2021-05-13T15:26:28-05:00 2020-06-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2019-07-01 380833014 MIDMICHIGAN MEDICAL CENTER - MIDLAND MIDM 9898379039 4000 WELLNESS DR MIDLAND MI 48670 JUDI GRAVES CORPORATE CONTROLLER 9898379039 2021-05-13 1 DAVID LOWENTHAL P00378651 2483522500 2021-05-13 2019 2022-09-23 18:48:47Z GREGORY ROGERS 4000 WELLNESS DR MIDLAND MI 48670 548178529 0 X WWW.MIDMICHIGAN.ORG X 1940 MI CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 13 10 2816 220 733031 199259 2526782 23739811 468633014 486899422 6775626 -3676426 5858913 12351330 483794335 519314137 197100 210262 0 0 153085528 169193406 0 0 455559 267233710 308498178 420516338 477901846 63277997 41412291 743891018 835141007 204005369 266461238 539885649 568679769 CREATING HEALTHY COMMUNITIES - TOGETHER 0 0 410573537 497535026 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. 210262 210262 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 410783799 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 1 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 2816 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JUDI GRAVES 9898379039 4000 WELLNESS DR MIDLAND MI 48670 X POSTLER-SLATTERY DIANE DIRECTOR 2.00 56.00 X 0 1245143 255539 ROGERS GREGORY PRESIDENT 2.00 64.00 X X 0 803126 254203 PADGETT FRANCINE SECRETARY & TREASURER 2.00 68.00 X 0 668163 300179 SALLACH MD SUSAN DIRECTOR 2.00 50.00 X 0 730790 30955 FIREMAN MD MARK PHYSICIAN 50.00 0.00 X 644060 0 23152 RAPP DONNA FORMER SENIOR VP 0.00 0.00 X 0 635694 7091 NOLD DIANE VP 2.00 50.00 X 347989 0 155136 SHIVELY LAURIE CRNA 50.00 0.00 X 392407 0 52242 ERICKSON MICHAEL VP 50.00 0.00 X 350559 0 56611 KUHN MD MARGUERITTE VP MEDICAL AFFAIRS 50.00 0.00 X 326381 0 32089 HILLS COURTNEY CRNA 50.00 0.00 X 297394 0 40718 TERRELL TAMMY VP OF NURSING & CNO 50.00 2.00 X 260686 0 28523 PENNEY JANICE FORMER VICE PRESIDENT CNO 0.00 0.00 X 147121 0 4910 BIDDINGER MD KENT DIRECTOR 2.00 0.00 X 39345 0 0 NEWMAN MD JEFF DIRECTOR 2.00 0.00 X 8800 0 0 BLOCK CLIFFORD DIRECTOR 2.00 0.00 X 0 0 0 COLLINS BILL CHAIR 2.00 0.00 X X 0 0 0 DORRIEN GREG DIRECTOR 2.00 0.00 X 0 0 0 GRANSDEN BRIDGETTE DIRECTOR 2.00 0.00 X 0 0 0 HURLEY BARB DIRECTOR 2.00 0.00 X 0 0 0 KENDALL CHUCK DIRECTOR 2.00 0.00 X 0 0 0 MORTENSEN SHARON DIRECTOR 2.00 0.00 X 0 0 0 NILES PAUL DIRECTOR (PART-YEAR) 2.00 0.00 X 0 0 0 THOMPSON MD MARGARET VICE CHAIR 2.00 0.00 X X 0 0 0 WILSON AMY DIRECTOR (PART-YEAR) 2.00 0.00 X 0 0 0 2814742 4082916 1241348 154 1 1 0 0 23739811 23739811 MEDICARE/MEDICAID PAYMENTS 621990 258787410 258787410 PATIENT REVENUE, NET 621990 212249836 212249836 SUBSIDIARY RELATED INCOME 900099 9241712 9241712 340B PHARMACY REVENUE 900099 3933342 3933342 CONTRACTED CLINICAL SERVICES 621990 2687122 2687122 486899422 6855814 272338 6583476 21800 0 21800 21800 21800 