2017-05-15T16:17:57-04:00 2016-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2015-07-01 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898393181 703 NORTH MCEWAN STREET CLARE MI 48617 FRANCINE M PADGETT SR. VP & TREASURER 9898393000 2017-05-15 true LAURA M EBEL P00184232 9894975300 2017-05-15 2015 2021-01-29 14:40:06Z RAYMOND STOVER 703 N MCEWAN STREET CLARE MI 48617 53672468 false X WWW.MIDMICHIGAN.ORG X 1951 MI 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. 20 13 329 68 2434 -1013 69655 37157 43867081 50700547 331010 450332 1268724 1150987 45536470 52339023 0 0 18084421 19003968 0 0 25663098 28238627 43747519 47242595 1788951 5096428 37260443 42128761 9187933 9575157 28072510 32553604 X 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. false false 38248349 50700547 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. 38248349 true true false false false false false false false false true true false false true false false true false false false false false false true false true true false false true true false false false false false false false false false false false false false false false true true true true false true 0 0 329 true true true false false false false false false false false false X 20 13 false false false false true true true true true false false true true true true true true true true false X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X DIANE POSTLER-SLATTERY DIRECTOR 2.00 50.00 X 0 1064088 184566 ROBERT NUNOO MD DIRECTOR 2.00 50.00 X 0 377111 17624 RAYMOND STOVER PRESIDENT 2.00 50.00 X X 0 361792 143446 TOM CLARINGBOLD DO DIRECTOR 2.00 50.00 X 0 351888 40543 LEYDA SU HAM DO DIRECTOR 2.00 50.00 X 0 275814 6568 MARY GRIFFORE DIRECTOR 2.00 2.00 X 0 6480 239 RICHARD BRATTON DO DIRECTOR 2.00 2.00 X 0 2925 15 JEFFREY FOSSITT CHAIR 2.00 0.00 X 0 0 0 TOM HOUSE DIRECTOR 2.00 0.00 X 0 0 0 DON RICHARDS TREASURER 2.00 X 0 0 0 LISA BENIC DIRECTOR 2.00 X 0 0 0 AMY STARK DIRECTOR 2.00 X 0 0 0 JOYCE THOMPSON DIRECTOR 2.00 X 0 0 0 JJ KLAUS DIRECTOR 2.00 X 0 0 0 DAN TIMMINS DIRECTOR 2.00 X 0 0 0 JOLENE COMPTON DIRECTOR 2.00 X 0 0 0 JOAN DAVID DIRECTOR 2.00 X 0 0 0 ANN ROWE DIRECTOR 2.00 X 0 0 0 GLENN SMITH VICE CHAIR 2.00 X 0 0 0 DAVID SPRANG DIRECTOR 2.00 X 0 0 0 GLENN KING VP OF NURSIN 50.00 X 189477 0 24290 EDWARDO MUNOZ CRNA 50.00 X 233663 0 19063 RICHARD DEFLUITER CRNA 50.00 X 230580 0 29727 RUSSELL RADER ANESTHESIOLO 50.00 X 213754 0 26266 WILLIAM GROVES CRNA 50.00 X 207713 0 23980 KELLY MATHISON CRNA 50.00 X 198081 0 16281 1273268 2440098 532608 11 false true false 16792 20365 37157 MEDICARE/MEDICAID PAYMENTS 621990 32336480 32336480 NET PATIENT REVENUE 621990 18205020 18205020 CONTRACTED CLINICAL SERVICES 621990 156613 156613 REFERENCE LABORATORY 621500 2434 2434 50700547 381061 381061 1400868 500 1331708 389 69160 111 69271 69271 16792 1348 -1348 INCENTIVE PAYMENTS 900099 386487 386487 OUTSIDE INCOME 900099 212483 212483 CAFETERIA/FOOD SERVICE 722514 108552 108552 444813 444813 1152335 52339023 51741896 2434 558884 X 212036 127222 84814 14677177 13888316 788861 665922 634690 31232 2399884 2280594 119290 1048949 999507 49442 300 300 19996 19996 22786 22786 9604013 3251407 6352606 64310 45169 19141 897760 701688 196072 760071 337889 422182 34419 29892 4527 207965 207965 1749057 1061011 688046 193802 1024 192778 PHYSICIAN SUBSIDY 9220815 9220815 MEDICAL SUPPLIES 4433735 4431562 2173 QAAP FEES 1029598 1029598 47242595 38248349 8994246 0 1395 1395 567816 754752 6673555 8390872 2226 2678 162333 493019 33438661 20890976 12586889 12547685 1972626 3332177 15250898 16606183 42705 37260443 42128761 2345298 2472438 4378321 4924182 698618 1765696 2178537 9187933 9575157 X 28030455 32535920 42055 17684 28072510 32553604 37260443 42128761 5096428 -275561 -339773 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1826668 1826668 16163127 9849349 