2020-05-15T14:13:17-05:00 2019-06-30 990 2018-07-01 381459397 MIDMICHIGAN VISITING NURSE ASSOCIATION MIDM 9898393181 3007 N SAGINAW RD MIDLAND MI 486404555 FRANCINE M PADGETT SENIOR VP & CFO 9898393181 2020-05-15 198.140.228.10 2020-05-15 14:13:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 402863DE1D58B7813072FE90D1EBF7EA8F9C073D 2018 2020-09-23 17:36:50Z MIDMICHIGAN HOME CARE CAROLE CALVERT-BAXTER 3007 N SAGINAW RD MIDLAND MI 486404555 24984463 0 X WWW.MIDMICHIGAN.ORG X 1941 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 12 0 263 81 0 0 0 0 22214860 23631875 600016 101404 255543 173084 23070419 23906363 0 0 0 0 13548466 13663795 0 0 0 9468209 10664610 23016675 24328405 53744 -422042 13436142 14041978 1355944 2104862 12080198 11937116 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 0 0 6589043 9061437 HOME HEALTH SERVICES - TO ENABLE PATIENTS TO BE AT HOME WHILE RECUPERATING AND RECEIVING QUALITY MEDICAL CARE. THIS INCLUDES NURSING SERVICES, SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES, AND SOCIAL WORK. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 55,967. 5094749 6499913 HOSPICE - PROVIDES PALLIATIVE CARE AND SUPPORTIVE SERVICES (PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL CARE) FOR DYING PATIENTS AND THEIR FAMILIES. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 24,605 4298868 5219790 HOME INFUSION - OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES. 3818646 2831434 HOME MEDICAL EQUIPMENT & PRIVATE DUTY 3818646 2831434 19801306 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 263 1 0 0 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 0 MI X FRANCINE M PADGETT 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X CAROLE CALVERT-BAXTER PRESIDENT 2.00 50.00 X X 0 257780 146745 GREGORY ROGERS CHAIR 2.00 64.00 X 0 668805 265423 RACHEL AULTMAN VICE CHAIR 2.00 50.00 X 0 122888 24540 PAUL BERG MD DIRECTOR 2.00 52.00 X 0 317212 38630 LEEANN CHADWICK DIRECTOR 2.00 50.00 X 0 0 0 ANN DULL DIRECTOR 2.00 50.00 X 0 149583 36031 NICOLE GILLETTE DIRECTOR 2.00 50.00 X 0 172337 38302 MARY GREELEY DIRECTOR 2.00 50.00 X 0 254701 84407 PANKAJ JANDWANI MD DIRECTOR 2.00 50.00 X 0 521414 20182 GLENN KING DIRECTOR 2.00 50.00 X 0 191564 33730 DEB POKORZYNSKI DIRECTOR 2.00 50.00 X 0 138588 119416 TAMMY TERRELL DIRECTOR 2.00 50.00 X 0 146249 24670 FRANCINE PADGETT SENIOR VP & CFO 2.00 68.00 X 0 560770 188336 DONNA RAPP SENIOR VP & SECRETARY 2.00 64.00 X 0 566427 494672 MARY GISSE PHARMACIST 50.00 0.00 X 143132 0 26413 ANGELA MILLER NP 50.00 0.00 X 113366 0 33816 PAULA STOPJIK QUALITY MANAGER 50.00 0.00 X 120654 0 21003 JAMES ROLLIN PHYSICAL THERAPIST 50.00 0.00 X 117524 0 7963 DANA GARAFALO HOME HEALTH DIRECTOR 50.00 0.00 X 116104 0 8705 610780 4068318 1612984 8 0 1 0 0 MEDICARE/MEDICAID 621610 17490199 17490199 NET PATIENT REVENUE 621610 6122376 6122376 CONTRACTED CLINICAL SERVICES 621610 19300 19300 23631875 99820 99820 1079684 1078100 1584 1584 1584 SUBSIDIARY RELATED INCOME 900099 166251 166251 OTHER INCOME 900099 6833 6833 173084 23906363 23804959 0 101404 10912795 8935823 1976972 354899 292554 62345 1608346 1274180 334166 787755 661249 126506 12743 12743 257852 156560 101292 7723 145 7578 1628422 1362172 266250 267584 72168 195416 666956 655334 11622 28943 11910 17033 175532 56357 119175 151600 151600 COST OF GOODS SOLD 4904932 4904932 SUBSIDIARY EXPENSES 991982 991982 CONTRACT SERVICES 837436 685017 152419 PATIENT CARE EXPENSE 732905 732905 24328405 19801306 4527099 0 1702 1129 1284647 375128 4481894 4388069 111288 106979 3875596 2537538 1432544 1338058 1664075 2352733 4459992 5479882 13436142 14041978 993942 1536231 242979 209608 119023 359023 1355944 2104862 X 12080198 11937116 