18326052 6100 28421174 443218 -10095122 -437118 -10532240 -10532240 INSURANCE PROCEEDS 900099 5643930 5643930 CAFETERIA/FOOD SERVICE 722514 1233233 1233233 REFERENCE LAB 621500 402227 402227 5050140 4719336 330804 12329530 519314137 497535026 733031 -2693731 X 210262 210262 632252 632252 138863641 113069094 25519454 275093 5820445 4907603 900348 12494 14265759 10363243 3862525 39991 9611309 7933444 1656134 21731 905296 905296 27085441 23867485 3217956 122044 54613 65047 2384 7845633 4715121 3128019 2493 458986 405638 53111 237 5299112 3764346 1534766 540642 305613 232337 2692 383570 251496 132074 5655381 5655381 22596376 20041873 2554503 3072598 3072598 MEDICAL SUPPLIES 89083527 89083527 PURCHASED SERVICES 74500236 56377478 18024314 98444 PHYSICIAN PRACTICE SUBS 58970253 58970253 BAD DEBT EXPENSE 7657915 7657915 4321168 3149414 1171754 477901846 410783799 66662488 455559 11245 11545 893457 71850780 46370307 43098416 6057662 7479561 18872816 23802460 420620804 237933020 173144956 182687784 154077435 169246570 343024469 335603027 1438671 1360864 743891018 835141007 26940072 31535613 60762267 158106094 151573943 18959203 22589415 204005369 266461238 X 539885649 568679769 539885649 568679769 743891018 835141007 X 41412291 6572513 -19190684 X X 0 1 X 1 1 0 X 0 0 1152894 1152894 246119763 127750160 118369602 23585502 15239190 8346311 131028389 94581807 36446583 18734256 361863 18372394 182687784 HEDGE FUNDS 22134153 F BLACKROCK DOMESTIC EQUITY 95887223 F PARAMETRIC GLOBAL EQUITY 22030230 F BLACKROCK INTERNATIONAL 91267712 F BLACKROCK FIXED INCOME 52921376 F CLARION & CORNERSTONE 51362333 F 335603027 DEFERRED COMP, SELF INSURANCE, AND OTHER 10954383 ASSET RETIREMENT OBLIGATION 6336775 CAPITAL LEASE OBLIGATION 959447 OPERATING LEASE LIABILITY 4338810 22589415 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 5703372 5703372 0.01190 1 63297150 57698420 5598730 0.01170 1 69000522 57698420 11302102 0.02360 945 66605 527379 61595 465784 0.00100 83 1046 10345065 7417283 2927782 0.00610 2 99 691587 446562 245025 0.00050 80 13740 13740 0.00000 1110 67750 11577771 7925440 3652331 0.00760 1111 67750 80578293 65623860 14954433 0.03120 14 222 4408 4408 0.00000 1 5 1172 1172 0.00000 12 466 17164 17164 0.00000 27 693 22744 22744 0.00000 1 7657915 382896 119555078 111139376 8415702 X 1 1 1 NPS ASSOCIATES LLC AMBULATORY SURGERY CENTER 0.44000 0.56000 1 1 MIDMICHIGAN MEDICAL CENTER - MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 WWW.MIDMICHIGAN.ORG 1060000089 X X X X MIDMICHIGAN MEDICAL CENTER - MIDLAND 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 - 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/ 41 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 TOWSL MIDLAND MI 48640 PHYSICIAN OFFICE 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 TOWSL MIDLAND