MYMICHIGAN MEDICAL CENTER CLARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER CLARE (EIN 38-1518643)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201711359349310881
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T16:17:57-04:00	ReturnTs
Tax Period End	2016-06-30	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	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381518643	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER - CLARE	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	703 NORTH MCEWAN STREET	AddressLine1Txt
City	CLARE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48617	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCINE M PADGETT	PersonNm
Person Title	SR. VP & TREASURER	PersonTitleTxt
Phone	9898393000	PhoneNum
Signature	2017-05-15	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	2017-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RAYMOND STOVER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	703 N MCEWAN STREET	AddressLine1Txt
City	CLARE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48617	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$53,672,468	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	1951	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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	329	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$2,434	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$1,013	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$69,655	PYContributionsGrantsAmt
CY Contributions Grants	$37,157	CYContributionsGrantsAmt
PY Program Service Revenue	$43,867,081	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,700,547	CYProgramServiceRevenueAmt
PY Investment Income	$331,010	PYInvestmentIncomeAmt
CY Investment Income	$450,332	CYInvestmentIncomeAmt
PY Other Revenue	$1,268,724	PYOtherRevenueAmt
CY Other Revenue	$1,150,987	CYOtherRevenueAmt
PY Total Revenue	$45,536,470	PYTotalRevenueAmt
CY Total Revenue	$52,339,023	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$18,084,421	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,003,968	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,663,098	PYOtherExpensesAmt
CY Other Expenses	$28,238,627	CYOtherExpensesAmt
PY Total Expenses	$43,747,519	PYTotalExpensesAmt
CY Total Expenses	$47,242,595	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,788,951	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,096,428	CYRevenuesLessExpensesAmt
Total Assets BOY	$37,260,443	TotalAssetsBOYAmt
Total Assets EOY	$42,128,761	TotalAssetsEOYAmt
Total Liabilities BOY	$9,187,933	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$9,575,157	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$28,072,510	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$32,553,604	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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$38,248,349	ExpenseAmt
Revenue	$50,700,547	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,081 PATIENT ADMISSIONS AND 94,190 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2016. THE CATH LAB HAD 65 VISITS IN FISCAL YEAR 2016. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY.	Desc
Total Program Service Expenses	$38,248,349	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	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	false	CreditCounselingInd
Temp Or Permanent Endowments	false	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	false	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	Yes (true)	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	false	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	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	329	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	false	InvestmentInJointVentureInd
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 DR	AddressLine1Txt
City	MIDLAND	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48670	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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	$1,064,088	$184,566
ROBERT NUNOO MD
DIRECTOR	2.00	50.00	Yes (X)	$0	$377,111	$17,624
RAYMOND STOVER
PRESIDENT	2.00	50.00	Yes (X)	$0	$361,792	$143,446	Yes (X)
TOM CLARINGBOLD DO
DIRECTOR	2.00	50.00	Yes (X)	$0	$351,888	$40,543
LEYDA SU HAM DO
DIRECTOR	2.00	50.00	Yes (X)	$0	$275,814	$6,568
MARY GRIFFORE
DIRECTOR	2.00	2.00	Yes (X)	$0	$6,480	$239
RICHARD BRATTON DO
DIRECTOR	2.00	2.00	Yes (X)	$0	$2,925	$15
JEFFREY FOSSITT
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
TOM HOUSE
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
DON RICHARDS
TREASURER	2.00		Yes (X)	$0	$0	$0
