MYMICHIGAN MEDICAL CENTER WEST BRANCH: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER WEST BRANCH (EIN 46-4088182)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-08
- IRS object ID
- 202031909349301583
- Schema version
- 2018v3.2
- 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 B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-08T15:38:47-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | 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 | 600 E FRONT ST STE 300 | AddressLine1Txt |
| City | TRAVERSE CITY | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49686 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464088182 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER-WEST BRANCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9893453660 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 S M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHARINE KOHR | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9893453660 | PhoneNum |
| Signature | 2020-06-22 | 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 | 2319477800 | PhoneNum |
| Preparation | 2020-06-22 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.161.36.242 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-22 | IPDt |
| IP Tm | 12:38:38 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EBB51160BF2136090E0706D858221EDFD566B897 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAY STOVER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 S M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $52,681,740 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MIDMICHIGAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF MIDMICHIGAN MEDICAL CENTER-WEST BRANCH IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 435 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $191,541 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $182,734 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $260 | PYContributionsGrantsAmt |
| CY Contributions Grants | $324,057 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,777,833 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,287,839 | CYProgramServiceRevenueAmt |
| PY Investment Income | $84,026 | PYInvestmentIncomeAmt |
| CY Investment Income | $390,102 | CYInvestmentIncomeAmt |
| PY Other Revenue | $156,600 | PYOtherRevenueAmt |
| CY Other Revenue | $652,988 | CYOtherRevenueAmt |
| PY Total Revenue | $12,018,719 | PYTotalRevenueAmt |
| CY Total Revenue | $52,654,986 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,774 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,670 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,790,247 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,872,741 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,518,415 | PYOtherExpensesAmt |
| CY Other Expenses | $34,015,357 | CYOtherExpensesAmt |
| PY Total Expenses | $12,312,436 | PYTotalExpensesAmt |
| CY Total Expenses | $55,897,768 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$293,717 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,242,782 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $52,202,850 | TotalAssetsBOYAmt |
| Total Assets EOY | $54,613,510 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $37,828,108 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,446,591 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,374,742 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,166,919 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF MIDMICHIGAN MEDICAL CENTER-WEST BRANCH IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $43,939,908 | ExpenseAmt |
| Grant | $9,670 | GrantAmt |
| Revenue | $51,287,839 | RevenueAmt |
| Desc | PROVIDED NURSING AND PROFESSIONAL SERVICES FOR ACUTE INPATIENTS, EMERGENCY, AND OUTPATIENTS IN A RURAL AREA DURING THE FISCAL YEAR ENDING JUNE 30, 2019. INPATIENT SERVICES WERE PROVIDED TO 2,236 PATIENTS TOTALING 7,729 DAYS OF CARE. 63,167 PATIENTS RECEIVED OUTPATIENT SERVICES, AND EMERGENCY ROOM VISITS TOTALED 14,738. | Desc |
| Total Program Service Expenses | $43,939,908 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 435 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHARINE KOHR | PersonNm |
| Phone | 9893433228 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 S M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| J DANIEL STONEBACK | ||||||||
| CHAIRPERSON | 10.00 | 2.00 | Yes (X) | Yes (X) | $950 | $0 | $0 | |
| E ARNOLD ENGSTER | ||||||||
| SECRETARY | 5.00 | 0.00 | Yes (X) | Yes (X) | $700 | $0 | $0 | |
| JACQUIE KATTERMAN | ||||||||
| TREASURER | 5.00 | 0.00 | Yes (X) | Yes (X) | $350 | $0 | $0 | |
| JEFFREY GODFREY | ||||||||
| VICE-CHAIRPERSON | 5.00 | 0.00 | Yes (X) | Yes (X) | $550 | $0 | $0 | |
| ROBERT MCGRAIL | ||||||||
| PRESIDENT | 40.00 | 10.00 | Yes (X) | Yes (X) | $370,281 | $0 | $38,888 | |
| MARK WEBER MD | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH PESZKO | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $400 | $0 | $0 | ||
| EDWARD NAPIERALA | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $300 | $0 | $0 | ||
| KEVIN ELLIOTT | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $450 | $0 | $0 | ||
| ALAN BRUDER | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $450 | $0 | $0 | ||
| RICHARD BACHELDER | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $550 | $0 | $0 | ||
| PATSY HARDAWAY | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $450 | $0 | $0 | ||
