MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201721359349310702
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 H
Schedule I
Schedule J
Schedule K
Schedule L
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	380833014	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCINE M PADGETT	PersonNm
Person Title	SR. VP & TREASURER	PersonTitleTxt
Phone	5178393181	PhoneNum
Signature	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	GREGORY ROGERS	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$435,181,145	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MIDMICHIGAN.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1940	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2544	TotalEmployeeCnt
Total Volunteers	385	TotalVolunteersCnt
Total Gross UBI	$967,131	TotalGrossUBIAmt
PY Contributions Grants	$6,930,266	PYContributionsGrantsAmt
CY Contributions Grants	$4,070,859	CYContributionsGrantsAmt
PY Program Service Revenue	$346,793,815	PYProgramServiceRevenueAmt
CY Program Service Revenue	$380,158,377	CYProgramServiceRevenueAmt
PY Investment Income	$10,328,432	PYInvestmentIncomeAmt
CY Investment Income	$10,140,917	CYInvestmentIncomeAmt
PY Other Revenue	$13,648,550	PYOtherRevenueAmt
CY Other Revenue	$14,224,168	CYOtherRevenueAmt
PY Total Revenue	$377,701,063	PYTotalRevenueAmt
CY Total Revenue	$408,594,321	CYTotalRevenueAmt
PY Grants And Similar Paid	$198,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$195,725	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$129,806,295	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$139,202,659	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$379,530	CYTotalFundraisingExpenseAmt
PY Other Expenses	$213,416,623	PYOtherExpensesAmt
CY Other Expenses	$228,440,036	CYOtherExpensesAmt
PY Total Expenses	$343,420,918	PYTotalExpensesAmt
CY Total Expenses	$367,838,420	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,280,145	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$40,755,901	CYRevenuesLessExpensesAmt
Total Assets BOY	$585,831,445	TotalAssetsBOYAmt
Total Assets EOY	$604,023,414	TotalAssetsEOYAmt
Total Liabilities BOY	$177,331,159	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$178,324,275	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$408,500,286	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$425,699,139	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$296,703,062	ExpenseAmt
Revenue	$380,158,377	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,540 PATIENT ADMISSIONS AND 273,139 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2016. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$195,725	ExpenseAmt
Grant	$195,725	GrantAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$296,898,787	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	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2544	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	50.00	Yes (X)	$0	$1,064,088	$184,566
GREGORY ROGERS
PRESIDENT	2.00	50.00	Yes (X)	$0	$682,236	$243,689	Yes (X)
DAVID RODEN MD
DIRECTOR	2.00	50.00	Yes (X)	$0	$531,879	$17,424
SASHA SAVAGE MD
DIRECTOR	50.00	0.00	Yes (X)	$250,819	$0	$46,319
DANNY GREIG MD
DIRECTOR	2.00	0.00	Yes (X)	$30,450	$0	$0
BOBBIE ARNOLD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
BILL COLLINS
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
PAM BOUNDY
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
JIM FABIANO
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
ROBERT LOFIEGO
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
JON LYNCH
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
WALLACE MAYTON
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
AMY WILSON
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
CHUCK KENDALL
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0
FRANCINE M PADGETT
SR. VP & TRE	2.00	50.00		$0	$564,798	$177,543	Yes (X)
DONNA RAPP
SENIOR VP/SE	2.00	50.00		$0	$473,209	$132,289	Yes (X)
ADELBERTO ADAN
VP	50.00	0.00		$317,759	$0	$132,187		Yes (X)
JANICE PENNEY
VP CNO	50.00	0.00		$290,441	$0	$164,782		Yes (X)
DIANE NOLD
VP	50.00	0.00		$281,990	$0	$93,104		Yes (X)
KELLY HILL MD
MEDICAL DIRE	50.00	0.00		$258,101	$0	$76,021		Yes (X)
MICHAEL ERICKSON
VP	50.00			$268,319	$0	$45,570			Yes (X)
ERIC BECKER MD
PHYSICIAN	50.00			$248,796	$0	$6,812			Yes (X)
COREY KALO
CRNA	50.00			$246,482	$0	$30,554			Yes (X)
ANDREW WOLFORD MD
PHYSICIAN	50.00	0.00		$245,644	$0	$11,799			Yes (X)
WILLIAM DERY MD
PHYSICIAN	50.00			$243,682	$0	$43,933			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,682,483	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,316,210	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,406,592	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	103	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$1,662,790	GovernmentGrantsAmt
All Other Contributions	$2,408,069	AllOtherContributionsAmt
Total Contributions	$4,070,859	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PAYMENTS	621990	$229,077,293	$229,077,293
PATIENT REVENUE, NET	621990	$148,890,927	$148,890,927
CONTRACTED CLINICAL SERVICES	621990	$1,454,048	$1,454,048