12080198 11937116 13436142 14041978 X -422042 267156 11804 X X 0 1 X 1 0 X 88884 139069 227953 21092638 21944574 22629027 22214860 23631875 111512974 21181522 22083643 22629027 22214860 23631875 111740927 0 21357 99427 74141 194925 21357 99427 74141 194925 111546002 248388 272708 122532 81052 99820 824500 248388 272708 122532 81052 99820 824500 8358 41930 206944 255543 173085 685860 21438268 22398281 22958503 22551455 23904780 113251287 0.98490 0.98550 0.00730 0.00800 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FUNDS RELEASED FROM RESTRICTION FOR CHARITY CARE - 2014 AMOUNT: $ 8,358. 2015 AMOUNT: $ 41,930. 2016 AMOUNT: $ 206,944. 2017 AMOUNT: $ 255,543. 2018 AMOUNT: $ 173,085. 160000 160000 2055563 1098890 956673 1612866 1409716 203150 47167 28932 18235 1338058 OTHER FINANCIAL INVESTMENTS 5479882 F 5479882 SELF-INSURANCE, DEFERRED COMP, OTHER 359023 359023 X X X X X 0 1 0 0 0 0 0 1 0 CAROLE CALVERT-BAXTER PRESIDENT 0 214659 0 39570 0 3551 0 129357 0 17388 0 404525 0 0 GREGORY ROGERS CHAIR 0 515014 0 124421 0 29370 0 240380 0 25043 0 934228 0 0 PAUL BERG MD DIRECTOR 0 285875 0 30962 0 375 0 19339 0 19291 0 355842 0 0 ANN DULL DIRECTOR 0 127513 0 15800 0 6270 0 18029 0 18002 0 185614 0 0 NICOLE GILLETTE DIRECTOR 0 163322 0 25 0 8990 0 19832 0 18470 0 210639 0 0 MARY GREELEY DIRECTOR 0 211769 0 41924 0 1008 0 70940 0 13467 0 339108 0 0 PANKAJ JANDWANI MD DIRECTOR 0 412978 0 107207 0 1229 0 13765 0 6417 0 541596 0 0 GLENN KING DIRECTOR 0 162448 0 20367 0 8749 0 9880 0 23850 0 225294 0 0 DEB POKORZYNSKI DIRECTOR 0 121328 0 9571 0 7689 0 106371 0 13045 0 258004 0 0 TAMMY TERRELL DIRECTOR 0 134114 0 10991 0 1144 0 9262 0 15408 0 170919 0 0 FRANCINE PADGETT SENIOR VP & CFO 0 446928 0 89748 0 24094 0 173907 0 14429 0 749106 0 0 DONNA RAPP SENIOR VP & SECRETARY 0 347628 0 69489 0 149310 0 484198 0 10474 0 1061099 0 139268 MARY GISSE PHARMACIST 133806 0 250 0 9076 0 7511 0 18902 0 169545 0 0 0 PART I, LINE 4B: ROGERS, CALVERT-BAXTER, BERG, PADGETT AND RAPP 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 WELL AS 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. 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 GAURANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY THE CORPORATE CONTROLLER AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND CFO. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS NOT MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS BECAUSE THE BOARD IS COMPRISED OF INTERNAL EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER, THEREFORE THESE RETURNS ARE REVIEWED BY THE MIDMICHIGAN HEALTH CEO AND CFO PRIOR TO FILING. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND CFO. 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. 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 THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). ALL OFFICERS 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. PART VII, SECTION B, LINE 1 INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII, LINE 4: NO DIRECTORS RECEIVED PAY FOR THE PURPOSE OF SERVING ON THE BOARD IN 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 XI, LINE 9: TRANSFER FROM SUBSIDIARY 11,804. MIDMICHIGAN HEALTH 4000 WELLNESS DR MIDLAND MI 48670 382459948 SUPPORT MI 501(C)(3) LINE 12A, I 0 MIDMICHIGAN MEDICAL CENTER - MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501(C)(3) LINE 3 MIDMICHIGAN HEALTH 1 MIDMICHIGAN MEDICAL CENTER - 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 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 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 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 MIDMICHIGAN HEALTH FOUNDATION C 166251 COST MIDMICHIGAN HEALTH P 985982 COST