| THOMAS KISH | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $500 | $0 | $0 | ||
| DIANE POSTLET-SLATTERY | ||||||||
| TRUSTEE | 2.00 | 50.00 | Yes (X) | $0 | $1,005,371 | $196,197 | ||
| GREGORY ROGERS | ||||||||
| TRUSTEE | 2.00 | 50.00 | Yes (X) | $0 | $668,805 | $265,423 | ||
| FRANCINE PADGETT | ||||||||
| SECRETARY/TREASURER | 2.00 | 50.00 | Yes (X) | $0 | $560,770 | $188,336 | ||
| KATHARINE KOHR | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 10.00 | Yes (X) | $244,385 | $0 | $15,231 | ||
| NICOLE GILLETTE | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 2.00 | Yes (X) | $183,562 | $0 | $27,077 | ||
| JILL JENNINGS MD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $137,822 | $0 | $0 | Yes (X) | ||
| KENT ALLEN | ||||||||
| DIRECTOR HUMAN RESOURCES | 40.00 | 0.00 | $141,405 | $0 | $12,153 | Yes (X) | ||
| LISA WARACK | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | 0.00 | $112,179 | $0 | $7,429 | Yes (X) | ||
| PETER WHYTE | ||||||||
| DIRECTOR INFORMATION TECHNOLOGY | 40.00 | 0.00 | $114,395 | $0 | $14,494 | Yes (X) | ||
| THOMAS OESCH | ||||||||
| DIRECTOR IMAGING | 40.00 | 0.00 | $102,287 | $0 | $22,406 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,411,966 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,234,946 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $787,634 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THREE RIVERS CORPORATION | |||||
| 3069 E VANTAGE POINT DR | MIDLAND | MI | 48642 | CONSTRUCTION | $2,296,953 |
| GREATER MIDLAND EMERGENCY PHYSICIANS | |||||
| PO BOX 2579 | MIDLAND | MI | 48641 | E.R. PHYSICIANS | $1,735,880 |
| PHARMACY SYSTEMS INC | |||||
| 5050 BRADENTON AVE | DUBLIN | OH | 43017 | PHARMACY STAFFING/MANAGEMENT | $949,213 |
| PSI REHAB SERVICES | |||||
| 5050 BRADENTON AVE | DUBLIN | OH | 43017 | PHYS, OCC & SPEECH THERAPY | $820,024 |
| COMPUTER PROGRAMS AND SYSTEMS INC | |||||
| 6600 WALL ST | MOBILE | AL | 36695 | SOFTWARE/HARDWARE MAINTENANCE | $812,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $324,057 | AllOtherContributionsAmt |
| Total Contributions | $324,057 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $51,132,380 | $51,132,380 |
| OTHER RELATED REVENUE | 621110 | $155,459 | $155,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,287,839 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $405,620 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $191,541 | UnrelatedBusinessRevenueAmt |
| Exclusion | $214,079 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $445,440 | 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 | $445,440 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $445,440 | TotalRevenueColumnAmt |
| Exclusion | $445,440 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,273 | SecuritiesAmt |
| Other | $963 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $26,754 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,273 | SecuritiesAmt |
| Other | -$25,791 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,518 | TotalRevenueColumnAmt |
| Exclusion | -$15,518 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA REVENUE | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $207,548 | TotalRevenueColumnAmt |
| Exclusion | $207,548 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $207,548 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,654,986 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,287,839 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $191,541 | UnrelatedBusinessRevenueAmt |
| Exclusion | $851,549 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,670 | TotalAmt |
| Program Services | $9,670 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,143 | TotalAmt |
| Management And General | $699,143 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,616,523 | TotalAmt |
| Program Services | $11,646,738 | ProgramServicesAmt |
| Management And General | $3,969,785 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,372,062 | TotalAmt |
| Program Services | $3,496,370 | ProgramServicesAmt |
| Management And General | $875,692 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,013 | TotalAmt |
| Program Services | $950,114 | ProgramServicesAmt |
| Management And General | $234,899 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,650 | TotalAmt |
| Management And General | $68,650 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,237,233 | TotalAmt |
| Program Services | $8,240,025 | ProgramServicesAmt |
| Management And General | $997,208 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,460 | TotalAmt |
| Management And General | $10,460 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,405 | TotalAmt |
| Program Services | $685,041 | ProgramServicesAmt |
| Management And General | $169,364 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,123 | TotalAmt |
| Program Services | $20,121 | ProgramServicesAmt |
| Management And General | $26,002 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,346 | TotalAmt |
| Management And General | $379,346 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,993,827 | TotalAmt |
| Program Services | $2,405,663 | ProgramServicesAmt |
| Management And General | $588,164 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,972 | TotalAmt |
| Program Services | $19,174 | ProgramServicesAmt |
| Management And General | $135,798 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $13,833,399 | $13,240,402 | $592,997 |
