2020-05-27T09:05:43-05:00 2019-06-30 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2018-07-01 380833014 MIDMICHIGAN MEDICAL CENTER - MIDLAND MIDM 9898393181 4000 WELLNESS DR MIDLAND MI 48670 FRANCINE M PADGETT SENIOR VP & CFO 9898393181 2020-05-27 1 DAVID LOWENTHAL P00378651 2483522500 2020-05-27 198.140.228.10 2020-05-27 09:05:39 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 402863DE1D58B7813072FE90D1EBF7EA8F9C073D 2018 2020-09-23 17:36:50Z GREGORY ROGERS 4000 WELLNESS DR MIDLAND MI 48670 572328781 0 X WWW.MIDMICHIGAN.ORG X 1940 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 15 12 2714 250 1202791 554816 2588030 2526782 404748065 468633014 37468405 6775626 13825102 5858913 458629602 483794335 214550 197100 0 0 144949028 153085528 0 0 339576 247449315 267233710 392612893 420516338 66016709 63277997 679353409 743891018 201695589 204005369 477657820 539885649 TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 0 0 358042025 471829857 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 14,548 PATIENT ADMISSIONS AND 280,933 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2019. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY. 197100 197100 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 358239125 1 1 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 2714 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X FRANCINE M PADGETT 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X AMY WILSON DIRECTOR 2.00 0.00 X 0 0 0 BARB HURLEY DIRECTOR 2.00 0.00 X 0 0 0 BILL COLLINS VICE CHAIR 2.00 0.00 X 0 0 0 BRIDGETTE GRANSDEN DIRECTOR 2.00 0.00 X 0 0 0 CHUCK KENDALL CHAIR 2.00 0.00 X 0 0 0 CLIFFORD BLOCK DIRECTOR 2.00 0.00 X 0 0 0 DIANE POSTLER-SLATTERY DIRECTOR 2.00 58.00 X 0 1005371 196197 ERICH KICKLAND MD DIRECTOR, PART-YEAR 2.00 0.00 X 0 0 0 GREG DORRIEN DIRECTOR 2.00 0.00 X 0 0 0 GREGORY ROGERS PRESIDENT 2.00 64.00 X X 0 668805 265423 JEFF NEWMAN MD DIRECTOR 2.00 0.00 X 0 0 0 JON LYNCH DIRECTOR, PART-YEAR 2.00 0.00 X 0 0 0 KENT BIDDINGER MD DIRECTOR 2.00 0.00 X 0 0 0 MARGARET THOMPSON MD DIRECTOR 2.00 0.00 X 0 0 0 PAULA NILES DIRECTOR 2.00 0.00 X 0 0 0 SHARON MORTENSEN DIRECTOR 2.00 0.00 X 0 0 0 SUSAN SALLACH MD DIRECTOR 2.00 50.00 X 0 668976 23893 DONNA RAPP SENIOR VP & SECRETARY 2.00 64.00 X 0 566427 494672 FRANCINE PADGETT SENIOR VP & CFO 2.00 68.00 X 0 560770 188336 DIANE NOLD VP 50.00 0.00 X 295391 0 140575 JANICE PENNEY VP & CNO 50.00 0.00 X 308006 0 208310 KELLY HILL MD MEDICAL DIRECTOR 50.00 0.00 X 276107 0 64176 MARGUERITTE KUHN MD VP MEDICAL AFFAIRS 50.00 0.00 X 287168 0 32047 MARK FIREMAN MD PHYSICIAN 50.00 0.00 X 535962 0 26880 MICHAEL ERICKSON VP 50.00 0.00 X 289366 0 49332 SASHA SAVAGE MD PHYSICIAN 50.00 0.00 X 270244 0 37147 2262244 3470349 1726988 141 0 1 0 0 2526782 2526782 MEDICARE/MEDICAID PAYMENTS 621990 261935900 261935900 PATIENT REVENUE, NET 621990 192524135 192524135 SUBSIDIARY RELATED INCOME 900099 7719873 7719873 340B PHARMACY REVENUE 900099 4944646 4944646 CONTRACTED CLINICAL SERVICES 621990 1508460 1508460 468633014 6997485 374909 6622576 88000 0 88000 88000 88000 88308806 3781 88179279 355167 129527 -351386 -221859 -221859 CAFETERIA/FOOD SERVICE 722514 1346104 1346104 REFERENCE LABORATORY 621500 476543 476543 FITNESS CENTER 