MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201801359349312150
Schema version: 2016v3.1
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	2018-05-15T16:40:29-04:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	383133790	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREWS HOOPER PAVLIK PLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5300 GRATIOT RD	AddressLine1Txt
City	SAGINAW	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	486386035	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	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 DRIVE	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	SR. VP & TREASURER	PersonTitleTxt
Phone	5178393181	PhoneNum
Signature	2018-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LAURA M EBEL	PreparerPersonNm
PTIN	P00184232	PTIN
Phone	9894975300	PhoneNum
Preparation	2018-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	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 DRIVE	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$457,268,075	GrossReceiptsAmt
Group Return For Affiliates	false	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. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2717	TotalEmployeeCnt
Total Volunteers	328	TotalVolunteersCnt
Total Gross UBI	$1,013,860	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$188,706	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,070,859	PYContributionsGrantsAmt
CY Contributions Grants	$2,294,902	CYContributionsGrantsAmt
PY Program Service Revenue	$380,158,377	PYProgramServiceRevenueAmt
CY Program Service Revenue	$397,342,060	CYProgramServiceRevenueAmt
PY Investment Income	$10,140,917	PYInvestmentIncomeAmt
CY Investment Income	$8,698,100	CYInvestmentIncomeAmt
PY Other Revenue	$14,224,168	PYOtherRevenueAmt
CY Other Revenue	$21,306,876	CYOtherRevenueAmt
PY Total Revenue	$408,594,321	PYTotalRevenueAmt
CY Total Revenue	$429,641,938	CYTotalRevenueAmt
PY Grants And Similar Paid	$195,725	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$199,100	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$139,202,659	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$147,911,332	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$367,939	CYTotalFundraisingExpenseAmt
PY Other Expenses	$228,440,036	PYOtherExpensesAmt
CY Other Expenses	$236,766,634	CYOtherExpensesAmt
PY Total Expenses	$367,838,420	PYTotalExpensesAmt
CY Total Expenses	$384,877,066	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,755,901	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,764,872	CYRevenuesLessExpensesAmt
Total Assets BOY	$604,023,414	TotalAssetsBOYAmt
Total Assets EOY	$643,461,500	TotalAssetsEOYAmt
Total Liabilities BOY	$178,324,275	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$203,092,467	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$425,699,139	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$440,369,033	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$311,720,766	ExpenseAmt
Revenue	$397,342,060	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 13,546 PATIENT ADMISSIONS AND 265,992 OUTPATIENT VISITS WERE PROVIDED IN FISCAL YEAR 2017. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$199,100	ExpenseAmt
Grant	$199,100	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	$311,919,866	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2717	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	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	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	FM PADGETT SR VP TREASURER	PersonNm
Phone	9898393181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DRIVE	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 (25 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	50.00	Yes (X)	$0	$1,081,036	$189,448
GREGORY ROGERS
PRESIDENT	2.00	50.00	Yes (X)	$0	$703,309	$270,422	Yes (X)
SASHA SAVAGE MD
DIRECTOR	50.00		Yes (X)	$286,340	$0	$47,845
BILL COLLINS
DIRECTOR	2.00		Yes (X)	$0	$0	$0
PAM BOUNDY
DIRECTOR	2.00		Yes (X)	$0	$0	$0
ERICH KICKLAND MD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
SHARON MORTENSEN
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JON LYNCH
DIRECTOR	2.00		Yes (X)	$0	$0	$0
WALLACE MAYTON
CHAIR	2.00		Yes (X)	$0	$0	$0
AMY WILSON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
PAULA NILES
DIRECTOR	2.00		Yes (X)	$0	$0	$0
CHUCK KENDALL
VICE CHAIR	2.00		Yes (X)	$0	$0	$0
KENT BIDDINGER MD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
MARGARET THOMPSON MD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
FRANCINE M PADGETT
SR. VP & TRE	2.00	50.00		$0	$582,551	$189,581	Yes (X)
DONNA RAPP
SENIOR VP/SE	2.00	50.00		$0	$495,015	$195,297	Yes (X)
ADELBERTO ADAN
VP	50.00			$340,926	$0	$133,809		Yes (X)
JANICE PENNEY
VP CNO	50.00			$313,700	$0	$197,641		Yes (X)
DIANE NOLD
VP	50.00			$280,908	$0	$107,318		Yes (X)
KELLY HILL MD
MEDICAL DIRE	50.00			$278,265	$0	$83,698		Yes (X)
MARGUERITTE KUHN MD
PHYSICIAN	50.00			$307,844	$0	$32,607			Yes (X)
MICHAEL ERICKSON
VP	50.00			$282,364	$0	$47,757			Yes (X)
CHRISTINA SHEPPARD
CRNA	50.00			$280,120	$0	$48,536			Yes (X)
ARTURAS KLUGAS MD
PHYSICIAN	50.00			$265,263	$0	$18,347			Yes (X)
ERIC BECKER MD
PHYSICIAN	50.00			$252,429	$0	$7,559			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,888,159	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,861,911	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,569,865	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	112	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$2,294,902	GovernmentGrantsAmt
Total Contributions	$2,294,902	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE, NET	621990	$228,164,430	$228,164,430
MEDICARE/MEDICAID PAYMENTS	621990	$167,126,777	$167,126,777
CONTRACTED CLINICAL SERVICES	621990	$1,531,592	$1,531,592
REFERENCE LABORATORY	621500	$319,315		$319,315
FITNESS CENTER	624100	$199,946		$199,946

