MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-15
IRS object ID: 201911359349303336
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-15T09:47:59-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MIDM	BusinessNameControlTxt
Phone	9898393181	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCINE M PADGETT	PersonNm
Person Title	SENIOR VP & TREASURER	PersonTitleTxt
Phone	9898393181	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LOWENTHAL	PreparerPersonNm
PTIN	P00378651	PTIN
Phone	2483522500	PhoneNum
Preparation	2019-05-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	198.140.228.10	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-15	IPDt
IP Tm	09:47:55	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7FAC66E4E70B54B3E5CF01F975FBC9D7B709F5DD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7FAC66E4E70B54B3E5CF01F975FBC9D7B709F5DD	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$514,806,214	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MIDMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2773	TotalEmployeeCnt
Total Volunteers	294	TotalVolunteersCnt
Total Gross UBI	$1,168,447	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$778,643	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,294,902	PYContributionsGrantsAmt
CY Contributions Grants	$2,588,030	CYContributionsGrantsAmt
PY Program Service Revenue	$397,342,060	PYProgramServiceRevenueAmt
CY Program Service Revenue	$404,748,065	CYProgramServiceRevenueAmt
PY Investment Income	$8,698,100	PYInvestmentIncomeAmt
CY Investment Income	$37,468,405	CYInvestmentIncomeAmt
PY Other Revenue	$21,306,876	PYOtherRevenueAmt
CY Other Revenue	$13,825,102	CYOtherRevenueAmt
PY Total Revenue	$429,641,938	PYTotalRevenueAmt
CY Total Revenue	$458,629,602	CYTotalRevenueAmt
PY Grants And Similar Paid	$199,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$214,550	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$147,911,332	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$144,949,028	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$362,233	CYTotalFundraisingExpenseAmt
PY Other Expenses	$236,766,634	PYOtherExpensesAmt
CY Other Expenses	$247,449,315	CYOtherExpensesAmt
PY Total Expenses	$384,877,066	PYTotalExpensesAmt
CY Total Expenses	$392,612,893	CYTotalExpensesAmt
PY Revenues Less Expenses	$44,764,872	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$66,016,709	CYRevenuesLessExpensesAmt
Total Assets BOY	$643,461,500	TotalAssetsBOYAmt
Total Assets EOY	$679,353,409	TotalAssetsEOYAmt
Total Liabilities BOY	$203,092,467	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$201,695,589	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$440,369,033	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$477,657,820	NetAssetsOrFundBalancesEOYAmt
Mission	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	$317,618,139	ExpenseAmt
Revenue	$416,834,931	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 14,037 PATIENT ADMISSIONS AND 273,321 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2018. CARE IS PROVIDED WITHOUT RESPECT TO A PATIENT'S ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$214,550	ExpenseAmt
Grant	$214,550	GrantAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$317,832,689	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	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	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2773	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRANCINE M PADGETT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9898393181	PhoneNum

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	66.00	Yes (X)	$0	$1,580,139	$194,651
GREGORY ROGERS
PRESIDENT	2.00	56.00	Yes (X)	$0	$1,208,207	$304,711	Yes (X)
SUSAN SALLACH MD
DIRECTOR	2.00	50.00	Yes (X)	$0	$599,122	$24,516
KENT BIDDINGER MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
CLIFFORD BLOCK
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
BILL COLLINS
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
BRIDGETTE GRANSDEN
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
CHUCK KENDALL
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
ERICH KICKLAND MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
JON LYNCH
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
SHARON MORTENSEN
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
PAULA NILES
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
AMY WILSON
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
MARGARET THOMPSON MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
FRANCINE PADGETT
SENIOR VP & TREASURER	2.00	66.00		$0	$936,433	$193,322	Yes (X)
DONNA RAPP
SENIOR VP & SECRETARY	2.00	64.00		$0	$579,831	$216,812	Yes (X)
DIANE NOLD
VP	50.00	0.00		$330,932	$0	$108,517		Yes (X)
JANICE PENNEY
VP	50.00	0.00		$365,241	$0	$200,257		Yes (X)
MICHAEL ERICKSON
VP	50.00	0.00		$330,752	$0	$49,235			Yes (X)
JEFFERY HANOVER
CRNA	50.00	0.00		$258,844	$0	$20,512			Yes (X)
KELLY HILL MD
MEDICAL DIRECTOR	50.00	0.00		$267,535	$0	$60,653			Yes (X)
MARGUERITTE KUHN MD
PHYSICIAN	50.00	0.00		$315,640	$0	$32,736			Yes (X)
SASHA SAVAGE MD
PHYSICIAN	50.00	0.00		$266,321	$0	$36,783			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,135,265	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,903,732	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,442,705	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	128	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,588,030	GovernmentGrantsAmt
Total Contributions	$2,588,030	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PAYMENTS	621990	$240,863,114	$240,863,114
PATIENT REVENUE, NET	621990	$162,032,340	$162,032,340
CONTRACTED CLINICAL SERVICES	621990	$1,198,967	$1,198,967
REFERENCE LABORATORY	621500	$449,471		$449,471
FITNESS CENTER	624100	$204,173		$204,173

Field	Value	IRS element (for citing)