LISA BENIC
DIRECTOR	2.00		Yes (X)	$0	$0	$0
AMY STARK
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JOYCE THOMPSON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JJ KLAUS
DIRECTOR	2.00		Yes (X)	$0	$0	$0
DAN TIMMINS
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JOLENE COMPTON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JOAN DAVID
DIRECTOR	2.00		Yes (X)	$0	$0	$0
ANN ROWE
DIRECTOR	2.00		Yes (X)	$0	$0	$0
GLENN SMITH
VICE CHAIR	2.00		Yes (X)	$0	$0	$0
DAVID SPRANG
DIRECTOR	2.00		Yes (X)	$0	$0	$0
GLENN KING
VP OF NURSIN	50.00			$189,477	$0	$24,290		Yes (X)
EDWARDO MUNOZ
CRNA	50.00			$233,663	$0	$19,063			Yes (X)
RICHARD DEFLUITER
CRNA	50.00			$230,580	$0	$29,727			Yes (X)
RUSSELL RADER
ANESTHESIOLO	50.00			$213,754	$0	$26,266			Yes (X)
WILLIAM GROVES
CRNA	50.00			$207,713	$0	$23,980			Yes (X)
KELLY MATHISON
CRNA	50.00			$198,081	$0	$16,281			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,273,268	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,440,098	TotReportableCompRltdOrgAmt
Total Other Compensation	$532,608	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	11	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Fundraising	$16,792	FundraisingAmt
All Other Contributions	$20,365	AllOtherContributionsAmt
Total Contributions	$37,157	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PAYMENTS	621990	$32,336,480	$32,336,480
NET PATIENT REVENUE	621990	$18,205,020	$18,205,020
CONTRACTED CLINICAL SERVICES	621990	$156,613	$156,613
REFERENCE LABORATORY	621500	$2,434		$2,434

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,700,547	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$381,061	TotalRevenueColumnAmt
Exclusion	$381,061	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,400,868	SecuritiesAmt
Other	$500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,331,708	SecuritiesAmt
Other	$389	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$69,160	SecuritiesAmt
Other	$111	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,271	TotalRevenueColumnAmt
Exclusion	$69,271	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$16,792	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,348	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,348	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
INCENTIVE PAYMENTS	900099	$386,487	$386,487
OUTSIDE INCOME	900099	$212,483	$212,483
CAFETERIA/FOOD SERVICE	722514	$108,552		$108,552

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$444,813	TotalRevenueColumnAmt
Related Or Exempt Func Income	$444,813	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,152,335	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,339,023	TotalRevenueColumnAmt
Related Or Exempt Func Income	$51,741,896	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,434	UnrelatedBusinessRevenueAmt
Exclusion	$558,884	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$212,036	TotalAmt
Program Services	$127,222	ProgramServicesAmt
Management And General	$84,814	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,677,177	TotalAmt
Program Services	$13,888,316	ProgramServicesAmt
Management And General	$788,861	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$665,922	TotalAmt
Program Services	$634,690	ProgramServicesAmt
Management And General	$31,232	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,399,884	TotalAmt
Program Services	$2,280,594	ProgramServicesAmt
Management And General	$119,290	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,048,949	TotalAmt
Program Services	$999,507	ProgramServicesAmt
Management And General	$49,442	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$300	TotalAmt
Management And General	$300	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$19,996	TotalAmt
Management And General	$19,996	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$22,786	TotalAmt
Management And General	$22,786	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,604,013	TotalAmt
Program Services	$3,251,407	ProgramServicesAmt
Management And General	$6,352,606	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$64,310	TotalAmt
Program Services	$45,169	ProgramServicesAmt
Management And General	$19,141	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$897,760	TotalAmt
Program Services	$701,688	ProgramServicesAmt
Management And General	$196,072	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$760,071	TotalAmt
Program Services	$337,889	ProgramServicesAmt
Management And General	$422,182	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$34,419	TotalAmt
Program Services	$29,892	ProgramServicesAmt