Field	Value	IRS element (for citing)
Total Program Service Revenue	$397,342,060	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,258,259	TotalRevenueColumnAmt
Related Or Exempt Func Income	$934,209	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,324,050	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$52,534	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$52,534	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,534	TotalRevenueColumnAmt
Exclusion	$52,534	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,973,407	SecuritiesAmt
Other	$92,571	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$27,164,167	SecuritiesAmt
Other	$461,970	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,809,240	SecuritiesAmt
Other	-$369,399	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,439,841	TotalRevenueColumnAmt
Exclusion	$4,439,841	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SUBSIDIARY RELATED INCOME	900099	$16,289,159	$16,289,159
CAFETERIA/FOOD SERVICE	722514	$1,380,830		$1,380,830
EXEMPT JOINT VENTURE REVENUE	900099	$826,354	$826,354

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,757,999	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,648,377	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$494,599	UnrelatedBusinessRevenueAmt
Exclusion	$615,023	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,254,342	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$429,641,938	TotalRevenueColumnAmt
Related Or Exempt Func Income	$416,520,898	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,013,860	UnrelatedBusinessRevenueAmt
Exclusion	$9,812,278	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	$199,100	TotalAmt
Program Services	$199,100	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,263,501	TotalAmt
Program Services	$617,148	ProgramServicesAmt
Management And General	$646,353	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$113,680,860	TotalAmt
Program Services	$87,579,459	ProgramServicesAmt
Management And General	$25,883,439	ManagementAndGeneralAmt
Fundraising	$217,962	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,149,648	TotalAmt
Program Services	$5,485,913	ProgramServicesAmt
Management And General	$1,650,178	ManagementAndGeneralAmt
Fundraising	$13,557	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,733,287	TotalAmt
Program Services	$13,606,720	ProgramServicesAmt
Management And General	$4,092,940	ManagementAndGeneralAmt
Fundraising	$33,627	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,084,036	TotalAmt
Program Services	$6,324,834	ProgramServicesAmt
Management And General	$1,741,962	ManagementAndGeneralAmt
Fundraising	$17,240	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,957	TotalAmt
Management And General	$5,957	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$696,257	TotalAmt
Management And General	$696,257	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,445,176	TotalAmt
Program Services	$60,784,870	ProgramServicesAmt
Management And General	$23,586,263	ManagementAndGeneralAmt
Fundraising	$74,043	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$848,766	TotalAmt
Program Services	$42,275	ProgramServicesAmt
Management And General	$805,042	ManagementAndGeneralAmt
Fundraising	$1,449	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$48,940,194	TotalAmt
Program Services	$45,172,138	ProgramServicesAmt
Management And General	$3,759,272	ManagementAndGeneralAmt
Fundraising	$8,784	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$270,647	TotalAmt
Program Services	$215,653	ProgramServicesAmt
Management And General	$54,725	ManagementAndGeneralAmt
Fundraising	$269	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,076,554	TotalAmt
Program Services	$1,150,415	ProgramServicesAmt
Management And General	$3,926,139	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,178,491	TotalAmt
Program Services	$178,507	ProgramServicesAmt
Management And General	$999,361	ManagementAndGeneralAmt
Fundraising	$623	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$437,715	TotalAmt
Program Services	$260,246	ProgramServicesAmt
Management And General	$177,084	ManagementAndGeneralAmt
Fundraising	$385	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,583,896	TotalAmt
Program Services	$4,958,787	ProgramServicesAmt
Management And General	$625,109	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,394,196	TotalAmt
Program Services	$16,334,993	ProgramServicesAmt
Management And General	$2,059,203	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,879,977	TotalAmt
Management And General	$1,879,977	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHYSICIAN PRACTICE SUBSID	$46,849,591	$46,849,591
MEDICAL SUPPLIES	$22,159,217	$22,159,217