624100 201949 201949 3746317 2821934 524299 400084 5770913 483794335 471829857 1202791 8234905 X 197100 197100 661955 661955 122844561 98883075 23722686 238800 5759266 4790564 960531 8171 15261397 11761002 3450620 49775 8558349 7072983 1466977 18389 558 558 678089 678089 35697729 25820313 9876351 1065 107836 59335 46728 1773 7105237 2532330 4557151 15756 294425 263061 30325 1039 5220658 3576928 1643730 306222 228291 73403 4528 388301 185728 202293 280 5977979 5977979 19286649 17414102 1872547 3526598 3526598 MEDICAL SUPPLIES 82481979 82481979 PURCHASED SERVICES 58033707 50110477 7923230 PHYSICIAN PRACTICE SUBS 43334765 43334765 EQUIPMENT MAINTENANCE 4332816 3088951 1243865 460162 460162 420516338 358239125 61937637 339576 10694 11245 8045514 893457 49160449 46370307 5895476 6057662 17835982 18872816 402100527 228955571 159021308 173144956 122592840 154077435 314828702 343024469 1962444 1438671 679353409 743891018 24046006 26940072 163598331 158106094 400002 0 13651250 18959203 201695589 204005369 X 477657820 539885649 477657820 539885649 679353409 743891018 X 63277997 19492105 -20542273 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1152894 1152894 243887475 117163293 126724182 23333178 13962336 9370842 129163952 97829942 31334010 4563028 4563028 173144956 HEDGE FUNDS 22405796 F BLACKROCK DOMESTIC EQUITY 83614199 F PARAMETRIC GLOBAL EQUITY 22495527 F ALLIANZ GLOBAL EQUITY 23167911 F BLACKROCK INTERNATIONAL 89487437 F BLACKROCK FIXED INCOME 49898237 F CLARION & CORNERSTONE 51955362 F 343024469 SELF- INSURANCE , DEF COMP, & ACC PEN 18959203 18959203 1 1 1 X 1 X 1 1 1 0 1 1 1 2287531 2287531 0.00540 1 60692032 54649336 6042696 0.01440 2 62979563 54649336 8330227 0.01980 1422 891930 605253 19335 585918 0.00140 13 957 12878889 7457311 5421578 0.01290 1 67860 67860 0.00020 5 89519 89519 0.00020 1441 892887 13641521 7476646 6164875 0.01470 1443 892887 76621084 62125982 14495102 0.03450 1 218 218 0.00000 1 5032 5032 0.00000 2 25091 25091 0.00010 1 914 914 0.00000 1 15602 15602 0.00000 6 42826 42826 0.00010 1 1 11597 11597 0.00000 14 198 15227 15227 0.00000 1 1987 1987 0.00000 28 199 118494 118494 0.00020 1 19331604 966580 131057797 111995833 19061964 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 18 1 0 0 1 X SEE SCHEDULE H, PART VI X 1 18 1 SEE SCHEDULE H, PART VI 0 1 X 150.000000000000 250.000000000000 X 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 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 COORDINATOR 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 COMPETITIVEADVANTAGE AND SUSTAINABILITY. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION. MIDMICHIGAN MEDICAL CENTER - MIDLAND PART V, SECTION B, LINE 11: I. OBESITYGOAL: ENCOURAGE HEALTHY WEIGHT AND PREVENT DISEASES ASSOCIATED WITH OBESITY.1. SUPPORT HEALTHY WEIGHT BEHAVIORS2. IMPLEMENT ACTIONS THAT PREVENT DEVELOPMENT OF DISEASE3. INCREASE AWARENESS ON THE IMPACT OF OBESITYII. MENTAL HEALTHGOAL: ENGAGE IN ACTIVE OUTREACH TO PROMOTE PREVENTION, PROVIDE EARLY INTERVENTION, AND INTEGRATE MENTAL HEALTH SERVICES.1. INCREASE AWARENESS2. IMPLEMENT SCREENINGS AND COURSE OF TREATMENT3. INCREASE AVAILABILITY OF SERVICESIII. ACCESS TO CAREGOAL: ENSURE MIDMICHIGAN HEALTH PROVIDES HEALTH CARE SERVICES THAT ARE