Management And General	$4,527	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$207,965	TotalAmt
Program Services	$207,965	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,749,057	TotalAmt
Program Services	$1,061,011	ProgramServicesAmt
Management And General	$688,046	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$193,802	TotalAmt
Program Services	$1,024	ProgramServicesAmt
Management And General	$192,778	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIAN SUBSIDY	$9,220,815	$9,220,815
MEDICAL SUPPLIES	$4,433,735	$4,431,562	$2,173
QAAP FEES	$1,029,598	$1,029,598

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$47,242,595	TotalAmt
Program Services	$38,248,349	ProgramServicesAmt
Management And General	$8,994,246	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,395	BOYAmt
EOY	$1,395	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$567,816	BOYAmt
EOY	$754,752	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,673,555	BOYAmt
EOY	$8,390,872	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,226	BOYAmt
EOY	$2,678	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$162,333	BOYAmt
EOY	$493,019	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$33,438,661	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$20,890,976	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,586,889	BOYAmt
EOY	$12,547,685	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,972,626	BOYAmt
EOY	$3,332,177	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$15,250,898	BOYAmt
EOY	$16,606,183	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,705	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,260,443	BOYAmt
EOY	$42,128,761	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,345,298	BOYAmt
EOY	$2,472,438	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,378,321	BOYAmt
EOY	$4,924,182	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$698,618	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,765,696	BOYAmt
EOY	$2,178,537	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,187,933	BOYAmt
EOY	$9,575,157	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,030,455	BOYAmt
EOY	$32,535,920	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$42,055	BOYAmt
EOY	$17,684	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,072,510	BOYAmt
EOY	$32,553,604	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,260,443	BOYAmt
EOY	$42,128,761	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,096,428	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$275,561	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$339,773	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,826,668	OtherCostOrOtherBasisAmt
Book Value	$1,826,668	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,163,127	OtherCostOrOtherBasisAmt
Depreciation	$9,849,349	DepreciationAmt
Book Value	$6,313,778	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$979,537	OtherCostOrOtherBasisAmt
Depreciation	$735,048	DepreciationAmt
Book Value	$244,489	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,759,323	OtherCostOrOtherBasisAmt
Depreciation	$10,306,579	DepreciationAmt
Book Value	$3,452,744	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$710,006	OtherCostOrOtherBasisAmt
Book Value	$710,006	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$12,547,685	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$16,606,183	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$16,606,183	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SELF INSURANCE, OTHER	Desc
Amt	$2,178,537	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,178,537	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$52,078,592	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$275,561	NetUnrealizedGainsInvstAmt
Other Revenue	$36,679	OtherRevenueAmt
Revenue Not Reported	-$238,882	RevenueNotReportedAmt
Revenue Subtotal	$52,317,474	RevenueSubtotalAmt
Investment Expenses Not Incld	$22,786	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$1,237	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$21,549	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$52,339,023	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$47,282,575	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$62,877	OtherExpensesIncludedAmt
Expenses Not Reported	$62,877	ExpensesNotReportedAmt
Expenses Subtotal	$47,219,698	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$22,786	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$111	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$22,897	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$47,242,595	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 36,679