Total Program Service Revenue	$404,748,065	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,877,696	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,413,139	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,464,557	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$68,731	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	$68,731	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,731	TotalRevenueColumnAmt
Exclusion	$68,731	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$87,713,457	SecuritiesAmt
Other	$53,864	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$55,750,798	SecuritiesAmt
Other	$425,814	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$31,962,659	SecuritiesAmt
Other	-$371,950	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,590,709	TotalRevenueColumnAmt
Exclusion	$31,590,709	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SUBSIDIARY RELATED INCOME	900099	$9,431,263	$9,431,263
CAFETERIA/FOOD SERVICE	722514	$1,337,209		$1,337,209
EXEMPT JOINT VENTURE REVENUE	900099	$181,733	$181,733

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,806,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,714,375	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$514,803	UnrelatedBusinessRevenueAmt
Exclusion	$576,988	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,756,371	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$458,629,602	TotalRevenueColumnAmt
Related Or Exempt Func Income	$416,834,931	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,168,447	UnrelatedBusinessRevenueAmt
Exclusion	$38,038,194	ExclusionAmt

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$214,550	TotalAmt
Program Services	$214,550	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$688,284	TotalAmt
Management And General	$688,284	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$116,677,911	TotalAmt
Program Services	$92,681,264	ProgramServicesAmt
Management And General	$23,771,745	ManagementAndGeneralAmt
Fundraising	$224,902	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,703,149	TotalAmt
Program Services	$2,924,288	ProgramServicesAmt
Management And General	$771,765	ManagementAndGeneralAmt
Fundraising	$7,096	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,607,559	TotalAmt
Program Services	$12,324,914	ProgramServicesAmt
Management And General	$3,252,737	ManagementAndGeneralAmt
Fundraising	$29,908	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,272,125	TotalAmt
Program Services	$6,658,607	ProgramServicesAmt
Management And General	$1,595,168	ManagementAndGeneralAmt
Fundraising	$18,350	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$639,705	TotalAmt
Management And General	$639,705	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$83,112,590	TotalAmt
Program Services	$54,787,225	ProgramServicesAmt
Management And General	$28,252,667	ManagementAndGeneralAmt
Fundraising	$72,698	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$85,587	TotalAmt
Program Services	$53,906	ProgramServicesAmt
Management And General	$30,833	ManagementAndGeneralAmt
Fundraising	$848	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,145,828	TotalAmt
Program Services	$51,155,977	ProgramServicesAmt
Management And General	$3,986,459	ManagementAndGeneralAmt
Fundraising	$3,392	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$112,638	TotalAmt
Program Services	$92,431	ProgramServicesAmt
Management And General	$19,341	ManagementAndGeneralAmt
Fundraising	$866	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,039,125	TotalAmt
Program Services	$1,113,869	ProgramServicesAmt
Management And General	$3,925,256	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,014,560	TotalAmt
Program Services	$181,790	ProgramServicesAmt
Management And General	$829,466	ManagementAndGeneralAmt
Fundraising	$3,304	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$309,186	TotalAmt
Program Services	$180,777	ProgramServicesAmt
Management And General	$127,540	ManagementAndGeneralAmt
Fundraising	$869	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,907,466	TotalAmt
Program Services	$5,336,186	ProgramServicesAmt
Management And General	$571,280	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,554,791	TotalAmt
Program Services	$17,663,749	ProgramServicesAmt
Management And General	$1,891,042	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,064,683	TotalAmt
Management And General	$4,064,683	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHYSICIAN PRACTICE SUBS	$50,098,196	$50,098,196
MEDICAL SUPPLIES	$22,364,960	$22,364,960

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$392,612,893	TotalAmt
Program Services	$317,832,689	ProgramServicesAmt
Management And General	$74,417,971	ManagementAndGeneralAmt
Fundraising	$362,233	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,094	BOYAmt
EOY	$10,694	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,518,430	BOYAmt
EOY	$8,045,514	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,766,768	BOYAmt
EOY	$49,160,449	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,122,718	BOYAmt
EOY	$5,895,476	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,118,241	BOYAmt
EOY	$17,835,982	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$377,362,664	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$218,341,356	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$154,935,522	BOYAmt
EOY	$159,021,308	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$133,996,148	BOYAmt
EOY	$122,592,840	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$286,802,301	BOYAmt
EOY	$314,828,702	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,190,278	BOYAmt
EOY	$1,962,444	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$643,461,500	BOYAmt
EOY	$679,353,409	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$28,568,694	BOYAmt
EOY	$24,046,006	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,479,353	BOYAmt
EOY	$163,598,331	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$1,050,000	BOYAmt
EOY	$400,002	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,994,420	BOYAmt
EOY	$13,651,250	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$203,092,467	BOYAmt
EOY	$201,695,589	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$440,369,033	BOYAmt