TIMELY AND ACCESSIBLE.1. PROVIDE INFORMATION TO SUPPORT CARE ACCESS2. IMPROVE PROVIDER TO PATIENT COMMUNICATION3. CONTINUE PROJECTS TARGETED AT PREVENTABLE READMISSIONS FOR SELECTED DIAGNOSES4. INCREASE AVAILABILITY OF PROVIDERS AND SUPPORT WORKERSIV. SUBSTANCE ABUSEGOAL: PROVIDE COMPREHENSIVE SUBSTANCE USE ASSESSMENT, PREVENTION, TREATMENT, EDUCATION, AND SUPPORT.1. IMPLEMENT ACTIONS TO IDENTIFY AND TREAT SUBSTANCE USE2. ENGAGE THE COMMUNITY IN SUBSTANCE USE EDUCATION, PREVENTION, AND TREATMENT ACTIVITIESV. LUNG DISEASEGOAL: ENCOURAGE LUNG HEALTH AND PREVENT DEVELOPMENT OF LUNG DISEASE.1. IMPLEMENT A HEALTH SYSTEM WIDE APPROACH TO TOBACCO USE ASSESSMENT, PREVENTION, AND TREATMENT ACTIVITES2. REDUCE TOBACCO USE AND VAPING IN THE COMMUNITYVI. COLORECTAL CANCERGOAL: IMPROVE COLORECTAL CANCER SCREENING RATES.1. IMPLEMENT A MULTIDISCIPLINARY APPROACH TO COLORECTAL CANCER PREVENTION2. ENGAGE THE COMMUNITY IN COLORECTAL CANCER PREVENTION, EDUCATION, AND TREATMENT ACTIVITIES MIDMICHIGAN MEDICAL CENTER - MIDLAND PART V, SECTION B, LINE 13H: PATIENTS RELIGIOUS BELIEFS PREVENTS HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY. 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/ 14 1 - RIECKER SURGERY CENTER 4400 WELLNESS DR MIDLAND MI 48640 AMBULATORY SURGERY 2 - MIDMICHIGAN MED OFFICE - CAMPUS RIDGE I 4401 CAMPUS RIDGE DR MIDLAND MI 48640 REHABILITATION SERVICES & LABORATORY 3 - CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND MI 48640 MAMMOGRAPHY, BONE DENSITY, ULTRASOUND 4 - MPG CARDIOLOGY 301 W WACKERLY MIDLAND MI 48640 CARDIOLOGY DIAGNOSTIC SERVICES 5 - MIDMICHIGAN MED OFFICE - CAMPUS RIDGE II 4500 CAMPUS RIDGE DR MIDLAND MI 48640 INFUSION CENTER 6 - MIDMICHIGAN MED OFFICE - FREELAND 5694 MIDLAND RD FREELAND MI 48623 REHABILITATION SERVICES, LAB, RADIOLOGY 7 - MIDMICHIGAN MED OFFICE - MIDLAND 4009 ORCHARD DR MIDLAND MI 48640 PHYSICIAN OFFICE & LABORATORY 8 - MIDMICHIGAN MED OFFICE - EAST END 715 E MAIN ST SUITE 100 MIDLAND MI 48640 LABORATORY 9 - MIDMICHIGAN MED OFFICE - SANFORD 40 W SAGINAW RD SANFORD MI 48657 LABORATORY 10 - MIDLAND PROFESSIONAL SUITES 555 W WACKERLY ST MIDLAND MI 48640 REHABILITATION SERVICES, LAB, RADIOLOGY 11 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN 337 LEMKE ST MIDLAND MI 48642 REHABILITATION SERVICES 12 - MIDMICHIGAN MED OFFICE - AUBURN 929 W MIDLAND RD AUBURN MI 48611 LABORATORY 13 - ORTHOPEDIC CLINIC BUILDING 7101 W WACKERLY ST MIDLAND MI 48642 REHABILITATION SERVICES 14 - GASTROENTEROLOGYHEPATOLOGY ASSOCIATES 4230 BAY CITY RD MIDLAND MI 48642 LABORATORY 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 250% 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 II, COMMUNITY BUILDING ACTIVITIES: MIDMICHIGAN MEDICAL CENTER - MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. EXAMPLES INCLUDE CHAIRING THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY, AND PARTICIPATING IN STRATEGIC INITIATIVES FOR NON-PROFIT ORGANIZATIONS LIKE THE LEGACY CENTER, GREAT START COLLABORATIVE, AND THE MIDLAND COUNTY LOCAL EMERGENCY PLANNING COMMITTEE. ADDITIONALLY, MEMBERSHIP WORK ON THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT (CHAI) TEAM OF THE HEALTH AND HUMAN SERVICES COUNCIL INCLUDED DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR FOUR HEALTH IMPROVEMENT FOCUS AREAS: QUALITY OF LATER LIFE; SUBSTANCE USE DISORDER; BEHAVIORAL HEALTH AND HEALTHY WEIGHT. MIDLAND IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT, AND PROVIDES FINANCIAL SUPPORT FOR SMALL BUSINESSES AND WORK OF YOUNG COMMUNITY LEADERS. MIDMICHIGAN MEDICAL CENTER - MIDLAND IS A KEY PARTNER WITH THE UNITED WAY OF MIDLAND COUNTY, WHICH SUPPORTS THE WORK OF MANY NON-PROFIT AGENCIES IN MIDLAND COUNTY, INCLUDING 211 FIRST CALL FOR HELP, THE ROCK (REACHING OUR COMMUNITY KIDS) CENTER FOR YOUTH DEVELOPMENT AND THE SHELTERHOUSE. PART III, LINE 2: 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: MIDMICHIGAN MEDICAL CENTER - MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. . COMMUNITY HEALTH NEEDS WERE DETERMINED AND PRIORITIZED BY REVIEWING QUANTITATIVE AND QUALITATIVE DATA, AND RANKING HEALTH ISSUES ACCORDING TO FOCUS. WE INVESTIGATED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES. A GRID OF OVER 150 INDICATORS FROM 20 DIFFERENT PRIMARY AND SECONDARY SOURCES WAS UTILIZED TO BUILD THE DATA PLATFORM. DATA OUT OF NORMAL RANGE AGAINST A BENCHMARK WAS COMPARED TO CURRENT STANDARDS, THOSE OF OUR COMMUNITY HEALTH TEAM, POPULATION HEALTH COLLABORATIVE TEAM, AND THOSE OF OUR COLLABORATIVE PARTNERS AND COMMUNITY MEMBERS. IN ORDER TO DETERMINE CAUSES OF HEALTH PROBLEMS, DATA WAS CATEGORIZED INTO FOUR AREAS: 1. DETERMINANTS OF HEALTH; 2.CARE ACCESS; 3.HEALTH BEHAVIORS AND 4.HEALTH CONDITIONS. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. AREAS WHERE HEALTH ISSUES EXISTED WERE REVEALED IN TWO WAYS. FIRST, WHEN COMPARISON OF LOCAL QUANTITATIVE DATA INDICATORS AGAINST STATE OF MICHIGAN BENCHMARKS RESULTED IN POOR PERFORMANCE; AND WHEN THEMES OF UNACCEPTABLE HEALTH EMERGED FROM ANALYSIS OF QUALITATIVE DATA. PRIORITIZATION OCCURRED IN STAGES; INPUT WAS SOLICITED FROM THE COMMUNITY HEALTH TEAM, MIDMICHIGAN MEDICAL CENTER - MIDLAND LEADERSHIP TEAM, COMMUNITY HEALTH STAFF AND RESPECTIVE COMMUNITY GROUPS.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 IN MIDLAND, MICHIGAN HAS ESTABLISHED ITSELF AS A LEADER IN QUALITY STATE-OF-THE-ART HEALTH CARE. IN FACT, MIDMICHIGAN MEDICAL CENTER - MIDLAND WAS NAMED ONE OF THE TOP BEST HOSPITALS IN MICHIGAN BY THE U.S. NEWS & WORLD REPORT. THE MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION AND HAS DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS AN APPROVED COMMUNITY HOSPITAL CANCER PROGRAM AND ITS BREAST HEALTH PROGRAM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS.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 OF THE POPULATION. OF THE POPULATION, 91.5 PERCENT ARE WHITE AND 8.5 PERCENT ARE NON-WHITE. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE 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 MISSION, VALUES, AND VISION. WE PARTNER WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY. 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 $6,283,367 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER - MIDLAND IN 2019 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 WAS PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. IN FY 2019, 878,145 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS, AND SAFETY EDUCATION. 