REFERENCE LABORATORY	621500	$533,264		$533,264
FITNESS CENTER	624100	$202,845		$202,845

Field	Value	IRS element (for citing)
Total Program Service Revenue	$380,158,377	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,889,929	TotalRevenueColumnAmt
Related Or Exempt Func Income	$990,938	RelatedOrExemptFuncIncomeAmt
Exclusion	$7,898,991	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$29,869	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$29,869	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,869	TotalRevenueColumnAmt
Exclusion	$29,869	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,837,307	SecuritiesAmt
Other	$505	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$26,463,005	SecuritiesAmt
Other	$123,819	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,374,302	SecuritiesAmt
Other	-$123,314	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,250,988	TotalRevenueColumnAmt
Exclusion	$1,250,988	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SUBSIDIARY RELATED INCOME	900099	$7,516,046	$7,516,046
CAFETERIA/FOOD SERVICE	900099	$1,298,442		$1,298,442
EXEMPT INCENTIVE PAYMENTS	900099	$1,013,597	$1,013,597

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,366,214	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,213,288	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$231,022	UnrelatedBusinessRevenueAmt
Exclusion	$921,904	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,194,299	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$408,594,321	TotalRevenueColumnAmt
Related Or Exempt Func Income	$392,156,137	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$967,131	UnrelatedBusinessRevenueAmt
Exclusion	$11,400,194	ExclusionAmt

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$195,725	TotalAmt
Program Services	$195,725	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,547,003	TotalAmt
Program Services	$282,009	ProgramServicesAmt
Management And General	$1,264,994	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$106,008,726	TotalAmt
Program Services	$82,578,707	ProgramServicesAmt
Management And General	$23,214,678	ManagementAndGeneralAmt
Fundraising	$215,341	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,366,882	TotalAmt
Program Services	$4,905,033	ProgramServicesAmt
Management And General	$1,449,102	ManagementAndGeneralAmt
Fundraising	$12,747	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,786,773	TotalAmt
Program Services	$13,702,893	ProgramServicesAmt
Management And General	$4,048,268	ManagementAndGeneralAmt
Fundraising	$35,612	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,493,275	TotalAmt
Program Services	$5,991,803	ProgramServicesAmt
Management And General	$1,485,709	ManagementAndGeneralAmt
Fundraising	$15,763	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,233	TotalAmt
Management And General	$11,233	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$222,000	TotalAmt
Management And General	$222,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$478,337	TotalAmt
Management And General	$478,337	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$84,037,391	TotalAmt
Program Services	$60,005,112	ProgramServicesAmt
Management And General	$23,937,365	ManagementAndGeneralAmt
Fundraising	$94,914	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$209,678	TotalAmt
Program Services	$64,878	ProgramServicesAmt
Management And General	$143,845	ManagementAndGeneralAmt
Fundraising	$955	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,374,230	TotalAmt
Program Services	$45,394,563	ProgramServicesAmt
Management And General	$4,976,674	ManagementAndGeneralAmt
Fundraising	$2,993	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$224,762	TotalAmt
Program Services	$155,186	ProgramServicesAmt
Management And General	$69,373	ManagementAndGeneralAmt
Fundraising	$203	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,555,395	TotalAmt
Program Services	$1,265,019	ProgramServicesAmt
Management And General	$4,290,376	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$435,403	TotalAmt
Program Services	$172,774	ProgramServicesAmt
Management And General	$261,907	ManagementAndGeneralAmt
Fundraising	$722	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$390,694	TotalAmt
Program Services	$239,274	ProgramServicesAmt
Management And General	$151,140	ManagementAndGeneralAmt
Fundraising	$280	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,067,135	TotalAmt
Program Services	$5,317,788	ProgramServicesAmt
Management And General	$749,347	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$17,388,448	TotalAmt
Program Services	$15,240,815	ProgramServicesAmt
Management And General	$2,147,633	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,658,122	TotalAmt
Management And General	$1,658,122	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHYSICIAN PRACTICE SUBSID	$42,198,540	$42,198,540
MEDICAL SUPPLIES	$19,188,668	$19,188,668

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$367,838,420	TotalAmt
Program Services	$296,898,787	ProgramServicesAmt
Management And General	$70,560,103	ManagementAndGeneralAmt