EOY	$477,657,820	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$440,369,033	BOYAmt
EOY	$477,657,820	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$643,461,500	BOYAmt
EOY	$679,353,409	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$66,016,709	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,930,020	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$18,797,902	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$205,511,559	OtherCostOrOtherBasisAmt
Depreciation	$107,249,503	DepreciationAmt
Book Value	$98,262,056	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,906,495	OtherCostOrOtherBasisAmt
Depreciation	$12,128,279	DepreciationAmt
Book Value	$9,778,216	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,291,804	OtherCostOrOtherBasisAmt
Depreciation	$98,963,574	DepreciationAmt
Book Value	$31,328,230	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,499,912	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$18,499,912	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$159,021,308	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$314,828,702	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$314,828,702	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SELF- INSURANCE , DEF COMP, & ACC PEN	Desc
Amt	$13,651,250	Amt

Field	Value	IRS element (for citing)
Total Liability	$13,651,250	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$447,917,024	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$9,930,020	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$9,930,020	RevenueNotReportedAmt
Revenue Subtotal	$457,847,044	RevenueSubtotalAmt
Investment Expenses Not Incld	$639,705	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$142,853	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$782,558	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$458,629,602	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$392,345,138	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$371,950	OtherExpensesIncludedAmt
Expenses Not Reported	$371,950	ExpensesNotReportedAmt
Expenses Subtotal	$391,973,188	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$639,705	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$639,705	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$392,612,893	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	THE ESCROW ACCOUNT IS FOR THE MIDLAND HEALTH PLAN LIABILITY ACCOUNT. THE PURPOSE IS TO BE A SOURCE OF CASH RESERVE TO MAKE WHOLE ANY HOSPITAL PARTNER(S) SUBJECT TO ICA DSH RECOUPMENT AS A RESULT OF FEDERAL ICA DSH AUDITS FOR FY13, FY14, AND/OR FY15. IF THE FEDERAL AUDITS DO NOT RESULT IN A RECOUPMENT AND FUNDS REMAIN, THE SOLE INTENTION OF THE LIABILITY ACCOUNT IS THAT THE REMAINING FUNDS WILL BE DISTRIBUTED TO OTHER NONPROFIT ORGANIZATIONS WITHIN THE COMMUNITY.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -371,950. BOOK/TAX DIFFERENCE FROM K-1 514,803.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 371,950.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
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	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,317,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,317,892	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$58,332,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,569,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,762,673	NetCommunityBenefitExpnsAmt
Total Expense	0.03000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$62,650,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,569,918	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,080,565	NetCommunityBenefitExpnsAmt
Total Expense	0.04100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2596	ActivitiesOrProgramsCnt
Persons Served	388950	PersonsServedCnt
Total Community Benefit Expns	$776,537	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,250	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$758,287	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	301	PersonsServedCnt
Total Community Benefit Expns	$10,646,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,075,467	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,570,718	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$79,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$79,170	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	53	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$70,876	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,876	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2683	ActivitiesOrProgramsCnt
Persons Served	389251	PersonsServedCnt
Total Community Benefit Expns	$11,572,768	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,093,717	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,479,051	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2685	ActivitiesOrProgramsCnt
Persons Served	389251	PersonsServedCnt
Total Community Benefit Expns	$74,223,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,663,635	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,559,616	NetCommunityBenefitExpnsAmt
Total Expense	0.05240	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,167	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,167	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$26,419	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$25,317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,317	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,320	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$4,814	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,814	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$70,978	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,978	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,788	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,788	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	28	PersonsServedCnt
Total Community Benefit Expns	$121,292	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$121,292	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,003	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,003	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	28	PersonsServedCnt