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$384,877,066	TotalAmt
Program Services	$311,919,866	ProgramServicesAmt
Management And General	$72,589,261	ManagementAndGeneralAmt
Fundraising	$367,939	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,204	BOYAmt
EOY	$11,094	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,065,936	BOYAmt
EOY	$1,518,430	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,268,489	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,907,039	BOYAmt
EOY	$42,766,768	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$737,505	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,541,760	BOYAmt
EOY	$4,122,718	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,887,548	BOYAmt
EOY	$16,118,241	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$362,140,800	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$207,205,278	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$152,415,750	BOYAmt
EOY	$154,935,522	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$122,742,449	BOYAmt
EOY	$133,996,148	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$261,288,271	BOYAmt
EOY	$286,802,301	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,158,463	BOYAmt
EOY	$3,190,278	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$604,023,414	BOYAmt
EOY	$643,461,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,967,443	BOYAmt
EOY	$28,568,694	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$143,412,141	BOYAmt
EOY	$164,479,353	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,894,691	BOYAmt
EOY	$8,994,420	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$178,324,275	BOYAmt
EOY	$203,092,467	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$395,334,820	BOYAmt
EOY	$440,369,033	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,555,397	BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,808,922	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$425,699,139	BOYAmt
EOY	$440,369,033	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$604,023,414	BOYAmt
EOY	$643,461,500	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$44,764,872	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$31,956,864	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$62,051,842	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,808,922	BeginningYearBalanceAmt
Grants Or Scholarships	$13,808,922	GrantsOrScholarshipsAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,544,430	BeginningYearBalanceAmt
Contributions	$740	ContributionsAmt
Investment Earnings Or Losses	$263,752	InvestmentEarningsOrLossesAmt
End Year Balance	$13,808,922	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,898,005	BeginningYearBalanceAmt
Contributions	$400,925	ContributionsAmt
Investment Earnings Or Losses	$245,500	InvestmentEarningsOrLossesAmt
End Year Balance	$13,544,430	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,664,974	BeginningYearBalanceAmt
Contributions	$3,950	ContributionsAmt
Investment Earnings Or Losses	$229,081	InvestmentEarningsOrLossesAmt
End Year Balance	$12,898,005	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,396,980	BeginningYearBalanceAmt
Contributions	$51,272	ContributionsAmt
Investment Earnings Or Losses	$216,722	InvestmentEarningsOrLossesAmt
End Year Balance	$12,664,974	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

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	$204,985,233	OtherCostOrOtherBasisAmt
Depreciation	$99,857,261	DepreciationAmt
Book Value	$105,127,972	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,947,293	OtherCostOrOtherBasisAmt
Depreciation	$10,723,428	DepreciationAmt
Book Value	$11,223,865	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$130,102,971	OtherCostOrOtherBasisAmt
Depreciation	$96,624,589	DepreciationAmt
Book Value	$33,478,382	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,952,409	OtherCostOrOtherBasisAmt
Book Value	$3,952,409	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$154,935,522	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$286,802,301	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$286,802,301	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SELF INSURANCE, DEF COMP, & ACC PEN	Desc
Amt	$8,994,420	Amt

Field	Value	IRS element (for citing)
Total Liability	$8,994,420	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$430,413,026	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$31,956,864	NetUnrealizedGainsInvstAmt
Other Revenue	-$30,364,319	OtherRevenueAmt
Revenue Not Reported	$1,592,545	RevenueNotReportedAmt
Revenue Subtotal	$428,820,481	RevenueSubtotalAmt
Investment Expenses Not Incld	$696,257	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$125,200	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$821,457	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$429,641,938	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$384,351,109	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$369,399	OtherExpensesIncludedAmt
Expenses Not Reported	$369,399	ExpensesNotReportedAmt
Expenses Subtotal	$383,981,710	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$696,257	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$199,099	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$895,356	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$384,877,066	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2B	THE ESCROW ACCOUNT CONSISTS OF THREE LIABILITY ACCOUNTS; MIDLAND HEALTH PLAN LIABILITY ACCOUNT, NORTHEAST HEALTH PLAN LIABILITY ACCOUNT AND CENTRAL HEALTH PLAN LIABILITY ACCOUNT. THE PURPOSE OF THESE ACCOUNTS 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.
SCHEDULE D, PAGE 2, PART V, LINE 4	IN THE CURRENT YEAR THE ENDOWMENT FUNDS FORMERLY HELD BY MIDMICHIGAN MEDICAL CENTER - MIDLAND WERE TRANSFERRED TO MIDMICHIGAN HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION.
SCHEDULE D, PAGE 3, PART X	MIDMICHIGAN HEALTH DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2017 AND 2016.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	TRANSFER OF RESTRICTED FUNDS TO FOUNDATION -30,364,319
SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -369,399 BOOK/TAX DIFFERENCE FROM K-1 494,599 TOTAL 0
SCHEDULE D, PAGE 4, PART XII, LINE 2D	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 369,399
SCHEDULE D, PAGE 4, PART XII, LINE 4B	TRANSFER FROM FOUNDATION 199,099