| REPAIRS & MAINTENANCE | $2,094,626 | $1,194,765 | $899,861 |
| PROVISION FOR BAD DEBTS | $1,952,791 | $1,952,791 | |
| QAAP PROVIDER TAXES | $1,390,855 | $1,390,855 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,670 | TotalAmt |
| Program Services | $79,034 | ProgramServicesAmt |
| Management And General | $919,636 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,897,768 | TotalAmt |
| Program Services | $43,939,908 | ProgramServicesAmt |
| Management And General | $11,957,860 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,010,733 | BOYAmt |
| EOY | $2,202,619 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,938,434 | BOYAmt |
| EOY | $10,498,019 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,395,017 | BOYAmt |
| EOY | $3,851,960 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $602,731 | BOYAmt |
| EOY | $309,031 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,475,408 | BOYAmt |
| EOY | $402,100 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,803,849 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,418,109 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,146,895 | BOYAmt |
| EOY | $36,385,740 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,819 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,685 | BOYAmt |
| EOY | $640,250 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,128 | BOYAmt |
| EOY | $323,791 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,202,850 | BOYAmt |
| EOY | $54,613,510 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,679,683 | BOYAmt |
| EOY | $4,406,876 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,782,367 | BOYAmt |
| EOY | $2,623,234 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,053,256 | BOYAmt |
| EOY | $11,388,589 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,312,802 | BOYAmt |
| EOY | $20,027,892 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,828,108 | BOYAmt |
| EOY | $38,446,591 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,374,742 | BOYAmt |
| EOY | $16,166,919 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,374,742 | BOYAmt |
| EOY | $16,166,919 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,202,850 | BOYAmt |
| EOY | $54,613,510 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,242,782 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $431,539 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,603,420 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,189,302 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,899 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,206,201 | GrantsOrScholarshipsAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,192,529 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,573 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $10,800 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,189,302 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,173,327 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $30,402 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $11,200 | GrantsOrScholarshipsAmt |
| End Year Balance | $1,192,529 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,166,036 | BeginningYearBalanceAmt |
| Contributions | $7,440 | ContributionsAmt |
| Investment Earnings Or Losses | $29,831 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $16,950 | GrantsOrScholarshipsAmt |
| Other Expenditures | $13,030 | OtherExpendituresAmt |
| End Year Balance | $1,173,327 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,772 | BeginningYearBalanceAmt |
| Contributions | $109,518 | ContributionsAmt |
| Investment Earnings Or Losses | $27,205 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $3,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $102,459 | OtherExpendituresAmt |
| End Year Balance | $1,166,036 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,290,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,290,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,876,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,577,908 | DepreciationAmt |
| Book Value | $21,298,386 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $320,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,999 | DepreciationAmt |
| Book Value | $255,305 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,448,932 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,109,332 | DepreciationAmt |
| Book Value | $6,339,600 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,868,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $665,870 | DepreciationAmt |
| Book Value | $7,202,449 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $36,385,740 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| COST REPORT SETTLEMENT PAYABLE | $2,592,311 |
| ACCRUED POST-RETIREMENT BENEFIT | $8,756,380 |
| PENSION OBLIGATION | $6,654,035 |
| ASBESTOS RETIREMENT OBLIGATION | $665,871 |