Fundraising	$379,530	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,604	BOYAmt
EOY	$10,204	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,106,096	BOYAmt
EOY	$4,065,936	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,581,657	BOYAmt
EOY	$1,268,489	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,236,269	BOYAmt
EOY	$39,907,039	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$770,022	BOYAmt
EOY	$737,505	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,435,467	BOYAmt
EOY	$3,541,760	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,792,743	BOYAmt
EOY	$14,887,548	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$356,645,211	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$204,229,461	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$158,427,473	BOYAmt
EOY	$152,415,750	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$42,909,093	BOYAmt
EOY	$122,742,449	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$321,774,100	BOYAmt
EOY	$261,288,271	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,544,117	BOYAmt
EOY	$3,158,463	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,244,804	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$585,831,445	BOYAmt
EOY	$604,023,414	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,773,852	BOYAmt
EOY	$24,967,443	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$127,693,786	BOYAmt
EOY	$125,503,130	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$20,117,609	BOYAmt
EOY	$17,909,011	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,695,912	BOYAmt
EOY	$8,894,691	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$177,331,159	BOYAmt
EOY	$178,324,275	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$371,710,026	BOYAmt
EOY	$395,334,820	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,245,830	BOYAmt
EOY	$16,555,397	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,544,430	BOYAmt
EOY	$13,808,922	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$408,500,286	BOYAmt
EOY	$425,699,139	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$585,831,445	BOYAmt
EOY	$604,023,414	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$40,755,901	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,836,876	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,720,172	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

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,090,216	BeginningYearBalanceAmt
Contributions	$103,806	ContributionsAmt
Investment Earnings Or Losses	$202,958	InvestmentEarningsOrLossesAmt
End Year Balance	$12,396,980	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$202,633,581	OtherCostOrOtherBasisAmt
Depreciation	$94,144,486	DepreciationAmt
Book Value	$108,489,095	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,833,717	OtherCostOrOtherBasisAmt
Depreciation	$9,304,866	DepreciationAmt
Book Value	$12,528,851	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$126,246,112	OtherCostOrOtherBasisAmt
Depreciation	$100,780,109	DepreciationAmt
Book Value	$25,466,003	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,778,907	OtherCostOrOtherBasisAmt
Book Value	$4,778,907	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$152,415,750	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$261,288,271	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$261,288,271	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SELF INSURANCE, DEF COMP, & ACC PEN	Desc
Amt	$8,894,691	Amt

Field	Value	IRS element (for citing)
Total Liability	$8,894,691	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$405,576,779	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$6,836,876	NetUnrealizedGainsInvstAmt
Other Revenue	$4,405,407	OtherRevenueAmt
Revenue Not Reported	-$2,431,469	RevenueNotReportedAmt
Revenue Subtotal	$408,008,248	RevenueSubtotalAmt
Investment Expenses Not Incld	$478,337	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$107,736	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$586,073	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$408,594,321	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$377,365,621	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$10,005,538	OtherExpensesIncludedAmt
Expenses Not Reported	$10,005,538	ExpensesNotReportedAmt
Expenses Subtotal	$367,360,083	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$478,337	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$478,337	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$367,838,420	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2B	THE ESCROW ACCOUNT CONSISTS OF THREE LIABILITY ACCOUNTS; MIDLAND HEALTH PLAN LIABILITY ACCOUNT, NORTHEAST HEALTH PLAN LIABILITY ACCOUNT AND CENTRAL HEALTH PLAN LIABILITY ACCOUNT. THE PURPOSE OF THESE ACCOUNTS IS TO BE A SOURCE OF CASH RESERVE TO MAKE WHOLE ANY HOSPITAL PARTNER(S) SUBJECT TO ICA DSH RECOUPMENT AS A RESULT OF FEDERAL ICA DSH AUDITS FOR FY13, FY14 AND/OR FY15. IF THE FEDERAL AUDITS DO NOT RESULT IN A RECOUPMENT AND FUNDS REMAIN, THE SOLE INTENTION OF THE LIABILITY ACCOUNT IS THAT THE REMAINING FUNDS WILL BE DISTRIBUTED TO OTHER NONPROFIT ORGANIZATIONS WITHIN THE COMMUNITY.