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$874,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$874,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,054,924	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,643,910	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,411,014	NetCommunityBenefitExpnsAmt
Total Expense	0.02450	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,929,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,643,910	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,285,839	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2510	ActivitiesOrProgramsCnt
Persons Served	492703	PersonsServedCnt
Total Community Benefit Expns	$747,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$727,157	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	431	PersonsServedCnt
Total Community Benefit Expns	$11,963,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,808,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,155,449	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,288	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,288	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$76,023	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$76,023	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2527	ActivitiesOrProgramsCnt
Persons Served	493134	PersonsServedCnt
Total Community Benefit Expns	$12,841,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,828,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,012,917	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2529	ActivitiesOrProgramsCnt
Persons Served	493134	PersonsServedCnt
Total Community Benefit Expns	$67,770,766	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,472,010	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,298,756	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,109	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,832	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,832	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$32,468	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,468	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$13,503	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$13,503	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$89,784	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,784	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	$10,765	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,765	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$25,645	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,645	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$47,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$234,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$234,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$16,619,747	BadDebtExpenseAmt
Reimbursed By Medicare	$121,940,563	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$111,146,608	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$10,793,955	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	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 DRIVE	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE SCHEDULE H, PART VI	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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	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 (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART VI	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	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	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, 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.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 11	I. OBESITY GOAL: ENCOURAGE HEALTHY WEIGHT AND PREVENT DISEASES ASSOCIATED WITH OBESITY. 1. SUPPORT HEALTHY WEIGHT BEHAVIORS 2. IMPLEMENT ACTIONS THAT PREVENT DEVELOPMENT OF DISEASE 3. INCREASE AWARENESS ON THE IMPACT OF OBESITY II. MENTAL HEALTH GOAL: ENGAGE IN ACTIVE OUTREACH TO PROMOTE PREVENTION, PROVIDE EARLY INTERVENTION, AND INTEGRATE MENTAL HEALTH SERVICES. 1. INCREASE AWARENESS 2. IMPLEMENT SCREENINGS AND COURSE OF TREATMENT 3. INCREASE AVAILABILITY OF SERVICES III. ACCESS TO CARE GOAL: ENSURE MIDMICHIGAN HEALTH PROVIDES HEALTH CARE SERVICES THAT ARE TIMELY AND ACCESSIBLE. 1. PROVIDE INFORMATION TO SUPPORT CARE ACCESS 2. IMPROVE PROVIDER TO PATIENT COMMUNICATION 3. CONTINUE PROJECTS TARGETED AT PREVENTABLE READMISSIONS FOR SELECTED DIAGNOSES 4. INCREASE AVAILABILITY OF PROVIDERS AND SUPPORT WORKERS IV. SUBSTANCE ABUSE GOAL: PROVIDE COMPREHENSIVE SUBSTANCE USE ASSESSMENT, PREVENTION, TREATMENT, EDUCATION, AND SUPPORT. 1. IMPLEMENT ACTIONS TO IDENTIFY AND TREAT SUBSTANCE USE 2. ENGAGE THE COMMUNITY IN SUBSTANCE USE EDUCATION, PREVENTION, AND TREATMENT ACTIVITIES V. LUNG DISEASE GOAL: ENCOURAGE LUNG HEALTH AND PREVENT DEVELOPMENT OF LUNG DISEASE. 1. IMPLEMENT A HEALTH SYSTEM WIDE APPROACH TO TOBACCO USE ASSESSMENT, PREVENTION, AND TREATMENT ACTIVITIES 2. REDUCE TOBACCO USE AND VAPING IN THE COMMUNITY VI. COLORECTAL CANCER GOAL: IMPROVE COLORECTAL CANCER SCREENING RATES. 1. IMPLEMENT A MULTIDISCIPLINARY APPROACH TO COLORECTAL CANCER PREVENTION 2. ENGAGE THE COMMUNITY IN COLORECTAL CANCER PREVENTION, EDUCATION, AND TREATMENT ACTIVITIES
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 13H	PATIENTS RELIGIOUS BELIEFS PREVENTS 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
CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DR	MIDLAND	MI	48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
MIDMI MED OFFICES- CAMPUS RIDGE I
4401 CAMPUS RIDGE DR	MIDLAND	MI	48640	REHABILITATION SERVICES & LABORATORY
MIDMI MED OFFICES-CAMPUS RIDGE II
4500 CAMPUS RIDGE DR	MIDLAND	MI	48640	INFUSION CENTER
RIECKER SURGERY CENTER
4400 WELLNESS DR	MIDLAND	MI	48640	AMBULATORY SURGERY
MIDMICHIGAN MEDICAL OFFICES-MIDLAND
4009 ORCHARD DR	MIDLAND	MI	48640	PHYSICIAN OFFICE & LABORATORY
MIDLAND PROFESSIONAL SUITES
555 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES, LAB, RADIOLOGY
ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLY	MIDLAND	MI	48642	REHABILITATION SERVICES
MIDMICHIGAN MED OFFICES-FREELAND
5694 MIDLAND RD	FREELAND	MI	48623	REHABILITATION SERVICES, LAB, RADIOLOGY
MIDMICHIGAN MEDICAL OFFICES-AUBURN
929 W MIDLAND RD	AUBURN	MI	48611	LABORATORY
MPG CARDIOLOGY
301 W WACKERLY	MIDLAND	MI	48640	CARDIOLOGY DIAGNOSTIC SERVICES
MIDMICHIGAN MEDICAL OFFICES-SANFORD
40 W SAGINAW RD	SANFORD	MI	48657	LABORATORY
GASTROENTEROLOGYHEPATOLOGY ASSOC
4230 BAY CITY RD	MIDLAND	MI	48642	LABORATORY
LONGVIEW PEDIATRIC CENTER OF MIDMI
337 LEMKE ST	MIDLAND	MI	48642	REHABILITATION SERVICES
MIDMI MED OFFICES-EAST END
715 E MAIN ST SUITE 100	MIDLAND	MI	48640	LABORATORY