| OTHER LONG TERM LIABILITIES | $1,359,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,027,892 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MIDMICHIGAN HEALTH AND ALL SUBSIDIARIES, EXCEPT MHDA, MCCO, AND MIDMICHIGAN HEALTH PAIN MANAGEMENT, HAVE BEEN RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXES UNDER PROVISIONS OF THE INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN IRC SECTION 501(C)(3). ALL OF THESE EXEMPT ORGANIZATIONS ARE CLASSIFIED AS PUBLIC CHARITIES. MHDA IS EXEMPT FROM FEDERAL INCOME TAXES UNDER PROVISIONS OF IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(2). MCCO IS A SINGLE-MEMBER LIMITED LIABILITY COMPANY, AND THE MAJORITY OF ITS ACTIVITY IS CONSIDERED EXEMPT FROM TAX SINCE IT IS CONDUCTED BY MIDMICHIGAN HEALTH. MIDMICHIGAN HEALTH PAIN MANAGEMENT IS A TWO-MEMBER FOR-PROFIT LIMITED LIABILITY COMPANY, IN WHICH MIDMICHIGAN HEALTH HOLDS A 51% MAJORITY INTEREST. MIDMICHIGAN HEALTH'S SHARE OF THIS INCOME IS CONSIDERED EXEMPT FROM TAX. MIDMICHIGAN HEALTH DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2019 AND 2018. | ExplanationTxt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| 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 | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,526 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,187,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,271,268 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,916,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,336,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,271,268 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,064,901 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05690 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,370 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,170 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,390 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $47,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,383,559 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,271,268 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,112,291 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05780 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 280 | PersonsServedCnt |
| Total Community Benefit Expns | $6,373 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,373 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 90 | PersonsServedCnt |
| Total Community Benefit Expns | $27,166 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $6,655 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,960 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,960 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 50 | ActivitiesOrProgramsCnt |
| Persons Served | 390 | PersonsServedCnt |
| Total Community Benefit Expns | $48,053 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $48,053 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,952,791 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $330,022 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $24,743,170 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,966,316 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,223,146 | 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 |
| 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-WEST BRANCH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 S M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | MIDMICHIGAN.ORG | WebsiteAddressTxt |
| State License | 1060000046 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| 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-WEST BRANCH | 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 | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://TINYURL.COM/Y7Q22LQC | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://TINYURL.COM/Y7Q22LQC | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | 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 | HTTPS://TINYURL.COM/YCE9OKRM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://TINYURL.COM/YCE9OKRM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://TINYURL.COM/YCE9OKRM | 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-WEST BRANCH | PART V, SECTION B, LINE 5: IN MAY 2016, MICHIGAN CENTER FOR RURAL HEALTH, WEST BRANCH REGIONAL MEDICAL CENTER AND DISTRICT HEALTH DEPARTMENT NO. 2 COLLABORATED TO DEVELOP AND DISTRIBUTE THE COMMUNITY HEALTH NEEDS ASSESSMENT. A PROCESS WAS DEVELOPED FOR THE AREA THAT PROVIDED CONSISTENT DATA COLLECTION, WHICH WOULD PROVIDE COUNTY AND REGIONAL AGGREGATION OF DATA. IN ADDITION TO THE LOCAL HOSPITAL PLANS AND ACTIVITIES, THIS PROCESS WOULD AFFORD GREATER IMPACT OF COUNTYWIDE AND REGIONAL PROJECTS AND INITIATIVES.DISTRIBUTION OF SURVEYS WAS INTENTIONALLY PLANNED TO INCLUDE INDIVIDUALS FROM VULNERABLE POPULATION GROUPS: SENIOR CITIZENS, UNDERRESOURCED FAMILIES, VETERANS, YOUTH AND WOMEN. DATA ANALYSIS INCLUDED CROSS TABULATION OF RESULTS FOR VULNERABLE POPULATIONS. HOSPITALS INVITED A VARIETY OF INDIVIDUALS THAT REPRESENTED MULTIPLE SECTORS OF INDUSTRY, AGE AND HEALTH CONDITIONS FOR THE FOCUS GROUP.SAMPLE/TARGET POPULATION: THE WEST BRANCH REGIONAL MEDICAL CENTER AND DISTRICT HEALTH DEPARTMENT NO 2 CHNA COLLABORATION MEMBERS DECIDED TO USE NON-PROBABILITY SAMPLING, COMBINING CONVENIENCE SAMPLING WITH PURPOSIVE (JUDGMENTAL) SAMPLING. IN A CONVENIENCE SAMPLE, RESPONDENTS CAN BE ANYONE WHO COMES INTO CONTACT WITH THE RESEARCHER OR HAS ACCESS TO THE SURVEY. THIS COULD RANGE FROM PEOPLE ON A STREET CORNER, IN A MALL OR THOSE WHO CAME ACROSS THE SURVEY ONLINE. SINCE EACH HOSPITAL USED THE SAME SURVEY METHODOLOGY, THE RESULTS CAN BE ANALYZED AND COMPARE. ALTHOUGH THE FINDINGS CANNOT BE GENERALIZED, THEY CAN POINT OUT COMMON NEEDS AND SOLUTIONS.FOCUS GROUPS WERE CONDUCTED IN A STANDARD FORMAT ACROSS THE TWO COUNTIES. THE FACILITATOR FOLLOWED A SCRIPT (SEE APPENDIX E) AND ENGAGED THE GROUP IN SEVERAL PROCEDURES, INCLUDING ASKING PARTICIPANTS TO REVIEW AND COMMENT ON A LIST OF POTENTIAL HEALTH CONCERNS THAT MAY AFFECT THE COMMUNITY AS A WHOLE, USING STICKY NOTES ON AN EASEL PAD OR WALL AND GROUP DISCUSSION/BRAINSTORMING. FOCUS GROUP NOTES WERE RECORDED AND CODED BY THE MICHIGAN CENTER FOR RURAL HEALTH (MCRH) WITH SUMMARIES PROVIDED FOR ANALYSIS. |