SCHEDULE D, PAGE 2, PART V, LINE 4	HOSPITAL OPERATIONS SUPPORT 1,679,123 HOSPITAL CAPITAL SUPPORT 7,055,832 SCHOLARSHIP FUNDS 3,729,626 COMMUNITY SERVICE FUNDS 1,344,341 ----------- 13,808,922
SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 4,405,407
SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -123,314 BOOK/TAX DIFFERENCE FROM K-1 231,050 TOTAL 0
SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 9,882,224 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 123,314 TOTAL 0

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	$483,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$483,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$53,322,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,116,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,206,507	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$53,806,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,116,149	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,690,149	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2364	ActivitiesOrProgramsCnt
Persons Served	55702	PersonsServedCnt
Total Community Benefit Expns	$827,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$785,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	314	PersonsServedCnt
Total Community Benefit Expns	$12,081,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,649,209	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,432,558	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$107,769	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,769	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2381	ActivitiesOrProgramsCnt
Persons Served	56016	PersonsServedCnt
Total Community Benefit Expns	$13,071,499	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,691,629	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,379,870	NetCommunityBenefitExpnsAmt
Total Expense	0.02010	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2383	ActivitiesOrProgramsCnt
Persons Served	56016	PersonsServedCnt
Total Community Benefit Expns	$66,877,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,807,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,070,019	NetCommunityBenefitExpnsAmt
Total Expense	0.05180	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$464	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,880	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$57,513	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$57,513	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$93	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$48,529	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,985	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,985	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	48	PersonsServedCnt
Total Community Benefit Expns	$19,744	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,744	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$47,757	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,757	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	48	PersonsServedCnt
Total Community Benefit Expns	$205,965	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$205,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,847,731	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,327,391	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$111,428,451	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$103,910,266	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$7,518,185	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	SEE SCHEDULE H, PART VI	WebsiteAddressTxt
State License	1060000089	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
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
Strategy Attached	false	StrategyAttachedInd
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-MIDLAND - PART V, LINE 5	MIDMICHIGAN MEDICAL CENTER-MIDLAND'S COMMUNITY EDUCATION COORDINATOR IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 11	I. 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-MIDLAND/. 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-MIDLAND - PART V, LINE 13H	PATIENTS RELIGIOUS BELIEFS PREVENTS HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - 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	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIES	MIDMICHIGAN MEDICAL CENTER-MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A KEY PARTNER WITH UNITED WAY OF MIDLAND COUNTY, WHICH SUPPORTS MANY NON-PROFIT AGENCIES IN MIDLAND COUNTY, INCLUDING 211 - FIRST CALL FOR HELP, THE ROCK (REACHING OUR COMMUNITY KIDS) CENTER FOR YOUTH DEVELOPMENT, THE MIDLAND AREA COMMUNITY FOUNDATION AND THE SHELTERHOUSE. MIDMICHIGAN MEDICAL CENTER-MIDLAND EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NON-PROFIT BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT FOR HEALTH AND HUMAN SERVICES PROJECTS LIKE HABITAT FOR HUMANITY AND PRISON MINISTRY, AND PARTICIPATING IN STRATEGIC INITIATIVES FOR NON-PROFIT ORGANIZATIONS LIKE THE LEGACY CENTER, GREAT START COLLABORATIVE, AND THE MIDLAND COUNTY LOCAL EMERGENCY PLANNING COMMITTEE. MEMBERSHIP ON THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT (CHAI) TEAM OF THE HEALTH AND HUMAN SERVICES COUNCIL INCLUDES IMPLEMENTATION OF THE STRATEGIC PLAN FOR THREE HEALTH IMPROVEMENT FOCUS AREAS: QUALITY OF LATER LIFE, SUBSTANCE ABUSE AND HEALTHY WEIGHT. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COSTREPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. LINE 2 - COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. LINE 3: HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE.