SCHEDULE D, PAGE 4, PART XI, LINE 4B	GAIN ON DISPOSAL OF ASSETS - RECLASSIFIED 111 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED -1,348 TOTAL 0
SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 61,529 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED 1,348 TOTAL 0
SCHEDULE D, PAGE 4, PART XII, LINE 4B	GAIN ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 111

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	LOVE LIGHT TREE	Event1Nm
Gross Receipts Event1	$16,792	GrossReceiptsEvent1Amt
Charitable Contri Event1	$16,792	CharitableContriEvent1Amt
Food And Beverage Event1	$748	FoodAndBeverageEvent1Amt
Entertainment Event1	$150	EntertainmentEvent1Amt
Other Direct Expenses Event1	$450	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$16,792	GrossReceiptsTotalAmt
Charitable Contributions Tot	$16,792	CharitableContributionsTotAmt
Food And Beverage Total Events	$748	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$150	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$450	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,348	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,348	NetIncomeSummaryAmt

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	$60,410	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,410	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,287,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,813,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,474,259	NetCommunityBenefitExpnsAmt
Total Expense	0.05240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,348,014	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,813,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,534,669	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	84	ActivitiesOrProgramsCnt
Persons Served	23724	PersonsServedCnt
Total Community Benefit Expns	$105,926	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$34,738	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,738	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	28	ActivitiesOrProgramsCnt
Persons Served	1237	PersonsServedCnt
Total Community Benefit Expns	$16,247	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,247	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	119	ActivitiesOrProgramsCnt
Persons Served	24963	PersonsServedCnt
Total Community Benefit Expns	$156,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$156,071	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	121	ActivitiesOrProgramsCnt
Persons Served	24963	PersonsServedCnt
Total Community Benefit Expns	$11,504,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,814,185	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,690,740	NetCommunityBenefitExpnsAmt
Total Expense	0.05700	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,740	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,740	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,352	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,352	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	300	PersonsServedCnt
Total Community Benefit Expns	$1,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,130	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	65	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,007	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,007	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	32	PersonsServedCnt
Total Community Benefit Expns	$5,870	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,870	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	84	ActivitiesOrProgramsCnt
Persons Served	332	PersonsServedCnt
Total Community Benefit Expns	$32,099	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,027,965	BadDebtExpenseAmt
Bad Debt Expense Attributable	$232,921	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$15,616,417	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$15,870,789	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$254,372	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
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 - CLARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	703 N MCEWAN ST	AddressLine1Txt
City	CLARE	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	486171440	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE SCHEDULE H, PART VI	WebsiteAddressTxt