6313778 979537 735048 244489 13759323 10306579 3452744 710006 710006 12547685 OTHER FINANCIAL INVESTMENTS 16606183 F 16606183 SELF INSURANCE, OTHER 2178537 2178537 52078592 -275561 36679 -238882 52317474 22786 -1237 21549 52339023 47282575 62877 62877 47219698 22786 111 22897 47242595 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 LOVE LIGHT TREE 16792 16792 748 150 450 16792 16792 748 150 450 1348 -1348 true true true X true X true true true false true true 1 60410 60410 0.00130 1 11287604 8813345 2474259 0.05240 2 11348014 8813345 2534669 0.05370 84 23724 105926 840 105086 0.00220 7 2 34738 34738 0.00070 28 1237 16247 16247 0.00030 119 24963 156911 840 156071 0.00330 121 24963 11504925 8814185 2690740 0.05700 1 1740 1740 1 8352 8352 0.00020 2 300 1130 1130 65 15007 15007 0.00030 15 32 5870 5870 0.00010 84 332 32099 32099 0.00070 true 4027965 232921 15616417 15870789 -254372 X true true 1 1 MIDMICHIGAN MEDICAL CENTER - CLARE 703 N MCEWAN ST CLARE MI 486171440 SEE SCHEDULE H, PART VI 1060000076 X X X MIDMICHIGAN MEDICAL CENTER - CLARE 1 false false true X X X X X X X X X X 13 true false false true X SEE SCHEDULE H, PART VI X true 13 true SEE SCHEDULE H, PART VI false true X 150.000000000000 200.000000000000 X X X X X X true true X X X X true X SEE SCHEDULE H PART VI X SEE SCHEDULE H PART VI X X X true X true X X X true X false false 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. 7 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 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. X X X X X false true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 697400 343002 23686 161889 22677 1248654 ROBERT NUNOO MD DIRECTOR 326307 49979 825 15 17609 394735 RAYMOND STOVER PRESIDENT 253412 89777 18603 122386 21060 505238 TOM CLARINGBOLD DO DIRECTOR 271959 78744 1185 24163 16380 392431 LEYDA SU HAM DO DIRECTOR 175885 99563 366 15 6553 282382 GLENN KING VP OF NURSING 149515 32301 7661 9706 14584 213767 EDWARDO MUNOZ CRNA 231579 800 1284 11706 7357 252726 RICHARD DEFLUITER CRNA 228546 800 1234 11810 17917 260307 RUSSELL RADER ANESTHESIOLOGY MGR 208503 3200 2051 10976 15290 240020 WILLIAM GROVES CRNA 204822 800 2091 10449 13531 231693 KELLY MATHISON CRNA 187006 10800 275 9965 6316 214362 SCHEDULE J, PART III 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. A 2011 MICHIGAN FINANCE AUTHORITY 800596186 2011-06-09 455850 CAPITAL PROJECTS false false true B 2014 MI FINANCE AUTHORITY 800596186 59447P5V9 2014-12-18 4817128 REFUNDING '06 & '09 BONDS false false false A 233506 455850 1062 2011 true false true true B 41783 4817128 4774103 43025 2014 false true true true A false false false false false false true B false false false false false false true A false false true false true false false false false B false true false false false false false false false A false B false 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 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 true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-ALPENA 1501 W CHISHOLM STREET ALPENA MI 49707 386000029 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME EQUIP MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET ROAD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true MIDMI MED CENTER-CLARE VOLUNTEERS 703 NORTH MCEWAN STREET CLARE MI 48617 382944967 SUPPORT MI 501C3 11A NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GEORGE TOWN GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false true false false false false false false false false true false false false false true true false false MIDMICHIGAN PHYSICIANS GROUP B 339773 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 105891 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 1918799 BOOKS & RECORDS MIDMICHIGAN HEALTH P 3928089 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 630204 BOOKS & RECORDS