Total Community Benefit Expns	$297,098	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$297,098	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,619,562	BadDebtExpenseAmt
Reimbursed By Medicare	$126,873,876	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$110,169,485	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,704,391	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART VI	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	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
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE H, PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE H, PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE H, PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP 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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINES 7A AND 10A	HTTPS://WWW.MIDMICHIGAN.ORG/ABOUT/COMMUNITY-BENEFITS/CHNA/
PART V, SECTION B, LINES 16A, 16B, AND 16C	WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF-FINANCIAL-AID/
PART V, SECTION B, LINE 5	MIDMICHIGAN MEDICAL CENTER-MIDLAND'S COMMUNITY EDUCATION COORDINATOR IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION.
PART V, SECTION B, LINE 11	I. OBESITYGOAL: ENCOURAGE HEALTHY WEIGHT AND PREVENT DISEASES ASSOCIATED WITH OBESITY.1. SUPPORT HEALTHY WEIGHT BEHAVIORS2. IMPLEMENT ACTIONS THAT PREVENT DEVELOPMENT OF DISEASE3. INCREASE AWARENESS ON THE IMPACT OF OBESITYII. MENTAL HEALTHGOAL: ENGAGE IN ACTIVE OUTREACH TO PROMOTE PREVENTION, PROVIDE EARLY INTERVENTION, AND INTEGRATE MENTAL HEALTH SERVICES.1. INCREASE AWARENESS2. IMPLEMENT SCREENINGS AND COURSE OF TREATMENT3. INCREASE AVAILABILITY OF SERVICESIII. ACCESS TO CAREGOAL: ENSURE MIDMICHIGAN HEALTH PROVIDES HEALTH CARE SERVICES THAT ARE TIMELY AND ACCESSIBLE.1. PROVIDE INFORMATION TO SUPPORT CARE ACCESS2. IMPROVE PROVIDER TO PATIENT COMMUNICATION3. CONTINUE PROJECTS TARGETED AT PREVENTABLE READMISSIONS FOR SELECTED DIAGNOSES4. INCREASE AVAILABILITY OF PROVIDERS AND SUPPORT WORKERSIV. SUBSTANCE ABUSEGOAL: PROVIDE COMPREHENSIVE SUBSTANCE USE ASSESSMENT, PREVENTION, TREATMENT, EDUCATION, AND SUPPORT.1. IMPLEMENT ACTIONS TO IDENTIFY AND TREAT SUBSTANCE USE2. ENGAGE THE COMMUNITY IN SUBSTANCE USE EDUCATION, PREVENTION, AND TREATMENT ACTIVITIESV. LUNG DISEASEGOAL: ENCOURAGE LUNG HEALTH AND PREVENT DEVELOPMENT OF LUNG DISEASE.1. IMPLEMENT A HEALTH SYSTEM WIDE APPROACH TO TOBACCO USE ASSESSMENT, PREVENTION, AND TREATMENT ACTIVITES2. REDUCE TOBACCO USE AND VAPING IN THE COMMUNITYVI. COLORECTAL CANCERGOAL: IMPROVE COLORECTAL CANCER SCREENING RATES.1. IMPLEMENT A MULTIDISCIPLINARY APPROACH TO COLORECTAL CANCER PREVENTION2. ENGAGE THE COMMUNITY IN COLORECTAL CANCER PREVENTION, EDUCATION, AND TREATMENT ACTIVITIES
PART V, SECTION B, LINE 13H	PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DR	MIDLAND	MI	48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
2 - MIDMICHIGAN MED OFFICE - CAMPUS RIDGE I
4401 CAMPUS RIDGE DR	MIDLAND	MI	48640	REHABILITATION SERVICES & LABORATORY
3 - MIDMICHIGAN MED OFFICE - CAMPUS RIDGE II
4500 CAMPUS RIDGE DR	MIDLAND	MI	48640	INFUSION CENTER
4 - RIECKER SURGERY CENTER
4400 WELLNESS DR	MIDLAND	MI	48640	AMBULATORY SURGERY
5 - MIDMICHIGAN MED OFFICE - MIDLAND
4009 ORCHARD DR	MIDLAND	MI	48640	PHYSICIAN OFFICE & LABORATORY
6 - MIDLAND PROFESSIONAL SUITES
555 W WACKERLY ST	MIDLAND	MI	48640	REHABILITATION SERVICES, LAB, RADIOLOGY
7 - ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLY ST	MIDLAND	MI	48642	REHABILITATION SERVICES
8 - MIDMICHIGAN MED OFFICE - FREELAND
5694 MIDLAND RD	FREELAND	MI	48623	REHABILITATION SERVICES, LAB, RADIOLOGY
9 - MIDMICHIGAN MED OFFICE - AUBURN
929 W MIDLAND RD	AUBURN	MI	48611	LABORATORY
10 - MPG CARDIOLOGY
301 W WACKERLY	MIDLAND	MI	48640	CARDIOLOGY DIAGNOSTIC SERVICES
11 - MIDMICHIGAN MED OFFICE - SANFORD
40 W SAGINAW RD	SANFORD	MI	48657	LABORATORY
12 - GASTROENTEROLOGYHEPATOLOGY ASSOCIATES
4230 BAY CITY RD	MIDLAND	MI	48642	LABORATORY
13 - LONGVIEW PEDIATRIC CENTER OF MIDMICHIGAN
337 LEMKE ST	MIDLAND	MI	48642	REHABILITATION SERVICES
14 - MIDMICHIGAN MED OFFICE - EAST END
715 E MAIN ST SUITE 100	MIDLAND	MI	48640	LABORATORY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 250% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE.
PART II, COMMUNITY BUILDING ACTIVITIES:	MIDMICHIGAN MEDICAL CENTER - MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. EXAMPLES INCLUDE CHAIRING THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY, AND PARTICIPATING IN STRATEGIC INITIATIVES FOR NON-PROFIT ORGANIZATIONS LIKE THE LEGACY CENTER, GREAT START COLLABORATIVE, AND THE MIDLAND COUNTY LOCAL EMERGENCY PLANNING COMMITTEE. ADDITIONALLY, MEMBERSHIP WORK ON THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT (CHAI) TEAM OF THE HEALTH AND HUMAN SERVICES COUNCIL INCLUDED DEVELOPMENT AND IMPLEMENTATION OF A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR FOUR HEALTH IMPROVEMENT FOCUS AREAS: QUALITY OF LATER LIFE; SUBSTANCE USE DISORDER; BEHAVIORAL HEALTH AND HEALTHY WEIGHT. MIDLAND IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT, AND PROVIDES FINANCIAL SUPPORT FOR SMALL BUSINESSES AND WORK OF YOUNG COMMUNITY LEADERS. MIDMICHIGAN MEDICAL CENTER - MIDLAND IS A KEY PARTNER WITH THE UNITED WAY OF MIDLAND COUNTY, WHICH SUPPORTS THE WORK OF MANY NON-PROFIT AGENCIES IN MIDLAND COUNTY, INCLUDING 211 FIRST CALL FOR HELP, THE ROCK (REACHING OUR COMMUNITY KIDS) CENTER FOR YOUTH DEVELOPMENT AND THE SHELTERHOUSE.
PART III, LINE 2	BAD DEBT EXPENSE METHODOLOGY:OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE:UNCOMPENSATED SERVICES, AT COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED.COSTING METHODOLOGY:AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE.
PART III, LINE 8	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FORBENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD.
PART III, LINE 9B	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY."