State License	1060000076	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER - CLARE	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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	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	13	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 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 Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 5	MIDMICHIGAN MEDICAL CENTER-CLARES COMMUNITY EDUCATION COORDINATOR IS INVOLVED IN A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT; CALLED THE TOGETHER WE CAN HEALTH IMPROVEMENT PLANNING WORKING GROUP (HIP) FOR CLARE AND GLADWIN COUNTY. THIS WORKING GROUP IS A SUBCOMMITTEE OF THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL, A COLLABORATIVE OF COMMUNITY MEMBERS AND AGENCIES FROM ACROSS THE REGION LED BY THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT IN AN EFFORT TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES SERVED, INCLUSIVE OF THOSE SERVED BY MIDMICHIGAN MEDICAL CENTER-CLARE. OTHER MEMBERS INCLUDE THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CHIEF HEALTH OFFICER; DIRECTOR OF PUBLIC HEALTH PROMOTION AND PREPAREDNESS AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; HEALTH PROMOTION AND PREPAREDNESS SUPERVISOR AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; AND DIRECTOR OF PERSONAL HEALTH SERVICES AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-CLARE IS A PARTNER WITH MIHIA. THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY OF HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 11	I. HEALTH CARE ACCESS GOAL: IMPROVE ACCESS TO SEAMLESS, COMPREHENSIVE, QUALITY HEALTH CARE SERVICES TO INCLUDE HEALTH CARE PROVIDERS, DIAGNOSTIC SERVICES AND AREA REFERRAL RESOURCES. PRIORITY ACTIONS 1. INFORM COMMUNITY MEMBERS REGARDING AVAILABLE INSURANCE AND PAYMENT OPTIONS. 2. CONNECT PEOPLE TO SERVICES. - UTILIZED HEALTH CARE STAFF AT COMMUNITY VENUES: I. NURSE NAVIGATORS II. DISCHARGE PLANNERS III. WELLNESS COACHES 3. ARRANGE TRANSPORTATION TO SERVICES FOR THOSE WHO WOULD NOT OTHERWISE RECEIVE THESE SERVICES. - UTILIZED VAN FOR CANCER SERVICES; GAS CARDS FOR TRANSPORTATION TO PHYSICIAN OFFICES. 4. HELP PEOPLE FIND A HEALTH CARE PROVIDER THROUGH PHYSICIAN REFERRAL SERVICES. - CONNECT PEOPLE VIA HEALTH LINE 5. INCREASE NUMBER OF PATIENTS SERVED BY A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) 6. WAIT TIMES FOR URGENT CARE POSTED ON WWW.MIDMICHIGAN.ORG/CONDITIONS- TREATMENTS/URGENTCARE/MIDMICHIGAN-URGENT-CARE-CLARE/. 7. RECRUIT PHYSICIANS, MID-LEVELS AND OTHER HEALTH CARE PROVIDERS TO AREAS OF NEED. 8. CONTINUE PROJECTS TARGETED AT PREVENTABLE READMISSIONS FOR SELECTED DIAGNOSES. 9. IMPLEMENT PROJECTS TARGETED AT PREVENTABLE HOSPITAL STAYS. 10. ADMISSION REVIEW PROCESS TO DETERMINE APPROPRIATENESS OF EACH ADMISSION. II. HEALTH CARE BEHAVIORS GOAL: IMPROVE HEALTH BEHAVIORS TO PROMOTE HEALTH AND REDUCE THE RISK OF CHRONIC DISEASE. CRITICAL MEASURES: IMPROVED PHYSICAL ACTIVITY AND EATING; REDUCED PREVALENCE OF OVERWEIGHT AND OBESITY. 1. INCREASE THE LEVEL OF FITNESS THROUGH INCENTIVIZED PHYSICAL ACTIVITY PROGRAMS IN THE COMMUNITIES AND SCHOOLS. 2. INSTITUTE PAYMENT AND REIMBURSEMENT SYSTEMS THAT INCENTIVIZE PREVENTIVE CARE. 3. RECORD HEALTH SCREENING AND OTHER HEATH CARE PREVENTIVE ACTIONS IN EMR. 4. EXPAND USE OF EMR TO INCLUDE PREVENTIVE MEASURE TRACKING. 5. SMOKING CESSATION PROGRAMS, TO INCLUDE INCENTIVES, WELLNESS COUNSELING AND TOBACCO FACILITATORS (TELEPHONE SUPPORT AND NO TO LOW OUT OF POCKET COST). 6. TOBACCO USE CESSATION: MEDIA CAMPAIGNS USING BRIEF, RECURRING MESSAGES TO INFORM AND MOTIVATE TOBACCO USERS TO QUIT. III. CLINICAL PREVENTIVE AND SUPPORTIVE SERVICES GOAL: REDUCE DISEASE AND ECONOMIC BURDEN OF CHRONIC DISEASES AND IMPROVE QUALITY OF LIFE FOR PEOPLE WHO HAVE OR ARE AT RISK FOR CHRONIC DISEASES THROUGH CHRONIC DISEASE PREVENTION AND DETECTION (HEART DISEASE, CANCER, AND DIABETES). CRITICAL MEASURES: REDUCE OVERALL HEART DISEASE, CANCER, DIABETES INCIDENCE AND DEATH RATES. IV. MATERNAL AND INFANT HEALTH GOAL: IMPROVED PREGNANCY AND POSTPARTUM HEALTH BEHAVIORS TO IMPROVE THE HEALTH AND WELLBEING OF MOTHERS AND INFANTS. CRITICAL MEASURES: IMPROVEMENT IN MATERNAL AND INFANT CHILD HEALTH; DECREASE IN TEEN BIRTH RATES. INCREASE THE PROPORTION OF PREGNANT WOMEN WHO ATTEND A SERIES OF PREPARED CHILDBIRTH CLASSES. 1. TARGET UNDERSERVED POPULATIONS TO INCLUDE TEEN MOMS AND THOSE IN FINANCIAL NEED. 2. COLLABORATE WITH OTHER AGENCIES TO PROVIDE NEEDED CARE, EDUCATION AND SERVICES ACROSS COUNTY LINES. 3. INCREASE THE PROPORTION OF NEW MOTHERS WHO RECEIVE BREASTFEEDING SUPPORT. 4. PROVIDE CHILDBIRTH PREPARATION CLASSES FOR AREAS WITH LOW BIRTH WEIGHT BABIES AND INCREASED OBESITY RATES.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 13H	PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 16I	THE COMPLETE POLICY IS NOT PUBLISHED. HOWEVER, NOTICES OF THE EXISTENCE OF A FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN REGISTRATION AREAS (INCLUDING EMERGENCY ROOM). PATIENT BILLING INVOICES AND THE HOSPITAL WEBSITE INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MIDMI MEDICAL CENTER-CLARE REHAB SV