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. MIDMICHIGAN MEDICAL CENTER - MIDLAND IS A KEY PARTNER WITH UNITED WAY OF MIDLAND COUNTY, WHICH SUPPORTS MANY NON-PROFIT AGENCIES IN MIDLAND COUNTY, INCLUDING 211 FIRST CALL FOR HELP, THE ROCK (REACHING OUR COMMUNITY KIDS) CENTER FOR YOUTH DEVELOPMENT, THE MIDLAND AREA COMMUNITY FOUNDATION AND THE SHELTERHOUSE. MIDMICHIGAN MEDICAL CENTER - MIDLAND EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NON-PROFIT BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT FOR HEALTH AND HUMAN SERVICES PROJECTS LIKE HABITAT FOR HUMANITY AND PRISON MINISTRY, AND PARTICIPATING IN STRATEGIC INITIATIVES FOR NON-PROFIT ORGANIZATIONS LIKE THE LEGACY CENTER, GREAT START COLLABORATIVE, AND THE MIDLAND COUNTY LOCAL EMERGENCY PLANNING COMMITTEE. MEMBERSHIP ON THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT (CHAI) TEAM OF THE HEALTH AND HUMAN SERVICES COUNCIL INCLUDES IMPLEMENTATION OF THE STRATEGIC PLAN FOR THREE HEALTH IMPROVEMENT FOCUS AREAS: QUALITY OF LATER LIFE, SUBSTANCE USE AND HEALTHY WEIGHT. MIDLAND ALSO PROVIDES REPRESENTATION ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS.
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 COSTREPRESENTS 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. LINE 2 - 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. LINE 3: HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE.
PART III, LINE 8 - MEDICARE EXPLANATION	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 FOR BENEFICARIES, 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 - COLLECTION PRACTICES EXPLANATION	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY."
PART VI, LINE 2 - NEEDS ASSESSMENT	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. ALL OF THE INDICATORS EXPLORED WERE CATEGORIZED INTO THE FOLLOWING FOUR CORRESPONDING FOCUS AREAS; DETERMINANTS OF HEALTH (DEMOGRAPHICS, ENVIRONMENT, SOCIAL ENVIRONMENT, EDUCATION, ECONOMY); CARE ACCESS (ACCESS TO HEALTH SERVICES, TRANSPORTATION); HEALTH BEHAVIORS (PREVENTATIVE CARE, SUBSTANCE USE, NUTRITION AND EXERCISE)AND HEALTH CONDITIONS (CHRONIC CONDITIONS, MENTAL HEALTH, CANCER INCIDENT, MORTALITY RATE). A. DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY: 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). B. DEMOGRAPHICS OF THE COMMUNITY: MIDLAND COUNTY IS THE 24TH MOST POPULATED COUNTY IN MICHIGAN. ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,427 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.9 PERCENT ARE UNDER 18 YEARS OF AGE AND 16.4 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.8 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.2 PERCENT OF THE POPULATION. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.1 YEARS OF AGE. OF THE POPULATION, 94.3 PERCENT ARE WHITE, 1.4 PERCENT ARE BLACK, 2.4 PERCENT ARE ASIAN, .5 PERCENT ARE NATIVE AMERICAN, 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. MEDIAN INCOME OF COMMUNITY: 54,059. C. EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY: 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 NATIONS 2016 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS, WAS ALSO ONE OF A SELECT FEW TO EARN THE 2016 100 TOP HOSPITALS EVEREST AWARD, AND WAS RECOGNIZED AS ONE OF THE NATIONS 50 TOP CARDIOVASCULAR HOSPITALS BY TRUVEN IN 2017. WHATS MORE, THE MEDICAL CENTER EARNED AN A IN PATIENT SAFETY FROM THE LEAPFROG GROUP FOR THE SPRING 2017 HOSPITAL SAFETY SCORE. THE HOSPITAL SAFETY SCORE IS THE GOLD STANDARD RATING FOR PATIENT SAFETY, COMPILED UNDER THE GUIDANCE OF THE NATIONS LEADING PATIENT SAFETY EXPERTS. THIS IS THE FOURTH CONSECUTIVE 'A' THE MEDICAL CENTER HAS RECEIVED FROM THE LEAPFROG GROUP. IN 2011, THE MEDICAL CENTERS EXPANSION AND RENOVATION INTRODUCED A NEW ENVIRONMENT OF CARE THAT ENHANCES OUR REGION WITH BIGGER AND BETTER FACILITIES FOR SURGERY, PATIENT CARE AND MEDICAL SERVICES. THE ACTIVE MEDICAL STAFF CONSISTS OF 166 PHYSICIANS, 99 PERCENT OF WHOM ARE BOARD CERTIFIED. THEY REPRESENT 32 MEDICAL SPECIALTIES PROVIDING A FULL RANGE OF PRIMARY CARE AS WELL AS OUTSTANDING SPECIALTY CARE. D. HOW DATA WAS OBTAINED: MIDMICHIGAN MEDICAL CENTER - MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. TWENTY DIFFERENT PRIMARY AND SECONDARY SOURCES WERE UTILIZED TO BUILD THE DATA PLATFORM, INCLUDING COUNTY HEALTH RANKINGS DATA, THE ANNIE E. CASEY FOUNDATION, US DEPARTMENT OF AGRICULTURE, US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, HEALTH INDICATOR WAREHOUSE, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, MICHIGAN PROFILE FOR HEALTHY YOUTH, MDHHS, IMMUNIZATION REPORT CARD, AND CENTERS FOR DISEASE CONTROL AND PREVENTION. WE COLLABORATED WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS IDENTIFIED IN THE ASSESSMENT. E. THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: THE MIDMICHIGAN MEDICAL CENTER - MIDLAND COMMUNITY HEALTH IMPROVEMENT PLAN OF 2017-2019 WAS BUILT UPON THE PLAN OF 2013-2016 TO FURTHER REFLECT MIDMICHIGAN HEALTHS MISSION, VISION, AND CORE VALUES, AS WELL AS COLLABORATIVE EFFORTS WITH THE COMMUNITY. MIDMICHIGAN HEALTHS FY 2013 - FY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT FOCUS AREAS INCLUDE: ACCESS TO CARE, INCLUDING INITIATION AND COORDINATION OF CARE, CONTINUITY OF SERVICES AND CARE FOR THE UNDERINSURED, HEALTH OUTCOMES INCLUDING HEART DISEASE, CANCER AND DIABETES, HEALTH CARE BEHAVIORS INCLUDING HEALTHY DIET, PHYSICAL ACTIVITY AND HEALTHY WEIGHT, AND MATERNAL AND INFANT HEALTH, INCLUDING IMPROVED BIRTH WEIGHTS AND BREASTFEEDING DURATION. CURRENT EVALUATION OF DATA DETERMINED FUTURE FOCUS FOR FY 2017 - FY 2020. MIDMICHIGAN HEALTHS 2017-2020 TOP PRIORITY AREAS DETERMINED BY THE COMMUNITY EDUCATION TEAM, APPROVED BY MIDMICHIGAN HEALTHS OPERATION TEAM ON MAY 5, 2016. 1. ACCESS TO HEALTH SERVICES 2. COLORECTAL CANCER 3. LUNG DISEASES 4. MENTAL HEALTH 5. OBESITY 6. SUBSTANCE USE 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 HEALTH 2. OBESITY THE 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 HEALTHS COMMUNITY EDUCATION COMMITTEE, AND APPROVED BY MIDMICHIGAN HEALTHS 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 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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/FAQBILLING/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 - COMMUNITY INFORMATION	MIDMICHIGAN MEDICAL CENTER-MIDLANDS'S PRIMARY SERVICE AREA IS COMPRISED OF THE 11 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY, PLUS FREELAND AND AUBURN. MIDLAND COUNTY IS THE 24TH MOST POPULATED COUNTY IN MICHIGAN. ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 83,427 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.9 PERCENT ARE UNDER 18 YEARS OF AGE AND 16.4 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.8 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.2 PERCENT OF THE POPULATION. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.1 YEARS OF AGE. OF THE POPULATION, 94.3 PERCENT ARE WHITE, 1.4 PERCENT ARE BLACK, 2.4 PERCENT ARE ASIAN, .5 PERCENT ARE NATIVE AMERICAN, 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.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MIDMICHIGAN HEALTHS 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 - AFFILIATED HEALTH CARE SYSTEM	727,089 IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN MEDICAL CENTER - MIDLAND IN 2017 THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE. IN FY 2017, 306,168 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS, AND SAFETY EDUCATION. 1,246 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 54 PEOPLE, AND HAD 644 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 1,028 BIKE HELMET FITTINGS FOR CHILDREN, 370 THINK FIRST PARTICIPANTS, AND FALL PREVENTION /INJURY PREVENTION TRAINING FOR 48 PERSONS. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFORMATION 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 1,117 INDIVIDUALS WERE PROVIDED GUIDANCE OR REFERRALS TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, AND 58 INDIVIDUALS WERE ASSISTED WITH ENROLLMENT IN PUBLIC MEDICAL PROGRAMS.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MICHIGAN
ADDITIONAL INFORMATION	PART I, LINES 3A AND 3B 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 200% 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 V, PAGE 3 AND PAGE 4 (LINES 7A AND 10A) WWW.MIDMICHIGAN.ORG/ABOUT/OUR-AFFILIATES/MEDICAL-CENTERS/MIDLAND/ PART V, PAGE 5, LINE 16A AND 16C WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF- FINANCIAL-AID/