1,213 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR CANCER, PERIPHERAL ARTERY DISEASE, CHOLESTEROL AND OBESITY. 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 170 PEOPLE AND HAD 373 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS WITH MANY OF THESE PROGRAMS. TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA II CERTIFICATION WERE PROVIDED, INCLUDING 133 BIKE HELMET FITTINGS FOR CHILDREN, 522 THINK FIRST PARTICIPANTS AND FALL PREVENTION/INJURY PREVENTION TRAINING FOR 6 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. A TOTAL OF 6,830 INDIVIDUALS WERE PROVIDED GUIDANCE OR REFERRALS TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, AND 13 INDIVIDUALS WERE ASSISTED WITH ENROLLMENT IN PUBLIC, MEDICAL PROGRAMS. 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 - ALMA COLLEGE 1 400 N/A N/A N/A N/A SCHOLARSHIPS - ASPEN UNIVERSITY 10 7000 N/A N/A SCHOLARSHIPS - BALDWIN WALLACE UNIVERSITY 1 1250 N/A N/A N/A N/A N/A N/A SCHOLARSHIPS - CENTRAL MICHIGAN UNIVERSITY 11 18500 N/A N/A SCHOLARSHIPS - CHAMBERLAIN COLLEGE 1 350 N/A N/A SCHOLARSHIPS - CHAMBERLAIN UNIVERSITY 3 2200 N/A N/A SCHOLARSHIPS - FINLANDIA UNIVERSITY 1 200 N/A N/A SCHOLARSHIPS - COLORADO TECHNICAL UNIVERSITY 1 1400 N/A N/A SCHOLARSHIPS - DAVENPORT UNIVERSITY 13 14900 N/A N/A SCHOLARSHIPS - DELTA COLLEGE 3 1850 N/A N/A SCHOLARSHIPS - EASTERN MICHIGAN UNIVERSITY 13 16200 N/A N/A SCHOLARSHIPS - FERRIS STATE UNIVERSITY 20 25500 N/A N/A SCHOLARSHIPS - GRAND VALLEY STATE UNIVERSITY 5 5750 N/A N/A SCHOLARSHIPS - INDIANA STATE UNIVERSITY 1 400 N/A N/A SCHOLARSHIPS - HARVARD MEDICAL SCHOOL 1 3500 N/A N/A SCHOLARSHIPS - LOYOLA UNIVERSITY CHICAGO 1 1400 N/A N/A SCHOLARSHIPS - INDIANA UNIVERSITY 1 1500 N/A N/A SCHOLARSHIPS - INDIANA STATE UNIVERSITY 1 1400 N/A N/A SCHOLARSHIPS - MICHIGAN STATE UNIVERSITY 4 11000 N/A N/A MICHIGAN TECHNOLOGICAL COLLEGE 1 1000 N/A N/A SCHOLARSHIPS - MID MICHIGAN COMMUNITY COLLEGE 4 2000 N/A N/A SCHOLARSHIPS - LIBERTY UNIVERSITY 1 750 N/A N/A SCHOLARSHIPS - MIDWESTERN UNIVERSITY 1 2000 N/A N/A SCHOLARSHIPS - NORTHERN MICHIGAN UNIVERSITY 2 2800 N/A N/A SCHOLARSHIPS - ROSALIND FRANKLIN UNIVERSITY 1 1250 N/A N/A SCHOLARSHIPS - SAGINAW VALLEY STATE UNIVERSITY 26 24300 N/A N/A SCHOLARSHIPS - ROSS UNIVERSITY SCHOOL 1 3500 N/A N/A SCHOLARSHIPS - SALUS UNIVERSITY 1 1250 N/A N/A SCHOLARSHIPS - SOUTH DAKOTA STATE UNIVERSITY 1 2000 N/A N/A SCHOLARSHIPS - YORK COLLEGE SCHOOL OF 1 1500 N/A N/A SCHOLARSHIPS - TULANE UNIVERSITY 1 3500 N/A N/A SCHOLARSHIPS - UNIVERSITY OF CINCINNATI 2 3800 N/A N/A SCHOLARSHIPS - UNIVERSITY OF MICHIGAN 8 7250 N/A N/A SCHOLARSHIPS - UNIVERSITY OF TEXAS 2 1900 N/A N/A SCHOLARSHIPS - UNIVERSITY OF WISCONSIN 1 1500 N/A N/A SCHOLARSHIPS - UNIVERSITY OF WEST GEORGIA 2 1500 N/A N/A SCHOLARSHIPS - WALDEN UNIVERSITY 3 1500 N/A N/A SCHOLARSHIPS - WAYNE STATE UNIVERSITY 5 11000 N/A N/A SCHOLARSHIPS - WESTERN GOVENORS UNIVERSITY 7 3600 N/A N/A SCHOLARSHIPS - WESTERN MICHIGAN UNIVERSITY 2 4500 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 0 1 0 0 0 0 0 1 0 DIANE POSTLER-SLATTERY DIRECTOR 0 780909 0 219617 0 4845 0 175750 0 20447 0 1201568 0 0 GREGORY ROGERS PRESIDENT 0 515014 0 124421 0 29370 0 240380 0 25043 0 934228 0 0 SUSAN SALLACH MD DIRECTOR 0 658391 0 9373 0 1212 0 5515 0 