231 SOUTH FIRST STREET	HARRISON	MI	48625	REHABILITATION SERVICES ONLY
MIDMICHIGAN HEALTH PARK-HOUGHTON LK
9249 W LAKE CITY ROAD	HOUGHTON LAKE	MI	48629	REHABILITATION, LAB, & MAMMOGRAPHY
MIDMICHIGAN URGENT CARE - CLARE
700 WEST FIFTH ST	CLARE	MI	48617	URGENT CARE, OCCUPATIONAL MEDICINE
CLARE MMO RHC
602 BEECH STREET	CLARE	MI	48617	RURAL HEALTH CLINIC
HARRISON RHC
815 NORTH CLARE AVENUE	HARRISON	MI	48625	RURAL HEALTH CLINIC
FARWELL RHC
2812 WEST CADILLAC DRIVE	FARWELL	MI	48622	RURAL HEALTH CLINIC
6TH AND MAPLE STREET
212 W SIXTH STREET	CLARE	MI	48617	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIES	MIDMICHIGAN MEDICAL CENTER-CLARE EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-CLARE PARTICIPATES IN THE RESD CLARE/GLADWIN GREAT START COLLABORATIVE. THIS COLLABORATIVE PARTNERS WITH MANY COMMUNITY LEADERS, BUSINESS OWNERS, CHARITABLE AND FAITH BASED ORGANIZATIONS, HEALTH AND HUMAN SERVICE AGENCIES, EDUCATORS AND PARENTS TO ESTABLISH AND MAINTAIN A NETWORK OF COUNTY-WIDE SUPPORTS AND SERVICES TO ACHIEVE BETTER RESULTS FOR YOUNG CHILDREN AND FAMILIES. CLARE IS ALSO A PARTNER IN MANY DIFFERENT COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDING 1016 BOARD OF DIRECTORS, CENTRAL MICHIGAN REGIONAL RURAL HEALTH NETWORK, CLARE/GLADWIN HEALTH IMPROVEMENT PLANNING COMMITTEE, MID MICHIGAN COMMUNITY COLLEGE PHLEBOTOMY PROGRAM ADVISORY COMMITTEE, MID MICHIGAN COMMUNITY COLLEGE FOUNDATION, CENTRAL HEALTH PLAN, AND MIDMICHIGAN COMMUNITY HEALTH SERVICES BOARD OF DIRECTORS. ALL OF WHICH WORK IN A VARIETY OF FACETS TO IMPROVE THE HEALTH IN OUR COUNTY. MIDMICHIGAN MEDICAL CENTER-CLARE PROVIDES COMMUNITY SUPPORT IN A VARIETY OF WAYS BY PARTICIPATING IN CLARE AND GLADWIN COUNTY UNITED WAY, LIONS CLUB, ROTARY, 911 DISPATCH, LOCAL EMERGENCY PLANNING COMMITTEE, AND THE PARDEE CANCER BOARD. CLARE IS ALSO REPRESENTED IN THE COMMUNITY FROM AN ECONOMIC DEVELOPMENT STANDPOINT, BY SERVING ON THE CHAMBER OF COMMERCE AS WELL AS THE CLARE COUNTY COMMUNITY FOUNDATION. BOTH OF WHICH, ASSIST THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS. FINALLY, CLARE WORKS IN THE COMMUNITY TO ENHANCE WORKFORCE DEVELOPMENT THROUGH CONTINUED PHYSICIAN RECRUITMENT ALONG WITH SUPPORTING A BUILDING BUSINESS CONNECTIONS EVENT, WHICH CONNECTS LOCAL BUSINESSES TO HIGH SCHOOL AND COLLEGE STUDENTS ENTERING THE WORKFORCE.
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 - BAD DEBT ATTRIBUTABLE TO CHARITY CARE: 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 COLLECTION 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." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. MIDMICHIGAN HEALTH ASSUMES THE COST OF THE PROGRAM (INTEREST) AND GUARANTEES THE RECEIVABLES.
PART VI, LINE 2 - NEEDS ASSESSMENT	MIDMICHIGAN MEDICAL CENTER-CLARE OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN. WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS IDENTIFIED IN THE ASSESSMENT. THE 2017-2019 IMPROVEMENT PLAN REFLECTS THE BROADENED SCOPE FROM WHICH MIDMICHIGAN MEDICAL CENTER - CLARE 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 THAT WERE 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 CLARE, LOCATED IN CLARE, MI, SERVES CLARE COUNTY; COMPRISED OF ZIP CODES 48617 (CLARE), 48622 (FARWELL), 48625 (HARRISON), 48632 (LAKE), 48633 (LAKE GEORGE), AND 48632 (LAKE STATION). B. DEMOGRAPHICS OF THE COMMUNITY: ACCORDING TO THE COUNTY HEALTH RANKINGS THERE ARE 33,517 RESIDENTS IN CLARE COUNTY. OF THOSE, 20.1 PERCENT ARE UNDER 18 YEARS OF AGE AND 22 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.1 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.9 PERCENT OF THE POPULATION. THE MEDIAN AGE IN CLARE COUNTY IS 46.2 YEARS OF AGE. OF THE POPULATION, 95.2 PERCENT ARE WHITE, 1.8 PERCENT ARE HISPANIC AND LESS THAN ONE PERCENT ARE BLACK, ASIAN OR NATIVE AMERICAN. IN CLARE COUNTY, THE PERCENTAGE OF PEOPLE WHO SELF-REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 16 PERCENT. ACCORDING TO COUNTY HEALTH RANKINGS, HEALTH FACTORS REPRESENT WHAT INFLUENCES HEALTH OF A COUNTY, HEALTH OUTCOMES REPRESENT HOW HEALTHY A COUNTY IS BASED UPON TWO TYPES OF OUTCOMES: HOW LONG PEOPLE LIVE (LENGTH OF LIFE) AND HOW HEALTHY PEOPLE FEEL WHILE ALIVE (QUALITY OF LIFE). ACCORDING TO COUNTY HEALTH RANKINGS, CLARE COUNTY IS RANKED 78TH OUT OF 83 IN THE STATE FOR HEALTH OUTCOMES AND RANKED 81ST OUT OF 83 IN HEALTH FACTORS.