PART III, LINE 4	PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS
PART VI, LINE 2:	MIDMICHIGAN MEDICAL CENTER - MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. THE 2017-2019 IMPROVEMENT PLAN REFLECTS THE BROADENED SCOPE FROM WHICH MIDMICHIGAN MEDICAL CENTER - MIDLAND WILL FUNCTION IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE STRATEGIES WILL BUILD UPON THE ASSETS AND RESOURCES OF OUR HEALTH SYSTEM AND EACH COMMUNITY. DATA INDICATORS WERE CATEGORIZED INTO THE FOLLOWING FOCUS AREAS; ACCESS TO HEALTH SERVICES, COLORECTAL CANCER, LUNG DISEASES, MENTAL HEALTH, OBESITY AND SUBSTANCE USE. DATA WITHIN THE CHNA CAME FROM A VARIETY OF LOCAL AND NATIONAL SOURCES. THIS DATA IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES, AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS. THE FOLLOWING IS A LISTING OF DATA SOURCES: THE COMMUNITY HEALTH SURVEY FOR MIDLAND COUNTY 2016; AMERICAN COMMUNITY SURVEY (ACS), THE ANNIE E. CASEY FOUNDATION, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), CENTERS FOR DISEASE CONTROL AND PREVENTION, CENTERS FOR MEDICARE AND MEDICAID SERVICES, COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN, COUNTY HEALTH RANKINGS & ROADMAPS, FEEDING AMERICA HEALTH INDICATOR WAREHOUSE, DEPARTMENT OF HEALTH AND HUMAN SERVICES: IMMUNIZATION REPORT CARD, MICHIGAN PROFILE FOR HEALTHY YOUTH, MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES, MIDMICHIGAN HEALTH, NATIONAL CANCER INSTITUTE, KIDS COUNT, NATIONAL HIV SURVEILLANCE SYSTEM, US DEPARTMENT OF AGRICULTURE; FOOD ATLAS, AND THE US CENSUS BUREAU, AND COUNTY BUSINESS PATTERNS. WE COLLABORATED WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS IDENTIFIED IN THE ASSESSMENT.A 324 LICENSED-BED HOSPITAL LOCATED ON 180 ACRES OF WOODED CAMPUS, MIDMICHIGAN MEDICAL CENTER - MIDLAND IS THE FLAGSHIP OF THE MIDMICHIGAN HEALTH SYSTEM. FROM ITS BEGINNING IN 1944, THE MEDICAL CENTER IN MIDLAND, MICHIGAN HAS ESTABLISHED ITSELF AS A LEADER IN QUALITY STATE-OF-THE-ART HEALTH CARE. IN FACT, MIDMICHIGAN MEDICAL CENTER - MIDLAND WAS NAMED ONE OF THE TOP BEST HOSPITALS IN MICHIGAN BY THE U.S. NEWS & WORLD REPORT. THE MEDICAL CENTER IS ACCREDITED BY THE JOINT COMMISSION AND HAS DESIGNATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS AN APPROVED COMMUNITY HOSPITAL CANCER PROGRAM AND ITS BREAST HEALTH PROGRAM IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS.MIDMICHIGAN HEALTH'S 2017-2020 TOP PRIORITY AREAS DETERMINED BY THE COMMUNITY EDUCATION TEAM WERE APPROVED BY MIDMICHIGAN HEALTH'S OPERATION TEAM. 1. ACCESS TO HEALTH SERVICES2. COLORECTAL CANCER3. LUNG DISEASES4. MENTAL HEALTH5. OBESITY6. SUBSTANCE USETHE 2017-2020 MIDMICHIGAN MEDICAL CENTER - MIDLAND COMMUNITY HEALTH NEEDS ASSESSMENT FOCUS AREAS APPROVED BY THE MIDMICHIGAN MEDICAL CENTER - MIDLAND BOARD OF DIRECTORS ON JUNE 24, 2016 FOLLOW: 1. MENTAL HEALTH2. OBESITYTHE UNDERLYING PREMISE FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY IN COMPLETING THE 2017 PLAN WAS SHARED OWNERSHIP FOR COMMUNITY HEALTH. WHILE OUR PREVIOUS CHNA HELPED US IDENTIFY FOCUS AREAS FOR HEALTH IMPROVEMENT, THE IRS LEGISLATION MANDATING COLLABORATIVE EFFORTS PROVIDED AN OPPORTUNITY TO REVISIT OUR NEEDS ASSESSMENT AND STRATEGIC PLANNING PROCESSES. PART ONE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A RETROSPECTIVE SUMMARY OF EACH FOCUS AREA FROM 2013-2016 AS WELL AS A DETAILED INVESTIGATION OF QUANTITATIVE AND QUALITATIVE DATA FROM WHICH AREAS FOR HEALTH IMPROVEMENT WERE CHOSEN.THE PLAN INCLUDES GOALS AND EVIDENCED BASED STRATEGIES FOR TOP PRIORITY AREAS AS DETERMINED BY MIDMICHIGAN HEALTH'S COMMUNITY EDUCATION COMMITTEE AND APPROVED BY MIDMICHIGAN HEALTH'S OPERATION TEAM AND THE MIDMICHIGAN MEDICAL CENTER - MIDLAND BOARD OF DIRECTORS. THE FOCUS AREAS APPROVED BY THE MIDMICHIGAN MEDICAL CENTER - MIDLAND BOARD OF DIRECTORS ARE INCLUDED WITHIN THE LISTED TOP PRIORITY AREAS. THE PLAN REFLECTS INPUT FROM DESIGNATED INDIVIDUALS IN EACH COMMUNITY INCLUSIVE OF, BUT NOT LIMITED TO, PUBLIC HEALTH EXPERTS, REPRESENTATIVES OF LOW-INCOME AND MEDICALLY UNDERSERVED POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE. THE BROADENED SCOPE FROM WHICH WE FUNCTION IS INHERENT IN THE STRATEGIES WHICH INCLUDE INTERNAL HEALTH IMPROVEMENT INITIATIVES OF MIDMICHIGAN MEDICAL CENTER - MIDLAND AND MIDMICHIGAN HEALTH, AS WELL AS COLLABORATIVE EFFORTS OF THE HOSPITAL WITH PUBLIC HEALTH, THE UNIVERSITY OF MICHIGAN AND OUR COMMUNITY PARTNERS.
PART VI, LINE 3:	INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IS COMMUNICATED TO THE PUBLIC THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTP://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FAQ-BILLING/#NOINSURANCE. MIDMICHIGAN PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS AND NEEDS. IN ADDITION, WE MAY BE ABLE TO HELP FIND FREE OR LOW-COST HEALTH INSURANCE, OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN.