| MIDMICHIGAN MEDICAL CENTER-WEST BRANCH | PART V, SECTION B, LINE 6B: MICHIGAN CENTER FOR RURAL HEALTH AND DISTRICT HEALTH DEPARTMENT NO. 2 |
| MIDMICHIGAN MEDICAL CENTER-WEST BRANCH | PART V, SECTION B, LINE 11: A CHNA HELPS DIRECT RESOURCES TO THE ISSUES THAT HAVE THE GREATEST POTENTIAL FOR IMPROVING THE HEALTH OF THE COMMUNITY. SUCCESSFULLY ADDRESSING PRIORITY ISSUES INCREASES LIFE EXPECTANCY, IMPROVES QUALITY OF LIFE AND RESULTS IN A SAVINGS TO THE HEALTHCARE SYSTEM.WEST BRANCH REGIONAL MEDICAL CENTER BEGAN THE PRIORITIZATION PROCESS BY REVIEWING THE DATA DESCRIBED IN THE FINDINGS SECTION OF THE REPORT. THE IMPLEMENTATION MEETING INCLUDED APPROXIMATELY 30 PARTICIPANTS, WITH MEMBERS FROM THE FIRST FOCUS GROUP AND HOSPITAL EMPLOYEES (DEPARTMENT MANAGERS AND HOSPITAL LEADERSHIP). THE MEETING PARTICIPANTS ALSO REVIEWED THE LIST OF CONCERNS REVEALED IN FOCUS GROUPS. THE MEETING PARTICIPANTS USED A PRIORITIZATION PROCESS THAT INCLUDED ANALYSIS OF ISSUES LOCATED IN MULTIPLE DATA SOURCES. THE COMMUNITY HEALTH TEAM, MIDMICHIGAN HEALTH LEADERSHIP, POPULATION HEALTH TEAM, AND RESPECTIVE COMMUNITY GROUPS USED MICHIGAN STATE BENCHMARKS TO COMPARE THE DATA FOUND. WHEN UNACCEPTABLE HEALTH SURFACED FROM ANALYSIS OF QUALITATIVE DATA, AND/OR POOR PERFORMANCE OF QUANTITATIVE DATA THROUGH COMPARING LOCAL DATA AGAINST MICHIGAN STATE BENCHMARKS, AN AREA OF HEALTH CONCERN WAS DETERMINED.PRIORITY ISSUES FOR THE POPULATIONS SERVED BY MIDMICHIGAN MEDICAL CENTER - WEST BRANCH UNFOLDED IN THE CHNA REPORT. THE PRIORITY AREAS BASED UPON THE PRIORITIZED NEEDS IDENTIFIED IN THE CHNA AND REVIEWED BY THE MIDMICHIGAN MEDICAL CENTER - WEST BRANCH BOARD ON OCTOBER 22, 2018 FOLLOWS:1. SUBSTANCE USE. PROJECTS THAT ALIGN WITH REDUCING SUBSTANCE USE IN THE COMMUNITY.A. COLLABORATION WITH THE DRUG FREE COALITION TO DISSEMINATE SUBSTANCE USE MESSAGESB. THE LAUNCHING OF PROJECT ASSERT WITHIN THE MEDICAL CENTER'S EMERGENCY DEPARTMENT.C. PARTNERING WITH SCHOOLS TO EDUCATE ON THE DANGERS OF DRUG USE AND VAPING.D. IMPLEMENT PAIN MANAGEMENT GROUP TO WEST BRANCH THAT GUIDE ALTERNATIVES TO OPIOIDS.E. EDUCATION SESSIONS WITH LOCAL ORGANIZATIONS AND EMPLOYEES2. ACTIVE/HEALTHY LIFESTYLES: A. GO OUTSIDE! INITIATIVE TO LOWER OBESITY RATES IN CHILDREN THROUGH EDUCATION AND COLLABORATION WITH COMMUNITY PARTNERS TO INCREASE ACCESS OF FRUITS AND VEGETABLES AND IMPROVE PHYSICAL ACTIVITY.B. ACTIVITY PROGRAMS FOR COMMUNITY TO INITIATE REGULAR PHYSICAL ACTIVITY.C. HEALTHY LIFESTYLE INFORMATION DISSEMINATION THROUGH PROVIDER OFFICES.D. PARTNERSHIP WITH LOCAL SCHOOLS FOR PROGRAM AND EDUCATION IMPLEMENTATION.E. EDUCATION SESSIONS WITH LOCAL ORGANIZATIONS AND EMPLOYEES3. ACCESS TO CARE: A. INCREASE SERVICES AND HEALTH CARE PROVIDER RECRUITMENT EFFORTS. B. PROMOTE PUBLIC TRANSPORTATION WHILE COLLABORATING TO OFFER 24 HOUR TRANSPORTATION SERVICE.C. IMPLEMENTATION OF TELEMEDICINE IN THE SURROUNDING COMMUNITIES.A STRATEGIC PLAN WAS DEVELOPED FOR THE ABOVE PROJECTS AS WELL AS OTHERS THAT EACH CONTAIN 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/31449/CHNA-WEST-BRANCH.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.THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE CHNA DUE TO LIMITED RESOURCES AND THE NEED TO ALLOCATE SIGNIFICANT RESOURCES TO THE PRIORITY NEEDS IDENTIFIED IN THE IMPLEMENTATION PLAN. |
| PART V, SECTION B, LINES 16A, 16B, AND 16C: | HTTPS://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/ |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,952,791. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MIDMICHIGAN MEDICAL CENTER-WEST BRANCH EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS AND WORK GROUPS. EXAMPLES INCLUDE PARTICIPATING IN STRATEGIC INITIATIVES FOR NON-PROFIT ORGANIZATIONS AND COALITIONS SUCH AS THE GREAT START COLLABORATIVE, OGEMAW COUNTY COUNCIL ON AGING, NORTHERN MICHIGAN VETERANS COALITION, COALITION OF HOPE, OGEMAW COUNTY TRUST AND ROSCOMMON COUNTY TRUST. FINANCIAL SUPPORT WAS PROVIDED FOR COMMUNITY SUPPORT ACTIVITIES THROUGH THE WEST BRANCH CHAMBER OF COMMERCE AND BOARD PARTICIPATION ON THE ECONOMIC DEVELOPMENT COMMITTEE IN WEST BRANCH. ENVIRONMENTAL IMPROVEMENTS WERE PROVIDED THROUGH THE BIOFEST PROGRAM, AND WORKING ALONGSIDE THE OPTIMIST CLUB, KIWANAS, OGEMAW COUNTY HABITAT FOR HUMANITY, AND WITHIN THE SCHOOLS FOR EDUCATION AND LEADERSHIP DEVELOPMENT. PHYSICAL IMPROVEMENTS AND HOUSING THROUGH VARIOUS JOB FAIRS, WEST BRANCH BUSINESS EXPO, TOLFREE WELLNESS PARK UPGRADES SUCH AS THE PARTNERSHIP WITH SAGINAW VALLEY STATE UNIVERSITY IN THE CONSTRUCTION AND UPKEEP OF THE COMMUNITY TEACHING GARDENS, COMMUNITY DOG PARK AND COMMUNITY/GROUP GARDENS WITHIN THE CITY OF WEST BRANCH. WORKFORCE DEVELOPMENT THROUGH WEST BRANCH-ROSE CITY SCHOOLS HEALTHCARE JOB SHADOWING PROGRAM, BIOFEST EDUCATION FOR ENGINEERING AND DESIGN CAREERS RELATING TO HEALTHCARE AND CLINICAL INSTRUCTION. MIDMICHIGAN MEDICAL CENTER WEST BRANCH IS A KEY PARTNER WITH THE UNITED WAY OF OGEMAW COUNTY, WHICH SUPPORTS THE WORK OF MANY NON-PROFIT AGENCIES IN OGEMAW COUNTY, INCLUDING 211 FIRST CALL FOR HELP, LOCAL YOUTH ORGANIZATIONS SUCH AS OPTIMIST AND KIWANAS, NEXT STEP PROGRAMS AND DISASTER RELIEF WITHIN OGEMAW COUNTY. |
| 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. |