MI 48640 PHYSICIAN OFFICE 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 FLOOR 3 MIDLAND MI 48670 SLEEP LAB 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 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 1 SCHOLARSHIPS - ASHWORTH COLLEGE 1 500 N/A N/A SCHOLARSHIPS - ASPEN UNIVERSITY 10 13000 N/A N/A SCHOLARSHIPS - CENTRAL MICHIGAN UNIVERSITY 12 19000 N/A N/A SCHOLARSHIPS - CHAMBERLAIN COLLEGE 1 500 N/A N/A SCHOLARSHIPS - CHAMBERLAIN UNIVERSITY 2 1250 N/A N/A SCHOLARSHIPS - DAVENPORT UNIVERSITY 21 26362 N/A N/A SCHOLARSHIPS - DELTA COLLEGE 4 1850 N/A N/A SCHOLARSHIPS - EASTERN MICHIGAN UNIVERSITY 11 13500 N/A N/A SCHOLARSHIPS - FERRIS STATE UNIVERSITY 12 10100 N/A N/A SCHOLARSHIPS - FINLANDIA UNIVERSITY 1 250 N/A N/A SCHOLARSHIPS - GRAND CANYON UNIVERSITY 1 2000 N/A N/A SCHOLARSHIPS - GRAND VALLEY STATE UNIVERSITY 3 4000 N/A N/A SCHOLARSHIPS - HARVARD MEDICAL SCHOOL 1 3000 N/A N/A SCHOLARSHIPS - INDIANA UNIVERSITY 1 1250 N/A N/A SCHOLARSHIPS - JACKSON COMMUNITY COLLEGE 1 100 N/A N/A SCHOLARSHIPS - KANSAS CITY UNIVERSITY 1 1000 N/A N/A SCHOLARSHIPS - KIRTLAND COMMUNITY COLLEGE 1 500 N/A N/A SCHOLARSHIPS - LIBERTY UNIVERSITY 1 1250 N/A N/A SCHOLARSHIPS - MICHIGAN STATE UNIVERSITY 10 25000 N/A N/A SCHOLARSHIPS - MICHIGAN TECH UNVIERSITY 1 1250 N/A N/A SCHOLARSHIPS - MID MICHIGAN COMMUNITY COLLEGE 5 1350 N/A N/A SCHOLARSHIPS - NORTHERN KENTUCKY UNIVERSITY 1 1000 N/A N/A SCHOLARSHIPS - NORTHERN MICHIGAN UNIVERSITY 2 2000 N/A N/A SCHOLARSHIPS - OAKLAND UNIVERSITY 2 2500 N/A N/A SCHOLARSHIPS - OAKLAND UNIVERSITY WI 2 1000 N/A N/A SCHOLARSHIPS - PENSACOLA CHRISTIAN COLLEGE 1 2000 N/A N/A SCHOLARSHIPS - SAGINAW VALLEY STATE UNIVERSITY 31 24850 N/A N/A SCHOLARSHIPS - SALUS UNIVERSITY 1 1250 N/A N/A SCHOLARSHIPS - SETON HALL UNIVERSITY 1 1000 N/A N/A SCHOLARSHIPS - SPRING ARBOR UNIVERSITY 3 2000 N/A N/A SCHOLARSHIPS - ST GEORGE'S UNIVERSITY 1 3000 N/A N/A SCHOLARSHIPS - TRINE UNIVERSITY 1 2000 N/A N/A SCHOLARSHIPS - TULANE UNIVERSITY 1 3500 N/A N/A SCHOLARSHIPS - UNIVERSITY OF DAYTON 1 1250 N/A N/A SCHOLARSHIPS - UNIVERSITY OF DETROIT 1 1250 N/A N/A SCHOLARSHIPS - UNIVERSITY OF LOUISIANA 1 500 N/A N/A SCHOLARSHIPS - UNIVERSITY OF MICHIGAN 6 10500 N/A N/A SCHOLARSHIPS - UNIVERSITY OF TEXAS 1 1000 N/A N/A SCHOLARSHIPS - UNIVERSITY OF WISCONSIN 3 5000 N/A N/A SCHOLARSHIPS - WAYNE STATE UNIVERSITY 2 5500 N/A N/A SCHOLARSHIPS - WESTERN GOVENORS UNIVERSITY 4 4650 N/A N/A SCHOLARSHIPS - WESTERN MICHIGAN UNIVERSITY 2 2000 N/A N/A SCHOLARSHIPS - YORK COLLEGE SCHOOL OF 1 2000 N/A N/A SCHOLARSHIPS - UNIVERSITY SUPPORT SE 1 3500 N/A N/A PART I, LINE 2: 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. X 1 1 X X X X 1 1 0 0 0 0 0 1 0 POSTLER-SLATTERY DIANE DIRECTOR 0 812550 0 425170 0 7423 0 230632 0 24907 0 1500682 0 0 ROGERS GREGORY PRESIDENT 