PART VI, LINE 4:	MIDMICHIGAN MEDICAL CENTER - MIDLAND, LOCATED IN MIDLAND, MICHIGAN, SERVES MIDLAND COUNTY; COMPRISED OF ZIP CODES: 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND), 48657 (SANFORD), 48667 (MIDLAND), 48670 (MIDLAND), 48674 (MIDLAND), 48686 (MIDLAND).MIDLAND COUNTY IS THE 24TH MOST POPULATED COUNTY IN MICHIGAN. ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,462 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.7 PERCENT ARE UNDER 18 YEARS OF AGE AND 17.4 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.7 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.3 PERCENT OF THE POPULATION. OF THE POPULATION, 91.5 PERCENT ARE WHITE, 1.4 PERCENT ARE AFRICAN AMERICAN, 2.4 PERCENT ARE ASIAN, .6 PERCENT ARE NATIVE AMERICAN, 2.7 PERCENT ARE HISPANIC, AND 1.4 PERCENT ARE MULTIPLE RACES. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 12 PERCENT. MIDLAND COUNTY IS RANKED 8 OUT OF 83 FOR HEALTH OUTCOMES ACCORDING TO COUNTY HEALTH RANKINGS.
PART VI, LINE 5:	MIDMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. WE PARTNER WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY. ADDITIONALLY, STAFF PARTICIPATE IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE MIDLAND CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THE COMMUNITY HEALTH MANAGER FOR MIDMICHIGAN MEDICAL CENTER - MIDLAND IS AN ACTIVE MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE (CHAI) OF THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY AND SERVES AS THE CHAIR OF THE MIDLAND HEALTH AND HUMAN SERVICES COUNCIL.
PART VI, LINE 6:	A TOTAL OF $4,776,148 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER - MIDLAND IN 2018 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES FOR THOSE WHO COULD NOT PAY. OVER $106 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN HEALTH TO THE COMMUNITIES IT SERVES. IN FY 2018, 311,474 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS, AND SAFETY EDUCATION. 1,093 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR CANCER, PERIPHERAL ARTERY DISEASE, CHOLESTEROL AND OBESITY. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDED DIABETES EDUCATION TO 165 PEOPLE AND HAD 710 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS WITH MANY OF THESE PROGRAMS. TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA II CERTIFICATION WERE PROVIDED, INCLUDING 666 BIKE HELMET FITTINGS FOR CHILDREN, 783 THINK FIRST PARTICIPANTS AND FALL PREVENTION/INJURY PREVENTION TRAINING FOR 228 PEOPLE. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF CONTINUED TO MAKE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFO ABOUT MIDMICHIGAN ACCESS LINE, AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFICES RE: MIDMICHIGAN ACCESS LINE TO HELP THEM DETERMINE IF A PROGRAM OR SERVICE IS AVAILABLE LOCALLY, OR TO TRANSFER THEM TO A PHYSICIAN OFFICE OR DEPARTMENT FOR REFERRALS. A TOTAL OF 9,623 INDIVIDUALS WERE PROVIDED GUIDANCE OR REFERRALS TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, AND 52 INDIVIDUALS WERE ASSISTED WITH ENROLLMENT IN PUBLIC, MEDICAL PROGRAMS.
PART VI, LINE 7	MICHIGAN

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (43 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS - ALMA COLLEGE	1	$1,500	N/A	N/A
SCHOLARSHIPS - ALPENA COMMUNITY COLLEGE	2	$300	N/A	N/A
SCHOLARSHIPS - ASPEN UNIVERSITY	8	$11,000	N/A	N/A
SCHOLARSHIPS - BALDWIN WALLACE UNIVERSITY	1	$2,500	N/A	N/A
SCHOLARSHIPS - CAPELLA UNIVERSITY	2	$2,000	N/A	N/A
SCHOLARSHIPS - CASE WESTERN RESERVE	1	$1,000	N/A	N/A
SCHOLARSHIPS - CENTRAL MICHIGAN UNIVERSITY	15	$37,500	N/A	N/A
SCHOLARSHIPS - CHAMBERLAIN COLLEGE	4	$3,750	N/A	N/A
SCHOLARSHIPS - CHAMBERLAIN UNIVERSITY	2	$2,250	N/A	N/A
SCHOLARSHIPS - CMU COLLEGE OF MEDICINE	1	$3,500	N/A	N/A
SCHOLARSHIPS - COLORADO TECHNICAL UNIVERSITY	2	$1,000	N/A	N/A
SCHOLARSHIPS - DAVENPORT UNIVERSITY	7	$10,000	N/A	N/A
SCHOLARSHIPS - DELTA COLLEGE	2	$1,600	N/A	N/A
SCHOLARSHIPS - EASTERN MICHIGAN UNIVERSITY	6	$7,500	N/A	N/A
SCHOLARSHIPS - FERRIS STATE UNIVERSITY	17	$26,250	N/A	N/A