| PART III, LINE 3: | THE AMOUNT OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY WAS AS ESTIMATE. THIS AMOUNT WAS CALCULATED BY MULTIPLYING THE BAD DEBT EXPENSE BY 16.9%. THIS ESTIMATE IS BASED ON THE AREA POVERTY RATE AS REPORTED IN THE 2018 CENSUS STATISTICS. |
| PART III, LINE 4: | PATIENT ACCOOUNTS RECEIVABLEPATIENT ACCOUTNS RECEIVABLE ARE STATED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHER INSURERS TO WHICH MIDMICHIGAN HEALTH EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS (DURING 2019) OR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS (DURING 2018) BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, MIDMICHIGAN HEALTH ANALYZES CONTRACTUALLY DUE AMOUNTS AND IMPLICIT PRICE CONCESSIONS (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY) TO RECORD RECEIVABLES AT THEIR ESTIMATED NET REALIZABLE VALUE. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENT WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). MIDMICHIGAN HEALTH RECORDS SIGNIFICANT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL EXPERIENCE.PATIENT FINANCIAL ASSISTANCEMIDMICHIGAN HEALTH ADMINISTERS A PATIENT FINANCIAL ASSISTNANT POLICY DESIGNED TO PROVIDE FINANCIAL ASSISTANCE FOR UNINSURED PATIENTS, AS WELL AS FOR INSURED PATIENTS WITH LIMITED RESOURCES. FOR UNINSURED PATIENTS WHO MEET THE QUALIFICATIONS STIPULATED IN MIDMICHIGAN HEALTH'S PATIENT FINANCIAL ASSISTANCE POLICY, EMERGENCY, AND OTHER MEDICALLY NECESSARY INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED AT NO COST. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FULL FINANCIAL ASSISTANCE, MIDMICHIGAN HEALTH OFFERS AN EXPLICIT PRICE CONCESSION OFF STANDARD RATES FOR SERVICES PROVIDED THAT RESULT IN NET CHARGES THAT DO NOT EXCEED TRADITIONAL MEDICARE PAYMENT RATES. MIDMICHIGAN HEALTH OFFERS A 40% DISCOUNT FOR ALL UNINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. THE DISCOUNT IS OFFERED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. INSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES MAY QUALIFY FOR FINANCIAL ASSISTANCE WITH DEDUCTIBLES, COINSURANCES, AND CO-PAYS. THE ACCOUNTS RECEIVABLE FROM PATIENT BALANCES REPRESENTED 46.5% AND 46.7% OF TOTAL ACCOUNTS RECEIVABLE AT JUNE 30, 2019 AND 2018 RESPECTIVELY. |
| PART III, LINE 8: | THE FOLLOWING COSTING METHOD OF COST TO CHARGE RATE IS USED: MEDICARE COSTS DIVIDED BY MEDICARE CHARGES. ANY SHORTFALLS CALCULATED ARE CONSIDERED TO BE COMMUNITY BENEFIT. |
| PART III, LINE 9B: | ANY PATIENT THAT IS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE RECEIVES PERSONAL ASSISTANCE AND SUPPORT IN OBTAINING THE INFORMATION NEEDED TO QUALIFY THEM FOR FULL OR PARTIAL DISCOUNTS DEPENDING ON THEIR INCOME LEVEL. IT IS, HOWEVER, THE PATIENT'S RESPONSIBILITY TO CONTACT THE PATIENT FINANCIAL COUNSELOR TO REQUEST AN APPLICATION FOR FINANCIAL ASSISTANCE. ATTEMPTS ARE ALSO MADE BY FINANCIAL ASSISTANCE PERSONNEL TO CONTACT ANY SELF PAY PATIENT IDENTIFIED TO DISCUSS PAYMENT OPTIONS AND DETERMINE IF THERE IS A NEED TO SEND THEM A FINANCIAL ASSISTANCE APPLICATION. BROCHURES ARE ALSO LOCATED THROUGHOUT THE HOSPITAL FOR THE PATIENT'S BENEFIT WHICH EXPLAIN THE FINANCIAL ASSISTANCE PROGRAM AND HOW TO APPLY. APPLICATIONS MAY ALSO BE DOWNLOADED FROM THE HOSPITAL'S WEBSITE. EVERY POSSIBLE ATTEMPT IS MADE TO HELP THE PATIENT RESOLVE THEIR ACCOUNT; HOWEVER, IF THE PATIENT DOES NOT FOLLOW THROUGH WITH THE APPLICATION PROCESS OR IS DENIED FINANCIAL ASSISTANCE, OR FAILS TO MAKE PAYMENT ON THEIR ACCOUNT, THE ACCOUNT WILL GO THROUGH THE SAME COLLECTION PROCESS AS ALL OTHER ACCOUNTS. |
| PART VI, LINE 2: | IN FY 19 MIDMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES WAS REFLECTED IN OUR MISSION, VALUES, AND VISION. WE PARTNERED WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. OUR HOSPITAL BOARDS ARE COMPRISED OF COMMUNITY MEMBERS WHO PROVIDE INPUT INTO THE COMMUNITY ENDEAVORS WE INSTITUTE. ADDITIONALLY, WE PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE SETON CANCER INSTITUTE, THE WEST BRANCH AREA COUNCIL ON AGING, COALITION OF HOPE, OGEMAW AND ROSCOMMON COUNTY TRUST, NORTHERN MICHIGAN CHILDREN'S ASSESSMENT CENTER, NORTHER MICHIGAN VETERANS COALITION AND THE TEN 16 RECOVERY NETWORK. WE ALSO PARTNER WITH THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THROUGH PARTICIPATION IN A REGIONAL POPULATION HEALTH TEAM. 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 SPECIALIST FOR MIDMICHIGAN MEDICAL CENTER WEST BRANCH IS AN ACTIVE MEMBER OF THE 2018-2021 MITHRIVE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT AND THE NORTHERN MICHIGAN CHILDREN'S ASSESSMENT CENTER. |
| PART VI, LINE 3: | IN FISCAL YEAR 2019, MIDMICHIGAN MEDICAL CENTER-WEST BRANCH PROVIDED FINANCIAL ASSISTANCE TO PATIENTS THAT MET ESTABLISHED INCOME, ASSET AND NEEDS CRITERIA. PATIENTS THAT FAILED TO SATISFY ESTABLISHED FINANCIAL ASSISTANCE CRITERIA WERE GIVEN AID IN OBTAINING FREE/LOW-COST HEALTH INSURANCE AND/OR HELP WITH ARRANGING A PAYMENT PLAN. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF MADE 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 PUBLIC IS MADE AWARE OF OUR FINANCIAL ASSISTANCE POLICY: - THROUGH BROCHURES AVAILABLE AT ALL MIDMICHIGAN MEDICAL CENTER-WEST BRANCH AND MIDMICHIGAN PHYSICIAN GROUP OFFICES, AS WELL AS THE EMERGENCY ROOM. - BY PATIENT ACCOUNTING COUNSELORS AND SOCIAL WORKERS, AND - ON THE PATIENT AND FINANCIAL ASSISTANCE PROGRAM WEBPAGE ON OUR WEBSITE (HTTPS://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/). |