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, DISCHARGE PLANNERS AND THROUGH TRANSITIONS OF CARE, CASE MANAGERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHHS 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 HTTPS://WWW.MIDMICHIGAN.ORG/PATIENTSVISITORS/BILLING- INSURANCE/FAQ-BILLING/NOINSURANCE. MIDMICHIGAN PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS AND NEEDS. IN ADDITION, WE MAY BE ABLE TO HELP FIND FREE OR LOW-COST HEALTH INSURANCE, OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN.
PART VI, LINE 4 - COMMUNITY INFORMATION	MIDMICHIGAN MEDICAL CENTER-CLARE'S PRIMARY SERVICE AREA IS COMPRISED OF THE 6 ZIP CODES WHICH CAPTURE CLARE COUNTY. 82.0% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 20.8%. MIDMICHIGAN MEDICAL CENTER-MIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 36.9% MARKET SHARE FOLLOWED BY MCLAREN - CENTRAL MICHIGAN WITH A 13.1% MARKET CAPTURE AND MIDMICHIGAN MEDICAL CENTER-GRATIOT AT A 4.5% CAPTURE. CLARE COUNTY IS A DESIGNATED LOW INCOME MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS -------------------------------------------------------------------------- 2016 % OVER MEDIAN MEDIAN POPULATION 65 YEARS INCOME AGE -------------------------------------------------------------------------- 33,517 22.0% 36,203 46.2 RACE -------------------------------------------------------------------------- WHITE/ NATIVE CAUCASIAN ASIAN AMERICAN HISPANIC BLACK -------------------------------------------------------------------------- 95.2% <1.0% <1.0% 1.8% <1.0%
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 MEMBERS SIT ON THE HOSPITAL BOARD FOR EACH SUBSIDIARY OF MIDMICHIGAN HEALTH. THESE BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY. ADDITIONALLY, STAFF PARTICIPATES IN COMMUNITY COLLABORATIONS FOR AREA NON-PROFITS WHO HAVE A FOCUS ON HEALTH. EXAMPLES INCLUDE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE 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 EDUCATION COORDINATOR FOR MIDMICHIGAN MEDICAL CENTER - CLARE IS AN ACTIVE MEMBER OF THE CENTRAL MICHIGAN REGIONAL RURAL HEALTH IMPROVEMENT (HIP) WORKING GROUP THAT ACTS TO IMPROVE HEALTH AT THE LOCAL LEVEL THROUGH ACTIVITIES AND ADVOCACY. GROUPS HAVE BEEN FORMED IN ARENAC, CLARE, GLADWIN, ISABELLA, OSCEOLA, AND ROSCOMMON COUNTIES.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	8.2 MILLION IN COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. MIDMICHIGAN MEDICAL CENTER - CLARE ASSISTED 1,120 INDIVIDUALS ENROLLING IN PUBLIC MEDICAL PROGRAMS. MIDMICHIGAN HEALTH ALSO PROVIDED URGENT CARE WAIT TIMES FOR ALL URGENT CARE LOCATIONS BY DISPLAYING THEM ON THE WEBSITE HOMEPAGE AT WWW.MIDMICHIGAN.ORG/CONDITIONS-TREATMENTS/URGENTCARE/ MIDMICHIGAN-URGENT-CARE-CLARE/. MIDMICHIGAN MEDICAL CENTER - CLARE HAD 390 COMMUNITY MEMBERS ATTEND HEALTH FAIRS WHERE EDUCATION AND HEALTH CARE SCREENINGS WERE PROVIDED. ADDITIONALLY, 800 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST SCREENINGS AS FOLLOWS: TOTAL LIPID PROFILE; BLOOD GLUCOSE; BLOOD PRESSURE; WEIGHT; BODY MASS INDEX; WAIST CIRCUMFERENCE; BLOOD PRESSURE; MAMMOGRAM; AND OSTEOPOROSIS. THESE SCREENINGS, AT A LOSS OF 6,663.83, PROVIDED CONVENIENT FREE OR LOW-COST MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, HEALTH FAIRS WERE A VENUE USED TO REACH OUT AND ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN MEDICAL CENTER - CLARE COLLABORATED WITH SCHOOLS WITH MANY OF THESE TYPES OF PROGRAMS AS WELL. MIDMICHIGAN HEALTH STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WAS 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. FOR MIDMICHIGAN MEDICAL CENTER - CLARE, A TOTAL OF 1,120 INDIVIDUALS WERE SERVED RELATED TO PHYSICIAN REFERRALS, POTENTIAL NEW PATIENTS, AND 143 LITERATURE FULFILLMENTS. A TOTAL OF 1,120 INDIVIDUALS WERE ASSISTED WITH ENROLLMENT IN PUBLIC, MEDICAL PROGRAMS.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MICHIGAN
