. OVER $90 MILLION IN COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. IN FY 2020 6,187 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS AND SAFETY EDUCATION. THERE WERE 118 PEOPLE REACHED WITH EDUCATION ON MENTAL HEALTH AND DEPRESSION AND 81 FOR DRUG AND ALCOHOL EDUCATION. ADDITIONALLY, 120 PEOPLE WERE REACHED FOR HEART DISEASE AND HEART HEALTH EDUCATION AND 300 FOR PERIPHERAL ARTERY DISEASE (PAD) EDUCATION. THERE WERE 190 INDIVIDUALS WHO PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR BLOOD PRESSURE, CANCER AND BALANCE. 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 - MIDLAND PROVIDED DIABETES EDUCATION TO 79 PEOPLE AND REPORTED 78 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. CHILDBIRTH RELATED EDUCATION WAS PROVIDED TO 578 INDIVIDUALS. HANDS ONLY CPR TRAINING WAS PROVIDED TO 428 PEOPLE IN THE COMMUNITY AND 220 CHILDREN RECEIVED EDUCATION ON HANDWASHING AWARENESS. THERE WERE 1,452 INDIVIDUALS WHO RECEIVED SUPPORT THROUGH MEETING GROUPS LIKE: BREATHING, CARDIAC/HEART, NUTRITION/WEIGHT MANAGEMENT, ALS, PARENTING AND PARKINSON'S. APPROXIMATELY 200 PEOPLE WERE REACHED AT PROJECT HOUSING CONNECT, PROVIDING INFORMATION ON: ADVANCE CARE PLANNING, BALANCE SCREENINGS, BLOOD PRESSURE SCREENINGS, COLORECTAL SCREENINGS, INSURANCE REGISTRATIONS, LUNG HEALTH AND TOBACCO, MENTAL HEALTH, MYMIDMICHIGAN PATIENT PORTAL, PERIPHERAL ARTERY DISEASE (PAD) AND SAFETY CHECKS. TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA II CERTIFICATION WERE PROVIDED, INCLUDING 30 THINK FIRST PARTICIPANTS AND FALL PREVENTION/INJURY PREVENTION TRAINING FOR 56 PEOPLE. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF CONTINUED TO MAKE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFO ABOUT MIDMICHIGAN ACCESS LINE, AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFICES RE: MIDMICHIGAN ACCESS LINE TO HELP THEM DETERMINE IF A PROGRAM OR SERVICE IS AVAILABLE LOCALLY, OR TO TRANSFER THEM TO A PHYSICIAN OFFICE OR DEPARTMENT FOR REFERRALS.
PART VI, LINE 7	MICHIGAN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (44 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS - ASHWORTH COLLEGE	1	$500	N/A	N/A
SCHOLARSHIPS - ASPEN UNIVERSITY	10	$13,000	N/A	N/A
SCHOLARSHIPS - CENTRAL MICHIGAN UNIVERSITY	12	$19,000	N/A	N/A
SCHOLARSHIPS - CHAMBERLAIN COLLEGE	1	$500	N/A	N/A
SCHOLARSHIPS - CHAMBERLAIN UNIVERSITY	2	$1,250	N/A	N/A
SCHOLARSHIPS - DAVENPORT UNIVERSITY	21	$26,362	N/A	N/A
SCHOLARSHIPS - DELTA COLLEGE	4	$1,850	N/A	N/A
SCHOLARSHIPS - EASTERN MICHIGAN UNIVERSITY	11	$13,500	N/A	N/A
SCHOLARSHIPS - FERRIS STATE UNIVERSITY	12	$10,100	N/A	N/A
SCHOLARSHIPS - FINLANDIA UNIVERSITY	1	$250	N/A	N/A
SCHOLARSHIPS - GRAND CANYON UNIVERSITY	1	$2,000	N/A	N/A
SCHOLARSHIPS - GRAND VALLEY STATE UNIVERSITY	3	$4,000	N/A	N/A
SCHOLARSHIPS - HARVARD MEDICAL SCHOOL	1	$3,000	N/A	N/A
SCHOLARSHIPS - INDIANA UNIVERSITY	1	$1,250	N/A	N/A
SCHOLARSHIPS - JACKSON COMMUNITY COLLEGE	1	$100	N/A	N/A
SCHOLARSHIPS - KANSAS CITY UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - KIRTLAND COMMUNITY COLLEGE	1	$500	N/A	N/A
SCHOLARSHIPS - LIBERTY UNIVERSITY	1	$1,250	N/A	N/A
SCHOLARSHIPS - MICHIGAN STATE UNIVERSITY	10	$25,000	N/A	N/A
SCHOLARSHIPS - MICHIGAN TECH UNVIERSITY	1	$1,250	N/A	N/A
SCHOLARSHIPS - MID MICHIGAN COMMUNITY COLLEGE	5	$1,350	N/A	N/A
SCHOLARSHIPS - NORTHERN KENTUCKY UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - NORTHERN MICHIGAN UNIVERSITY	2	$2,000	N/A	N/A
SCHOLARSHIPS - OAKLAND UNIVERSITY	2	$2,500	N/A	N/A
SCHOLARSHIPS - OAKLAND UNIVERSITY WI	2	$1,000	N/A	N/A
SCHOLARSHIPS - PENSACOLA CHRISTIAN COLLEGE	1	$2,000	N/A	N/A
SCHOLARSHIPS - SAGINAW VALLEY STATE UNIVERSITY	31	$24,850	N/A	N/A