18378 0 692869 0 0 DONNA RAPP SENIOR VP & SECRETARY 0 347628 0 69489 0 149310 0 484198 0 10474 0 1061099 0 139268 FRANCINE PADGETT SENIOR VP & CFO 0 446928 0 89748 0 24094 0 173907 0 14429 0 749106 0 0 DIANE NOLD VP 250748 0 40835 0 3808 0 124449 0 16126 0 435966 0 0 0 JANICE PENNEY VP & CNO 261227 0 42978 0 3801 0 190467 0 17843 0 516316 0 0 0 KELLY HILL MD MEDICAL DIRECTOR 266956 0 6675 0 2476 0 46016 0 18160 0 340283 0 0 0 MARGUERITTE KUHN MD VP MEDICAL AFFAIRS 249626 0 32964 0 4578 0 13765 0 18282 0 319215 0 0 0 MARK FIREMAN MD PHYSICIAN 395411 0 75000 0 65551 0 5515 0 21365 0 562842 0 0 0 MICHAEL ERICKSON VP 242645 0 40226 0 6495 0 29446 0 19886 0 338698 0 0 0 SASHA SAVAGE MD PHYSICIAN 242741 0 17925 0 9578 0 16600 0 20547 0 307391 0 0 0 PART I, LINE 1A: THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE COUNTRY CLUB DUES. MIDMICHIGAN MEDICAL CENTER - MIDLAND 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 PORTION OF THE PAYMENT ARE TREATED AS TAXABLE INCOME. ERICKSON, MICHAEL VP NOLD, DIANE VP THE ORGANIZATION ONLY REIMBURSES THE MONTHLY SOCIAL MEMBERSHIP (NO INITIATION DUES) OF LESS THAN $150 PER MONTH. PART I, LINE 4B: ROGERS, PADGETT, RAPP, POSTLER-SLATTERY, NOLD, ERICKSON, AND PENNEY ARE PARTICIPANTS IN A 457(F) PLAN. RAPP RECEIVED A PAYMENT IN 2018. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANT'S ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. 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 10932980 12763800 26670 2011 1 0 1 1 B 5169173 140550140 139294806 1255334 2014 0 1 1 1 C 5000000 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 1 0 0 0 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 0 B 0 C 0 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 2018. 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 PHYSICIAN SERVICE FEES - PROGRAM SERVICES $12,643,440 QAAP FEES - PROGRAM SERVICES $11,505,553 CONSULTING FEES - PROGRAM SERVICES $73,730 MGMT & GEN $7,348,762 OTHER PROFESSIONAL FEES PROGRAM SERVICES $1,597,590 MGMT & GEN $2,527,589 FUNDRAISING $1,065 FORM 990, PART XI, LINE 9: TRANSFER OF CAPITAL TO TAX EXEMPT ORGANIZATION -20,618,990. ADJUSTMENT TO RECORD FAS 158 LIABILITY 601,016. BOOK TAX DIFFERENCE FROM K-1 -524,299. 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 HOSPICE OF HELPING HANDS INC 322 W HOUGHTON AVE WEST BRANCH MI 48661 382424475 HOSPICE CARE MI 501(C)(3) LINE 10 MIDMICHIGAN HEALTH 1 MIDMICHIGAN HEALTH PAIN MANAGEMENT 2463 SOUTH M-30 WEST BRANCH MI 48661 834186622 HEALTHCARE PAIN MANAGEMENT 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 18856703 COST MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES B 1900000 COST MIDMICHIGAN HEALTH FOUNDATION C 1194078 COST MIDMICHIGAN MEDICAL CENTER - GRATIOT A 76776 COST MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES K 1719489 COST MIDMICHIGAN HEALTH P 33018201 COST MIDMICHIGAN PHYSICIANS GROUP P 6085267 COST MIDMICHIGAN MEDICAL CENTER - CLARE Q 1550307 COST MIDMICHIGAN MEDICAL CENTER - GLADWIN Q 989961 COST MIDMICHIGAN PHYSICIANS GROUP Q 509674 COST MIDMICHIGAN MEDICAL CENTER - GRATIOT Q 3018289 COST MIDMICHIGAN MEDICAL CENTER - ALPENA Q 476576 COST MIDMICHIGAN PHYSICIANS GROUP S 2031540 COST MIDMICHIGAN MEDICAL CENTER - GRATIOT S 55617 COST