ADDITIONAL INFORMATION	PART I, LINE 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/HOSPITALS/MEDICALCENTERCLARE/ PART V, PAGE 5, LINE 16A AND 16C WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF- FINANCIAL-AID/ PART V, PAGE 6, LINE 20B AT THIS TIME WE NOTIFY ALL INPATIENTS PRIOR TO DISCHARGE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	false	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 (11 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
DIANE POSTLER-SLATTERY
DIRECTOR	$697,400	$343,002	$23,686	$161,889	$22,677	$1,248,654
ROBERT NUNOO MD
DIRECTOR	$326,307	$49,979	$825	$15	$17,609	$394,735
RAYMOND STOVER
PRESIDENT	$253,412	$89,777	$18,603	$122,386	$21,060	$505,238
TOM CLARINGBOLD DO
DIRECTOR	$271,959	$78,744	$1,185	$24,163	$16,380	$392,431
LEYDA SU HAM DO
DIRECTOR	$175,885	$99,563	$366	$15	$6,553	$282,382
GLENN KING
VP OF NURSING							$149,515	$32,301	$7,661	$9,706	$14,584	$213,767
EDWARDO MUNOZ
CRNA							$231,579	$800	$1,284	$11,706	$7,357	$252,726
RICHARD DEFLUITER
CRNA							$228,546	$800	$1,234	$11,810	$17,917	$260,307
RUSSELL RADER
ANESTHESIOLOGY MGR							$208,503	$3,200	$2,051	$10,976	$15,290	$240,020
WILLIAM GROVES
CRNA							$204,822	$800	$2,091	$10,449	$13,531	$231,693
KELLY MATHISON
CRNA							$187,006	$10,800	$275	$9,965	$6,316	$214,362

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART III	FormAndLineReferenceDesc
Explanation	POSTLER-SLATTERY AND STOVER ARE PARTICIPANTS IN A 457(F) PLAN. NO PAYMENTS WERE MADE TO THESE PARTICIPANTS DURING 2015. 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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
2011 MICHIGAN FINANCE AUTHORITY
A	800596186	2011-06-09	$455,850	CAPITAL PROJECTS	false	false	Yes (true)
2014 MI FINANCE AUTHORITY
B	800596186	2014-12-18	$4,817,128	REFUNDING '06 & '09 BONDS	false	false	false	59447P5V9

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$233,506	$455,850	$1,062	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$41,783	$4,817,128	$43,025	2014	false	Yes (true)	Yes (true)	Yes (true)	$4,774,103

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	false	Yes (true)	false	Yes (true)	false	false	false	false
B	false	Yes (true)	false	false	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU.
FORM 990	ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS 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.
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 AN 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 CHAIR AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND MUST 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 REVIEWED 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	SECTION B, LINE 1 - 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 SERVICE ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART IX, LINE 11G	ASSOCIATION DUES & OTHER FEES 2,512,845 5,929,576 0 PURCHASED/CONTRACT SERVICES 738,562 423,030 0
FORM 990, PART XI, LINE 9	CASH TRANSFER TO MIDMICHIGAN PHYSICIANS GROUP -339,773 TOTAL -339,773

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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	11A	NA	false
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRIVE	MIDLAND	MI	48670	380833014	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	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 STREET	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	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME EQUIP	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET ROAD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	11A	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-CLARE VOLUNTEERS
703 NORTH MCEWAN STREET	CLARE	MI	48617	382944967	SUPPORT	MI	501C3	11A	NA	false

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	false	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	false	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	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$339,773	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	$105,891	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	$1,918,799	BOOKS & RECORDS
MIDMICHIGAN HEALTH
P	$3,928,089	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	$630,204	BOOKS & RECORDS