SCHOLARSHIPS - SALUS UNIVERSITY	1	$1,250	N/A	N/A
SCHOLARSHIPS - SETON HALL UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - SPRING ARBOR UNIVERSITY	3	$2,000	N/A	N/A
SCHOLARSHIPS - ST GEORGE'S UNIVERSITY	1	$3,000	N/A	N/A
SCHOLARSHIPS - TRINE UNIVERSITY	1	$2,000	N/A	N/A
SCHOLARSHIPS - TULANE UNIVERSITY	1	$3,500	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF DAYTON	1	$1,250	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF DETROIT	1	$1,250	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF LOUISIANA	1	$500	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF MICHIGAN	6	$10,500	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF TEXAS	1	$1,000	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF WISCONSIN	3	$5,000	N/A	N/A
SCHOLARSHIPS - WAYNE STATE UNIVERSITY	2	$5,500	N/A	N/A
SCHOLARSHIPS - WESTERN GOVENORS UNIVERSITY	4	$4,650	N/A	N/A
SCHOLARSHIPS - WESTERN MICHIGAN UNIVERSITY	2	$2,000	N/A	N/A
SCHOLARSHIPS - YORK COLLEGE SCHOOL OF	1	$2,000	N/A	N/A
SCHOLARSHIPS - UNIVERSITY SUPPORT SE	1	$3,500	N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO SUBMIT ANNUAL COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPT. SCHOLARSHIP AWARDS ARE NOT GIVEN TO THE RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
POSTLER-SLATTERY DIANE
DIRECTOR	$0	$812,550	$0	$425,170	$0	$7,423	$0	$230,632	$0	$24,907	$0	$1,500,682	$0	$0
ROGERS GREGORY
PRESIDENT	$0	$532,654	$0	$240,823	$0	$29,649	$0	$235,215	$0	$18,988	$0	$1,057,329	$0	$0
PADGETT FRANCINE
SECRETARY & TREASURER	$0	$463,388	$0	$173,698	$0	$31,077	$0	$283,909	$0	$16,270	$0	$968,342	$0	$0
SALLACH MD SUSAN
DIRECTOR	$0	$689,125	$0	$39,977	$0	$1,688	$0	$5,600	$0	$25,355	$0	$761,745	$0	$0
FIREMAN MD MARK
PHYSICIAN	$395,123	$0	$100,000	$0	$148,937	$0	$5,600	$0	$17,552	$0	$667,212	$0	$0	$0
RAPP DONNA
FORMER SENIOR VP	$0	$15,045	$0	$0	$0	$620,649	$0	$6,506	$0	$585	$0	$642,785	$0	$168,638
NOLD DIANE
VP	$256,804	$0	$78,861	$0	$12,324	$0	$139,056	$0	$16,080	$0	$503,125	$0	$0	$0
SHIVELY LAURIE
CRNA	$378,925	$0	$5,031	$0	$8,451	$0	$29,400	$0	$22,842	$0	$444,649	$0	$0	$0
ERICKSON MICHAEL
VP	$262,703	$0	$81,370	$0	$6,486	$0	$30,768	$0	$25,843	$0	$407,170	$0	$0	$0
KUHN MD MARGUERITTE
VP MEDICAL AFFAIRS	$239,142	$0	$82,994	$0	$4,245	$0	$14,000	$0	$18,089	$0	$358,470	$0	$0	$0
HILLS COURTNEY
CRNA	$284,737	$0	$5,369	$0	$7,288	$0	$16,800	$0	$23,918	$0	$338,112	$0	$0	$0
TERRELL TAMMY
VP OF NURSING & CNO	$198,899	$0	$60,004	$0	$1,783	$0	$15,782	$0	$12,741	$0	$289,209	$0	$0	$0
PENNEY JANICE
FORMER VICE PRESIDENT CNO	$13,714	$0	$0	$0	$133,407	$0	$3,450	$0	$1,460	$0	$152,031	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A:	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $163 PER MONTH. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. ERICKSON, MICHAEL VP
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 4B:	ROGERS, PADGETT, POSTLER-SLATTERY, NOLD, AND ERICKSON 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 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 A 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MICHIGAN FINANCE AUTHORITY 2011D
A	800596186	2011-06-09	$12,763,800	CAPITAL PROJECTS	0	0	Yes (1)
MICHIGAN FINANCE AUTHORITY 2014
B	800596186	2014-12-18	$140,555,140	REFUNDING '06 AND '09	0	0	0	59447P5V9
MICHIGAN FINANCE AUTHORITY 2016
C	800596186	2016-12-15	$30,000,000	CAPITAL PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$12,397,658	$12,763,800	$26,670	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$7,533,282	$140,550,140	$1,255,334	2014	0	Yes (1)	Yes (1)	Yes (1)	$139,294,806
C	$7,000,000	$30,000,000	$200,000	2016	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)	Yes (1)