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (36 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS-ALMA COLLEGE	2	$2,000
SCHOLARSHIPS-ALPENA COMM	1	$100
SCHOLARSHIPS-ASPEN UNIV	2	$2,000
SCHOLARSHIPS-BAKER OWOSSO	1	$500
SCHOLARSHIPS-BRADLEY UNIV	1	$1,000
SCHOLARSHIPS-CALVIN COLL	1	$2,000
SCHOLARSHIPS-CMU	14	$38,000
SCHOLARSHIPS-CHAMBERLAIN	3	$3,000
SCHOLARSHIPS-DAVENPORT	3	$2,750
SCHOLARSHIPS-DELTA COLLEG	4	$1,500
SCHOLARSHIPS-DORDT COLL	1	$2,000
SCHOLARSHIPS-DREXEL UNIV	1	$1,500
SCHOLARSHIPS-EMU	2	$3,000
SCHOLARSHIPS-FERRIS STATE	15	$20,500
SCHOLARSHIPS-GANNON UNIV	1	$1,500
SCHOLARSHIPS-GRAND VALLEY	4	$6,000
SCHOLARSHIPS-JACKSONVILLE	1	$500
SCHOLARSHIPS-KENT STATE	1	$1,500
SCHOLARSHIPS-LOYOLA UNIV	1	$2,000
SCHOLARSHIPS-MARYVILLE	1	$1,500
SCHOLARSHIPS-MI OPTOMETRY	1	$2,000
SCHOLARSHIPS-MIDMI CC	4	$1,000
SCHOLARSHIPS-MSU	10	$25,750
SCHOLARSHIPS-NOVA SE UNIV	1	$1,000
SCHOLARSHIPS-OHIO UNIV	1	$1,000
SCHOLARSHIPS-PENN STATE	1	$2,000
SCHOLARSHIPS-SVSU	20	$25,000
SCHOLARSHIPS-SAINT LOUIS	1	$1,500
SCHOLARSHIPS-SAINT XAVIER	1	$2,000
SCHOLARSHIPS-SCHOLL COLL	1	$1,500
SCHOLARSHIPS-SDSU	1	$2,500
SCHOLARSHIPS-U OF M	10	$16,500
SCHOLARSHIPS-WALDEN UNIV	8	$5,500
SCHOLARSHIPS-WAYNE STATE	4	$9,000
SCHOLARSHIPS-WEST GOV U	4	$6,500
SCHOLARSHIPS-WMU	2	$3,500