| PART VI, LINE 4: | MIDMICHIGAN HEALTH IS A NON-PROFIT HEALTH SYSTEM, HEADQUARTERED IN MIDLAND, MICHIGAN, AFFILIATED WITH MICHIGAN MEDICINE, THE HEALTH CARE DIVISION OF THE UNIVERSITY OF MICHIGAN. MIDMICHIGAN HEALTH COVERS A 23-COUNTY REGION WITH MEDICAL CENTERS IN ALPENA, ALMA, CLARE, GLADWIN, MIDLAND, MT. PLEASANT AND WEST BRANCH. IN ADDITION TO ITS MEDICAL CENTERS, MIDMICHIGAN HEALTH ALSO OFFERS BOTH HOME HEALTH CARE AND PHYSICIAN SERVICES, AND HAS A STRONG COMMITMENT TO MEDICAL EDUCATION. MIDMICHIGAN PHYSICIANS GROUP PROVIDES URGENT CARE AND MEDICAL OFFICES IN MORE THAN 30 SPECIALTIES AND SUBSPECIALTIES INCLUDING CARDIOLOGY, HEMATOLOGY/ONCOLOGY, ORTHOPEDICS, VASCULAR SURGERY, FAMILY MEDICINE AND MORE. THE MIDMICHIGAN HEALTH FOUNDATION SUPPORTS PATIENTS AND FAMILIES SERVED BY MIDMICHIGAN HEALTH BY RAISING FUNDS FOR EQUIPMENT, SERVICES AND PROGRAMS. CURRENTLY, MIDMICHIGAN HAS MORE THAN 7,400 EMPLOYEES, VOLUNTEERS AND PHYSICIANS.MIDMICHIGAN MEDICAL CENTER - WEST BRANCH IS AN 88 LICENSED-BED ACUTE CARE FACILITY LOCATED ON 44 ACRES OF ROLLING COUNTRYSIDE IN NORTHEAST MICHIGAN. IT HAS THREE OPERATING SUITES, A 24-HOUR EMERGENCY DEPARTMENT AND A STATE-OF-THE-ART IMAGING DEPARTMENT. THE MEDICAL CENTER SERVES A BROAD REGION, WITH 30 ZIP CODES IN OGEMAW, OSCODA, ROSCOMMON, ARENAC AND IOSCO COUNTIES. MIDMICHIGAN MEDICAL CENTER WEST BRANCH HAS APPROXIMATELY 350 EMPLOYEES, 58 VOLUNTEERS, 25 ACTIVE STAFF PHYSICIANS, AS WELL AS 12 ASSOCIATE STAFF PHYSICIANS, 53 CONSULTING STAFF PHYSICIANS, 23 ALLIED HEALTH PROFESSIONALS AND 17 TELEMEDICINE PHYSICIANS.DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY: MIDMICHIGAN MEDICAL CENTER-WEST BRANCH IS LOCATED WITHIN WEST BRANCH, MICHIGAN. AS RURAL COMMUNITY HOSPITAL, MIDMICHIGAN MEDICAL CENTER-WEST BRANCH PROVIDES MEDICAL CARE TO OGEMAW, ARENAC, ROSCOMMON, IOSCO AND OSCODA COUNTIES; COMPRISED OF THE FOLLOWING 30 ZIP CODES: 48635 (LUPTON), 48654 (ROSE CITY), 48661 (WEST BRANCH), 48756 (PRESCOTT), 48761 (SOUTH BRANCH), 48610 (ALGER), 48658 (STANDISH), 48659 (STERLING), 48703 (AU GRES), 48749 (OMER), 48765 (TURNER) 48766 (TWINING), 48627 (HIGGINS LAKE), 48629 (HOUGHTON LAKE), 46830 (HOUGHTON LAKE HEIGHTS), 48651 (PRUDENVILLE), 48653 (ROSCOMMON), 48656 (SAINT HELEN), 48730 (EAST TAWAS), 48739 (HALE), 48743 (LONG LAKE) 48748 (NATIONAL CITY), 48750 (OSCODA), 48763 (TAWAS CITY), 48764 (TAWAS CITY), 48770 (WHITTEMORE), 48619 (COMINS), 48621 (FAIRVIEW), 48636 (LUZERNE) AND 48647 (MIO)COMMUNITY CHARACTERISTICS AND DEMOGRAPHICS AVERAGE TOTALS ACROSS ALL COMMUNITIES: TOTAL POPULATION - 93,234GEOGRAPHIC SERVICE AREA - RURAL AGE DEMOGRAPHICSPERSONS UNDER 5 YEARS - 4.6%PERSONS UNDER 18 YEARS - 17.5%PERSONS 65 YEARS & OLDER - 28%ETHNICITY & RACE DEMOGRAPHICSWHITE - 96.2% BLACK - 0.5%NATIVE AMERICAN - 1.0%ASIAN - 0.6%NATIVE HAWAIIAN/PACIFIC ISLANDER - 0.1%TWO OR MORE RACES - 1.6%HISPANIC/ LATINO - 2.1%SOCIOECONOMIC DEMOGRAPHICSMEDIAN HOUSEHOLD INCOME - $37,237PERSONS IN POVERTY - 16.9%CHILDREN IN POVERTY - 35%PEOPLE 65+ LIVING BELOW POVERTY - 7.9%ACCESS TO CARE DEMOGRAPHICSUNINSURED ADULTS - 15%UNINSURED CHILDREN - 5.6%% OF MEDICAID RECIPIENTS - 22.4%% OF MEDICARE RECIPIENTS - 37.8%MEDICALLY UNDERSERVED DESIGNATION - YES# OF NON-MIDMICHIGAN HEALTH HOSPITAL SERVING THE COMMUNITY - 2NOTE: THE SOURCES FOR EACH METRIC MENTIONED IN THE CHART ABOVE CAN BE FOUND IN MIDMICHIGAN MEDICAL CENTER-WEST BRANCH'S 2018 COMMUNITY HEALTH NEEDS ASSESSMENT AVAILABLE AT: HTTPS://WWW.MIDMICHIGAN.ORG/APP/FILES/PUBLIC/31449/CHNA-WEST-BRANCH.PDF |
| PART VI, LINE 5: | 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. A TOTAL OF $67,631.15 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER WEST BRANCH 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 COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES.IN FY 2019, 70 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE DIABETES EDUCATION AND NUTRITION/WEIGHT MANAGEMENT. 120 INDIVIDUALS WERE REACHED IN DIABETES SUPPORT GROUPS OFFERED BY MIDMICHIGAN MEDICAL CENTER-WEST BRANCH. THERE WERE 75 INDIVIDUALS WHO PARTICIPATED IN MENTAL HEALTH/DEPRESSION EDUCATION OFFERINGS. MORE THAN 1,035 INDIVIDUALS PARTICIPATED IN OUR GO OUTSIDE! PROGRAM THAT OFFERS SCREENINGS FOR HEART RISK, OVERWEIGHT AND OBESITY AND ALSO OFFERS GROUP AND ONE-ON-ONE EDUCATION SESSIONS THE REDUCE CHILDHOOD OBESITY.176 INDIVIDUALS PARTICIPATED IN MIDMICHIGAN MEDICAL CENTER-WEST BRANCH'S FREE SPORTS PHYSICAL DAY THAT PROVIDED SCREENING FROM SEVERAL PROVIDERS AND TESTED FOR POTENTIALLY SERIOUS HEALTH CONCERNS SUCH CVD RISK FACTORS, SCOLIOSIS, VISION, HEARING, HERNIA AND BALANCE TESTS.MIDMICHIGAN MEDICAL CENTER-WEST BRANCH EMPLOYEES VOLUNTEERED FOR HEALTH FAIRS 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 WELLNESS DRIVE | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 812813405 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $7,807 | CashGrantAmt |
| Purpose Of Grant | DONATION - MATCHING EMPLOYEE CONTRIBUTIONS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE MICHIGAH HEALTH FOUNDATION USES FUNDS ONLY IN SUPPORT OF OTHER MIDMICHIGAN HEALTH ENTITES IN ACCORDANCE WITH THEIR CHARITABLE MISSION AS A 501(C)(3). | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT MCGRAIL | ||||||||||||||
| PRESIDENT | $251,519 | $0 | $0 | $0 | $118,762 | $0 | $23,998 | $0 | $14,890 | $0 | $409,169 | $0 | $0 | $0 |
| DIANE POSTLET-SLATTERY | ||||||||||||||