B	0	0	Yes (1)	0	Yes (1)
C	Yes (1)	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 FINANCE AUTHORITY 2011D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS, THEREFORE, NO ARBITRAGE REBATE CALCULATION IS REQUIRED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ANY 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 TREASURER. 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 TREASURER. 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 ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). COMPENSATION PROCESS FOR OFFICERS 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 RECEIVE 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	MEDICAID ASSESSMENT FEES: PROGRAM SERVICE EXPENSES 9,524,813. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,524,813. OTHER FEES: PROGRAM SERVICE EXPENSES 1,534,318. MANAGEMENT AND GENERAL EXPENSES 3,217,956. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,752,274. PHYSICIAN SERVICE FEES: PROGRAM SERVICE EXPENSES 12,808,354. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,808,354.
FORM 990, PART XI, LINE 9:	TRANSFER OF CAPITAL TO TAX EXEMPT ORGANIZATION -18,822,346. POSTRETIREMENT -188,979. BOOK TAX DIFFERENCE FROM K-1 -179,359.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MIDMICHIGAN HEALTH
4000 WELLNESS DR	MIDLAND	MI	48670	382459948	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MIDMICHIGAN MEDICAL CENTER - GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - CLARE
703 N MCEWAN ST	CLARE	MI	48617	381518643	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - GLADWIN
515 QUARTER ST	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - ALPENA
1501 W CHISHOLM ST	ALPENA	MI	49707	386000029	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501(C)(3)	LINE 10		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MEDICAL OFFICE	MI	501(C)(3)	LINE 12A, I		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
4000 WELLNESS DR	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501(C)(2)			Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - MIDLAND VOLUNTEERS
4000 WELLNESS DR	MIDLAND	MI	48670	061723993	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MIDMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	812813405	FOUNDATION	MI	501(C)(3)	LINE 12A, I		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - WEST BRANCH
2463 S M-30	WEST BRANCH	MI	48661	464088182	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
TOLFREE FOUNDATION
335 E HOUGHTON AVE	WEST BRANCH	MI	48661	383067917	FUNDRAISING	MI	501(C)(3)	LINE 12A, I		Yes (1)	MIDMICHIGAN HEALTH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
MIDMICHIGAN HEALTH PAIN MANAGEMENT
2463 SOUTH 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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$5,901,334	COST
MIDMICHIGAN HEALTH
B	$13,000,000	COST
MIDMICHIGAN MEDICAL CENTER - GRATIOT
A	$77,357	COST
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
K	$2,222,319	COST
MIDMICHIGAN HEALTH
P	$35,079,382	COST
MIDMICHIGAN PHYSICIANS GROUP
P	$7,660,531	COST
MIDMICHIGAN MEDICAL CENTER - CLARE
Q	$1,754,434	COST
MIDMICHIGAN MEDICAL CENTER - GLADWIN
Q	$1,112,236	COST
MIDMICHIGAN MEDICAL CENTER - WEST BRANCH
Q	$125,348	COST
MIDMICHIGAN PHYSICIANS GROUP
Q	$501,461	COST
MIDMICHIGAN MEDICAL CENTER - GRATIOT
Q	$3,557,789	COST
MIDMICHIGAN MEDICAL CENTER - ALPENA
Q	$730,371	COST
MIDMICHIGAN HEALTH
Q	$215,162	COST
MIDMICHIGAN HEALTH FOUNDATION
C	$1,197,429	COST
MIDMICHIGAN MEDICAL CENTER - WEST BRANCH
R	$138,317	COST
MIDMICHIGAN HEALTH
R	$125,512	COST
MIDMICHIGAN PHYSICIANS GROUP
S	$131,510	COST