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO 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 (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANE POSTLER-SLATTERY
DIRECTOR	$739,510	$338,120	$3,406	$165,567	$23,881	$1,270,484
GREGORY ROGERS
PRESIDENT	$485,894	$190,965	$26,450	$247,979	$22,443	$973,731
SASHA SAVAGE MD
DIRECTOR							$231,365	$45,555	$9,420	$27,169	$20,676	$334,185
FRANCINE M PADGETT
SR. VP & TREASURER	$423,869	$137,823	$20,859	$170,597	$18,984	$772,132
DONNA RAPP
SENIOR VP/SECRETARY	$328,231	$106,700	$60,084	$181,213	$14,084	$690,312							$54,927
ADELBERTO ADAN
VP							$155,204	$78,640	$107,082	$122,573	$11,236	$474,735
JANICE PENNEY
VP CNO							$246,558	$64,739	$2,403	$181,920	$15,721	$511,341
DIANE NOLD
VP							$220,005	$58,320	$2,583	$89,529	$17,789	$388,226
KELLY HILL MD
MEDICAL DIRECTOR							$253,720	$23,555	$990	$65,156	$18,542	$361,963
MARGUERITTE KUHN MD
PHYSICIAN							$274,374	$31,335	$2,135	$13,265	$19,342	$340,451
MICHAEL ERICKSON
VP							$222,065	$59,050	$1,249	$27,570	$20,187	$330,121
CHRISTINA SHEPPARD
CRNA							$201,695	$72,615	$5,810	$35,365	$13,171	$328,656
ARTURAS KLUGAS MD
PHYSICIAN							$242,189	$16,055	$7,019	$30	$18,317	$283,610
ERIC BECKER MD
PHYSICIAN							$228,459	$23,555	$415	$45	$7,514	$259,988