SCHOLARSHIPS - GRAND CANYON UNIVERSITY	2	$2,000	N/A	N/A
SCHOLARSHIPS - INDIANA STATE UNIVERSITY	1	$1,500	N/A	N/A
SCHOLARSHIPS - KENT STATE UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - LOYOLA UNIVERSITY CHICAGO	1	$1,500	N/A	N/A
SCHOLARSHIPS - MARYVILLE UNIVERSITY	1	$500	N/A	N/A
SCHOLARSHIPS - MICHIGAN COLLEGE OF OPTOMETRY	1	$2,000	N/A	N/A
SCHOLARSHIPS - MICHIGAN STATE UNIVERSITY	7	$24,500	N/A	N/A
MICHIGAN TECHNOLOGICAL COLLEGE	1	$500	N/A	N/A
SCHOLARSHIPS - MID MICHIGAN COMMUNITY COLLEGE	2	$400	N/A	N/A
SCHOLARSHIPS - NOVA SOUTHEASTERN UNIVERSITY	1	$750	N/A	N/A
SCHOLARSHIPS - OAKLAND UNIVERSITY	1	$500	N/A	N/A
SCHOLARSHIPS - OHIO STATE UNIVERSITY	2	$3,500	N/A	N/A
SCHOLARSHIPS - ROSALIND FRANKLIN UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - SAGINAW VALLEY STATE UNIVERSITY	25	$21,500	N/A	N/A
SCHOLARSHIPS - SAINT LOUIS UNIVERSITY	1	$1,000	N/A	N/A
SCHOLARSHIPS - SAINT XAVIER UNIVERSITY	1	$1,500	N/A	N/A
SCHOLARSHIPS - SOUTH DAKOTA STATE UNIVERSITY	1	$2,000	N/A	N/A
SCHOLARSHIPS - SOUTH UNIVERSITY	2	$1,000	N/A	N/A
SCHOLARSHIPS - TULANE UNIVERSITY	1	$3,500	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF CINCINNATI	1	$750	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF MICHIGAN	2	$2,750	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF OKLAHOMA	1	$2,500	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF PHEONIX	2	$1,000	N/A	N/A
SCHOLARSHIPS - UNIVERSITY OF WEST GEORGIA	1	$1,000	N/A	N/A
SCHOLARSHIPS - WALDEN UNIVERSITY	8	$6,500	N/A	N/A
SCHOLARSHIPS - WAYNE STATE UNIVERSITY	5	$9,500	N/A	N/A
SCHOLARSHIPS - WESTERN GOVENORS UNIVERSITY	8	$7,750	N/A	N/A
SCHOLARSHIPS - WESTERN MICHIGAN UNIVERSITY	1	$1,000	N/A	N/A

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
DIANE POSTLER-SLATTERY
DIRECTOR	$0	$757,564	$0	$342,679	$0	$479,896	$0	$170,399	$0	$24,252	$0	$1,774,790	$0	$476,041
GREGORY ROGERS
PRESIDENT	$0	$498,679	$0	$200,803	$0	$508,725	$0	$281,685	$0	$23,026	$0	$1,512,918	$0	$482,091
SUSAN SALLACH MD
DIRECTOR	$0	$594,487	$0	$3,495	$0	$1,140	$0	$5,415	$0	$19,101	$0	$623,638	$0	$0
FRANCINE PADGETT
SENIOR VP & TREASURER	$0	$430,181	$0	$152,072	$0	$354,180	$0	$174,922	$0	$18,400	$0	$1,129,755	$0	$332,097
DONNA RAPP
SENIOR VP & SECRETARY	$0	$336,791	$0	$117,776	$0	$125,264	$0	$202,228	$0	$14,584	$0	$796,643	$0	$117,710
DIANE NOLD
VP	$229,020	$0	$64,376	$0	$37,536	$0	$90,585	$0	$17,932	$0	$439,449	$0	$34,600	$0
JANICE PENNEY
VP	$253,827	$0	$71,458	$0	$39,956	$0	$184,609	$0	$15,648	$0	$565,498	$0	$37,473	$0
MICHAEL ERICKSON
VP	$229,807	$0	$65,180	$0	$35,765	$0	$28,800	$0	$20,435	$0	$379,987	$0	$34,489	$0
JEFFERY HANOVER
CRNA	$257,847	$0	$500	$0	$497	$0	$20,512	$0	$0	$0	$279,356	$0	$0	$0
KELLY HILL MD
MEDICAL DIRECTOR	$255,983	$0	$9,710	$0	$1,842	$0	$42,078	$0	$18,575	$0	$328,188	$0	$0	$0
MARGUERITTE KUHN MD
PHYSICIAN	$263,135	$0	$49,842	$0	$2,663	$0	$13,515	$0	$19,221	$0	$348,376	$0	$0	$0
SASHA SAVAGE MD
PHYSICIAN	$232,939	$0	$23,960	$0	$9,422	$0	$16,300	$0	$20,483	$0	$303,104	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A:	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE COUNTRY CLUB DUES. MIDMICHIGAN MEDICAL CENTER - MIDLAND HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS PORTION OF THE PAYMENT ARE TREATED AS TAXABLE INCOME. ERICKSON, MICHAEL VP NOLD, DIANE VP THE ORGANIZATION ONLY REIMBURSES THE MONTHLY SOCIAL MEMBERSHIP (NO INITIATION DUES) OF LESS THAN $150 PER MONTH.
PART I, LINE 4B:	ROGERS, PADGETT, RAPP, POSTLER-SLATTERY, NOLD, ERICKSON, AND PENNEY ARE PARTICIPANTS IN A 457(F) PLAN. ALL PARTICIPANTS RECEIVED PAYMENTS 2017 AS THE PLAN VESTED. 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, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS AND THE PARTICIPANT EARNS 75 POINTS.
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 WILL ISSUE ITS COMPREHENSIVE ASSESSMENT IN MAY 2019. THE COMPENSATION COMMITTEE WILL REVIEW THE RESULTS IN MAY 2019 PRIOR TO AWARDING ANY ANNUAL COMPENSATION ADJUSTMENTS. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE MAY 2018 COMPENSATION COMMITTEE MEETING.