| TRUSTEE | $0 | $780,909 | $0 | $219,617 | $0 | $4,845 | $0 | $175,750 | $0 | $20,447 | $0 | $1,201,568 | $0 | $0 |
| GREGORY ROGERS | ||||||||||||||
| TRUSTEE | $0 | $515,014 | $0 | $124,421 | $0 | $29,370 | $0 | $240,380 | $0 | $25,043 | $0 | $934,228 | $0 | $0 |
| FRANCINE PADGETT | ||||||||||||||
| SECRETARY/TREASURER | $0 | $446,928 | $0 | $89,748 | $0 | $24,094 | $0 | $173,907 | $0 | $14,429 | $0 | $749,106 | $0 | $0 |
| KATHARINE KOHR | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $196,829 | $0 | $0 | $0 | $47,556 | $0 | $8,890 | $0 | $6,341 | $0 | $259,616 | $0 | $0 | $0 |
| NICOLE GILLETTE | ||||||||||||||
| CHIEF NURSING OFFICER | $152,740 | $0 | $0 | $0 | $30,822 | $0 | $8,607 | $0 | $18,470 | $0 | $210,639 | $0 | $0 | $0 |
| KENT ALLEN | ||||||||||||||
| DIRECTOR HUMAN RESOURCES | $114,284 | $0 | $0 | $0 | $27,121 | $0 | $5,812 | $0 | $6,341 | $0 | $153,558 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MIDMICHIGAN HEALTH IS THE SOLE MEMBER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MIDMICHIGAN HEALTH BOARD SHALL ELECT INDIVIDUALS TO FILL EACH OPEN SEAT ON THE SUBSIDIARY BOARD CREATED BY THE EXPIRATION OF AN AT LARGE DIRECTOR'S TERM. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MIDMICHIGAN HEALTH BOARD SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS REQUIRED TO BE SUBMITTED TO A VOTE OF THE MEMBER(S) OF A MICHIGAN NONPROFIT CORPORATION UNDER APPLICABLE LAW. IN ADDITION, THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE EXCLUSIVELY RESERVED TO THE MIDMICHIGAN HEALTH BOARD: A. APPROVE ANY CHANGE IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; B. APPROVE ANY SALE, CONVEYANCES, ASSIGNMENTS, TRANSFERS, ALIENATIONS, PLEDGES OR OTHER ENCUMBRANCES OF ANY CORPORATION'S ASSETS, EXCEPT FOR SUCH TRANSACTION OR TRANSACTIONS OCCURRING IN THE ORDINARY COURSE OF BUSINESS VALUED, EITHER INDIVIDUALLY OR IN THE AGGREGATE, AT LESS THAN $100,000 OR WHICH HAVE BEEN APPROVED AS PART OF THE CORPORATION'S CAPITAL PLAN; C. APPROVE THE ANNUAL BUDGET AND ANY UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE MIDMICHIGAN HEALTH BOARD FOR SOLE MEMBER'S OTHER HOSPITALS, (THE CURRENT THRESHOLDS ARE AS FOLLOWS: ANNUAL UNBUDGETED OPERATING EXPENSES IN EXCESS OF $500,000 REQUIRE THE SOLE MEMBER'S CEO'S OR HIS OR HER DESIGNEE'S APPROVAL; CAPITAL EXPENDITURES GREATER THAN $1,000,000 REQUIRE APPROVAL OF THE CORPORATION BOARD AND THE SOLE MEMBER CORPORATE FINANCE COMMITTEE, AND CAPITAL EXPENDITURES GREATER THAN $5,000,000 REQUIRE APPROVAL BY THE MIDMICHIGAN HEALTH BOARD IN ADDITION TO RECEIVING APPROVAL OF THE CORPORATION BOARD AND THE SOLE MEMBER CORPORATE FINANCE COMMITTEE); D. GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; E. THE INCURRENCE BY THE CORPORATION OF ANY BORROWED MONEY; F. ANY LEASE OBLIGATION THAT IS OUTSIDE OF THE ORDINARY COURSE OF BUSINESS OR THAT IS IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY SOLE MEMBER FOR ITS OTHER HOSPITAL (WHICH AMOUNT AS OF FEBRUARY 2018, IS $500,000 IN AGGREGATE FOR THE ENTIRE LEASE TERM); AND G. ANY CORPORATE REORGANIZATION, MERGER, CONSOLIDATION, JOINT VENTURE, AFFILIATION, PARTNERSHIP, OR RISK-BASED OR COST-SHARING ARRANGEMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER PREPARATION OF THE RETURN BY A THIRD PARTY, IT WILL BE REVIEWED BY THE CEO, CFO, AND THE CORPORATE TAX DEPARTMENT. THE BOARD WILL BE NOTIFIED THAT A COPY OF THE FORM 990 IS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST FORM IS COMPLETED ANNUALLY AND MONITORED FOR COMPLIANCE BY ADMINISTRATION AND THE CHAIRMAN OF THE BOARD. WHEN A CONFLICT EXISTS, THE BOARD MEMBER WITH THE CONFLICT IS ALLOWED TO DISCUSS THE MATTER AT HAND, BUT IS NOT ALLOWED TO VOTE ON ANY CONFLICTED ITEM. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS SET AT MARKET VALUE, BASED ON MARKET STUDIES DONE BY A COMMITTEE OF THE BOARD OF DIRECTORS. THIS PROCESS WAS LAST UNDERTAKEN IN JULY 2017. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,240,025. MANAGEMENT AND GENERAL EXPENSES 997,208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,237,233. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT DUE TO AFFILIATION -1,235,995. PENSION-RELATED CHANGES -2,004,678. OPEB-RELATED CHANGES -1,282,907. EQUITY TRANSFER 9,127,000. |
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 HEALTH FOUNDATION | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | Yes (1) | MIDMICHIGAN HEALTH | |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | |||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 380833014 | 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 10 | Yes (1) | MIDMICHIGAN HEALTH | |
| HOSPICE OF HELPING HANDS INC | |||||||||||
| 322 W HOUGHTON AVE | WEST BRANCH | MI | 48661 | 382424475 | HOSPICE CARE | MI | 501(C)(3) | LINE 10 | Yes (1) | MIDMICHIGAN HEALTH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH PAIN MANAGEMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2463 SOUTH M-30 | AddressLine1Txt |
| City | WEST BRANCH | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 834186622 | EIN |
| Primary Activities | HEALTHCARE PAIN MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER-WEST BRANCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$26,754 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $96,951 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MIDMICHIGAN HEALTH | ||
| S | $9,127,000 | FMV |
| TOLFREE FOUNDATION | ||
| Q | $470,662 | FMV |
| HOSPICE OF HELPING HANDS INC | ||
| C | $182,239 | FMV |
Comments