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, 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. ADAN, ADELBERTO VP ERICKSON, MICHAEL VP NOLD, DIANE VP THE ORGANIZATION ONLY REIMBURSES THE MONTHLY SOCIAL MEMBERSHIP (NO INITIATION DUES) OF LESS THAN 150 PER MONTH.
SCHEDULE J, PAGE 1, PART I, LINE 4	DONNA RAPP 0 54,927 0 ADELBERTO ADAN 83,758 0 0
SCHEDULE J, PART III	PART I, LINE 4 (CONTINUED) THESE PAYMENTS RELATE TO THE NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AND WERE PAID IN ACCORDANCE WITH THE VESTING OF THE PLAN. THESE PAYMENTS WERE PREVIOUSLY REPORTED IN THE FISCAL YEAR EARNED ON FORM 990 AS DEFERRED COMPENSATION. PART I, LINE 4B ROGERS, PADGETT, RAPP, POSTLER-SLATTERY, NOLD, ERICKSON, AND PENNEY ARE PARTICIPANTS IN A 457(F) PLAN. PAYMENTS WERE MADE TO RAPP IN 2016. 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 PARTICIPANTS 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 - NON-FIXED PAYMENTS PROVIDED 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 A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING. PART III - OTHER ADDITIONAL INFORMATION ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. 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	false	false	Yes (true)
MICHIGAN FINANCE AUTHORITY 2014
B	800596186	2014-12-18	$140,555,140	REFUNDING '06 & '09 BONDS	false	false	false	59447P5V9
MICHIGAN FINANCE AUTHORITY 2016
C	800596186	2016-12-15	$30,000,000	CAPITAL PROJECTS	false	false	false

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	$8,003,623	$12,763,800	$26,670	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$2,490,096	$140,550,140	$1,255,334	2014	false	Yes (true)	Yes (true)	Yes (true)	$139,294,806
C	$1,000,000	$24,466,512	$200,000	2016	Yes (true)	false	false	Yes (true)

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	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K - ADDITIONAL INFORMATION	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	PRESIDENT	RelationshipDescriptionTxt
Transaction	$28,169,209	TransactionAmt
Transaction	VENDOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	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 CROSS- DISCIPLINARY OVERSIGHT ON THE PROJECTS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.
FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 11B	THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. 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 IDENTIFIED.
FORM 990, PAGE 6, PART VI, 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 AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND DO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PAGE 6, PART VI, LINE 15A	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). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PAGE 6, PART VI, LINE 15B	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, PAGE 6, PART VI, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII	PART VII, SECTION B - INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII - RELATED ORGANIZATIONS NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. 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 IS 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 427,824 5,140,251 12,175 PURCHASED/CONTRACT SERVICES 37,087,423 13,702,570 61,060 OTHER PROFESSIONAL SERVICES 23,269,623 4,743,442 808 TOTAL 60,784,870 23,586,263 74,043
FORM 990, PART XI, LINE 9	FAS 158 LIABILITY 895,730 CASH TRANSFER FROM MIDMICHIGAN FOUNDATION 970,794 CASH TRANSFERS TO MIDMICHIGAN PHYSICIANS GROUP -12,059,448 CASH TRANSFERS TO MIDMICHIGAN HEALTH DEVELOPMENT -21,000,000 TRANSFER OF RESTRICTED FUNDS TO MIDMICHIGAN FOUNDA -30,364,319 BOOK/TAX DIFFERENCE FROM K-1 -494,599 TOTAL -62,051,842

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459948	SUPPORT	MI	501C3	12A	NA	false
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREET	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-ALPENA
1501 W CHISHOLM ST	ALPENA	MI	49707	386000029	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LT CARE	MI	501C3	10	MIDMI HLTH	Yes (true)
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	10	MIDMI HLTH	Yes (true)
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501C3	10	MIDMI HLTH	Yes (true)
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	12A	MIDMI HLTH	Yes (true)
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501C2		MIDMI HLTH	Yes (true)
MIDMI MED CENTER-MIDLAND VOLUNTEERS
4000 WELLNESS DRIVE	MIDLAND	MI	48670	061723993	SUPPORT	MI	501C3	12A	NA	false
MIDMICHIGAN HEALTH FOUNDATION
4000 WELLNESS DRIVE	MIDLAND	MI	48670	812813405	FOUNDATION	MI	501C3	12A	MIDMI HLTH	Yes (true)

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 AVENUE	AddressLine1Txt
Address Line2	GOVERNORS SQUARE BLDG 4 2ND FLOOR	AddressLine2Txt
City	GEORGE TOWN	CityNm
Province Or State	GRAND CAYMAN	ProvinceOrStateNm
Country	CJ	CountryCd

Field	Value	IRS element (for citing)
EIN	980585596	EIN
Primary Activities	INSURANCE	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMI HLTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$12,059,448	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
B	$21,000,000	BOOKS & RECORDS
MIDMICHIGAN HEALTH FOUNDATION
C	$970,794	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	$569,510	BOOKS & RECORDS
MIDMICHIGAN HEALTH
P	$33,474,821	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	$1,248,453	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	$150,000	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	$3,917,885	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	$1,917,858	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	$1,190,536	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	$681,869	BOOKS & RECORDS
MIDMICHIGAN HEALTH FOUNDATION
Q	$8,542,711	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
R	$377,514	BOOKS & RECORDS
MIDMICHIGAN HEALTH FOUNDATION
R	$30,364,319	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	$206,794	BOOKS & RECORDS
MIDMICHIGAN HEALTH
S	$499,191	BOOKS & RECORDS