PART III:	MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$9,468,302	$12,763,800	$26,670	2011	Yes (1)	0	Yes (1)	Yes (1)
B	$3,809,254	$140,550,140	$1,255,334	2014	0	Yes (1)	Yes (1)	Yes (1)	$139,294,806
C	$3,000,000	$30,000,000	$200,000	2016	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE K, PART IV, LINE 2B	FormAndLineReferenceDesc
Explanation	MICHIGAN FINANCE AUTHORITY 2011D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS, THEREFORE, NO ARBITRAGE REBATE CALCULATION IS REQUIRED.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THREE RIVERS CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	JON LYNCH, A DIRECTOR OF MIDLAND, IS ALSO THE THREE RIVERS CORP, PRESIDENT	RelationshipDescriptionTxt
Transaction	$22,989,833	TransactionAmt
Transaction	VENDOR	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	WE TYPICALLY USE THREE RIVERS IN TWO CAPACITIES: PARTNERING PLUS AND BID JOBS. PARTNERING PLUS USES NEGOTIATED RATES FOR TYPICALLY SMALLER WORK SO WE GET A CONSISTENT QUALITY FOR A CONSISTENT PRICE. BID JOBS ARE TYPICALLY ON LARGER CONSTRUCTION PROJECTS. THE LOCAL FACILITIES MANAGER SIGNS OFF TIME AND MATERIAL WORK AND THE VP OF FACILITIES APPROVES ALL LARGER PROJECTS. WE REVIEW ALL OPEN PROJECTS AT A BI-WEEKLY COMMITTEE INCLUDING INFECTION PREVENTION, HOUSEKEEPING, IT, ETC. THAT ALLOWS FOR CROSSDISCIPLINARY OVERSIGHT ON THE PROJECTS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	NEW TAX SOFTWARE WAS IMPLEMENTED FOR THE TAX YEAR 2017 FORM 990. THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS CORPORATION. THE STAFF MEMBER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE INDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION PROCESS FOR TOP OFFICIAL THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). COMPENSATION PROCESS FOR OFFICERS ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PART VI, SECTION C, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION B, LINE 1:	INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION.
FORM 990, PART VII, LINE 4:	NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD IN 2017. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART IX, LINE 11G	EQUIPMENT MAINTENANCE PROGRAM SERVICE $649,610 MGMT & GEN $4,899,995 FUNDRAISING $16,533 PURCHASED SERVICES PROGRAM SERVICES $36,393,363 MGMT & GEN $13,199,480 FUNDRAISING $55,387 OTHER PROFESSIONAL SERVICES PROGRAM SERVICES $17,744,252 MGMT & GEN $10,153,192 FUNDRAISING $778
FORM 990, PART XI, LINE 9:	TRANSFER OF CAPITAL TO TAX EXEMPT ORGANIZATION -18,781,302. ADJUSTMENT TO RECORD FAS 158 LIABILITY 498,203. BOOK TAX DIFFERENCE FROM K-1 -514,803.
FORM 990, PART XII, LINE 2C	THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MIDMICHIGAN HEALTH
4000 WELLNESS DR	MIDLAND	MI	48670	382459948	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MIDMICHIGAN MEDICAL CENTER - GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - CLARE
703 N MCEWAN ST	CLARE	MI	48617	381518643	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - GLADWIN
515 QUARTER ST	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - ALPENA
1501 W CHISHOLM ST	ALPENA	MI	49707	386000029	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501(C)(3)	LINE 10		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MEDICAL OFFICE	MI	501(C)(3)	LINE 12A, I		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
4000 WELLNESS DR	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501(C)(2)			Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - MIDLAND VOLUNTEERS
4000 WELLNESS DR	MIDLAND	MI	48670	061723993	SUPPORT	MI	501(C)(3)	LINE 12A, I	N/A	0
MIDMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DR	MIDLAND	MI	48670	812813405	FOUNDATION	MI	501(C)(3)	LINE 12A, I		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN MEDICAL CENTER - WEST BRANCH
2463 S M-30	WEST BRANCH	MI	48661	464088182	HOSPITAL	MI	501(C)(3)	LINE 3		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LONG TERM CARE	MI	501(C)(3)	LINE 10		Yes (1)	MIDMICHIGAN HEALTH
MIDMICHIGAN GLADWIN PINES
449 QUARTER ST	GLADWIN	MI	48624	382754875	LONG TERM CARE	MI	501(C)(3)	LINE 10		Yes (1)	MIDMICHIGAN HEALTH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN ASSURANCE GROUP LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1051 23 LIME TREE BAY AVE	AddressLine1Txt
City	GEORGE TOWN	CityNm
Country	CJ	CountryCd

Field	Value	IRS element (for citing)
EIN	980585596	EIN
Primary Activities	INSURANCE	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$14,988,883	COST
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
B	$4,250,000	COST
MIDMICHIGAN HEALTH FOUNDATION
C	$457,580	COST
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
K	$490,509	COST
MIDMICHIGAN HEALTH
P	$32,979,624	COST
MIDMICHIGAN PHYSICIANS GROUP
P	$784,240	COST
MIDMICHIGAN MEDICAL CENTER - CLARE
Q	$2,034,957	COST
MIDMICHIGAN MEDICAL CENTER - GLADWIN
Q	$1,197,268	COST
MIDMICHIGAN PHYSICIANS GROUP
Q	$503,406	COST
MIDMICHIGAN MEDICAL CENTER - GRATIOT
Q	$3,826,131	COST
MIDMICHIGAN MEDICAL CENTER - GRATIOT
R	$60,758	COST
MIDMICHIGAN HEALTH FOUNDATION
Q	$1,255,609	COST
MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES
S	$52,385	COST
MIDMICHIGAN MEDICAL CENTER - ALPENA
Q	$595,290	COST