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 SALLACH MD SUSAN DIRECTOR 0 689125 0 39977 0 1688 0 5600 0 25355 0 761745 0 0 FIREMAN MD MARK PHYSICIAN 395123 0 100000 0 148937 0 5600 0 17552 0 667212 0 0 0 RAPP DONNA FORMER SENIOR VP 0 15045 0 0 0 620649 0 6506 0 585 0 642785 0 168638 NOLD DIANE VP 256804 0 78861 0 12324 0 139056 0 16080 0 503125 0 0 0 SHIVELY LAURIE CRNA 378925 0 5031 0 8451 0 29400 0 22842 0 444649 0 0 0 ERICKSON MICHAEL VP 262703 0 81370 0 6486 0 30768 0 25843 0 407170 0 0 0 KUHN MD MARGUERITTE VP MEDICAL AFFAIRS 239142 0 82994 0 4245 0 14000 0 18089 0 358470 0 0 0 HILLS COURTNEY CRNA 284737 0 5369 0 7288 0 16800 0 23918 0 338112 0 0 0 TERRELL TAMMY VP OF NURSING & CNO 198899 0 60004 0 1783 0 15782 0 12741 0 289209 0 0 0 PENNEY JANICE FORMER VICE PRESIDENT CNO 13714 0 0 0 133407 0 3450 0 1460 0 152031 0 0 0 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. A MICHIGAN FINANCE AUTHORITY 2011D 800596186 2011-06-09 12763800 CAPITAL PROJECTS 0 0 1 B MICHIGAN FINANCE AUTHORITY 2014 800596186 59447P5V9 2014-12-18 140555140 REFUNDING '06 AND '09 0 0 0 C MICHIGAN FINANCE AUTHORITY 2016 800596186 2016-12-15 30000000 CAPITAL PROJECTS 0 0 0 A 12397658 12763800 26670 2011 1 0 1 1 B 7533282 140550140 139294806 1255334 2014 0 1 1 1 C 7000000 30000000 200000 2016 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 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 C 0 1 0 0 1 0 0 0 1 A 0 B 0 C 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 FINANCE 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 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. 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 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - CLARE 703 N MCEWAN ST CLARE MI 48617 381518643 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 - 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 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 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 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 MIDMICHIGAN PHYSICIANS GROUP B 5901334 COST MIDMICHIGAN HEALTH B 13000000 COST MIDMICHIGAN MEDICAL CENTER - GRATIOT A 77357 COST MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES K 2222319 COST MIDMICHIGAN HEALTH P 35079382 COST MIDMICHIGAN PHYSICIANS GROUP P 7660531 COST MIDMICHIGAN MEDICAL CENTER - CLARE Q 1754434 COST MIDMICHIGAN MEDICAL CENTER - GLADWIN Q 1112236 COST MIDMICHIGAN MEDICAL CENTER - WEST BRANCH Q 125348 COST MIDMICHIGAN PHYSICIANS GROUP Q 501461 COST MIDMICHIGAN MEDICAL CENTER - GRATIOT Q 3557789 COST MIDMICHIGAN MEDICAL CENTER - ALPENA Q 730371 COST MIDMICHIGAN HEALTH Q 215162 COST MIDMICHIGAN HEALTH FOUNDATION C 1197429 COST MIDMICHIGAN MEDICAL CENTER - WEST BRANCH R 138317 COST MIDMICHIGAN HEALTH R 125512 COST MIDMICHIGAN PHYSICIANS GROUP S 131510 COST