PART III, LINE 8 - MEDICARE EXPLANATION	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.0% 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-MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS, AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. THE 2017-2019 IMPROVEMENT PLAN REFLECTS THE BROADENED SCOPE FROM WHICH MIDMICHIGAN MEDICAL CENTER - MIDLAND WILL FUNCTION IN ORDER TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE STRATEGIES WILL BUILD UPON THE ASSETS AND RESOURCES OF OUR HEALTH SYSTEM AND EACH COMMUNITY. ALL OF THE INDICATORS 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-MIDLAND, LOCATED IN MIDLAND, MICHIGAN, SERVES MIDLAND COUNTY; COMPRISED OF ZIP CODES 48618 (COLEMAN), 48620 (EDENVILLE), 48628 (HOPE), 48640 (MIDLAND), 48641 (MIDLAND), 48642 (MIDLAND),48657(SANFORD), 48667 (MIDLAND), (48670) MIDLAND), 48674 (MIDLAND), 48686 (MIDLAND). B. DEMOGRAPHICS OF THE COMMUNITY: MIDLAND COUNTY IS THE 24TH MOST POPULATED COUNTY IN MICHIGAN. ACCORDING TO COUNTY HEALTH RANKINGS THERE ARE 100,728 RESIDENTS IN MIDLAND COUNTY. OF THOSE, 21.9 PERCENT ARE UNDER 18 YEARS OF AGE AND 16.6 PERCENT ARE 65 AND OLDER. FEMALES MAKE UP 50.8 PERCENT OF THE POPULATION WHILE MALES MAKE UP 49.2 PERCENT OF THE POPULATION. THE MEDIAN AGE IN MIDLAND COUNTY IS 38.1 YEARS OF AGE. OF THE POPULATION, 94.2 PERCENT ARE WHITE, 1.4 PERCENT ARE BLACK, 2.4 PERCENT ARE ASIAN, .5 PERCENT ARE NATIVE AMERICAN, AND 1.4 PERCENT ARE MULTIPLE RACES. IN MIDLAND COUNTY, THE PERCENTAGE OF PEOPLE WHO REPORTED THEIR HEALTH TO BE FAIR OR POOR WAS 12 PERCENT. C. EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY: A 328 LICENSED-BED HOSPITAL LOCATED ON 180 ACRES OF WOODED CAMPUS, MIDMICHIGAN MEDICAL CENTER - MIDLAND IS THE FLAGSHIP OF THE MIDMICHIGAN HEALTH SYSTEM. FROM ITS BEGINNING IN 1944, THE MEDICAL CENTER IN MIDLAND, MICHIGAN HAS ESTABLISHED ITSELF AS A LEADER IN QUALITY STATE-OF-THE-ART HEALTH CARE. IN FACT, MIDMICHIGAN MEDICAL CENTER - MIDLAND WAS NAMED ONE OF THE NATIONS 2016 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS AND WAS ALSO ONE OF A SELECT FEW TO EARN THE 2016 100 TOP HOSPITALS EVEREST AWARD. WHATS MORE, THE MEDICAL CENTER EARNED AN "A" IN PATIENT SAFETY FROM THE LEAPFROG GROUP FOR THE FALL 2015 HOSPITAL SAFETY SCORE. THE HOSPITAL SAFETY SCORE IS THE GOLD STANDARD RATING FOR PATIENT SAFETY, COMPILED UNDER THE GUIDANCE OF THE NATIONS LEADING PATIENT SAFETY EXPERTS. IN 2011, THE MEDICAL CENTERS EXPANSION AND RENOVATION INTRODUCED A NEW ENVIRONMENT OF CARE THAT ENHANCES OUR REGION WITH BIGGER AND BETTER FACILITIES FOR SURGERY, PATIENT CARE AND MEDICAL SERVICES. THE ACTIVE MEDICAL STAFF CONSISTS OF 166 PHYSICIANS, 99 PERCENT OF WHOM ARE BOARD CERTIFIED. THEY REPRESENT 32 MEDICAL SPECIALTIES PROVIDING A FULL RANGE OF PRIMARY CARE AS WELL AS OUTSTANDING SPECIALTY CARE. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A REGIONAL LEADER IN INVESTING IN ADVANCED TECHNOLOGY, OFFERING STATE-OF-THE-ART EQUIPMENT AND PROCEDURES TYPICALLY FOUND ONLY IN LARGE ACADEMIC MEDICAL CENTERS. THE MEDICAL CENTER IS THE ONLY HOSPITAL IN MICHIGAN TO OFFER GAMMA KNIFE PERFEXION, CONSIDERED THE GOLD STANDARD IN BRAIN SURGERY, AND HAS AN ARRAY OF ADVANCED IMAGING TECHNIQUES THAT IS UNMATCHED IN THE REGION. D. HOW DATA WAS OBTAINED: MIDMICHIGAN MEDICAL CENTER-MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. TWENTY DIFFERENT PRIMARY AND SECONDARY SOURCES WERE UTILIZED TO BUILD THE DATA PLATFORM, INCLUDING COUNTY HEALTH RANKINGS DATA; THE ANNIE E. CASEY FOUNDATION; US DEPARTMENT OF AGRICULTURE; US CENSUS BUREAU; AMERICAN COMMUNITY SURVEY; HEALTH INDICATOR WAREHOUSE; BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM; MICHIGAN PROFILE FOR HEALTHY YOUTH; MDHHS; IMMUNIZATION REPORT CARD AND CENTERS FOR DISEASE CONTROL AND PREVENTION. WE COLLABORATED WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS IDENTIFIED IN THE ASSESSMENT.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE IS COMMUNICATED TO THE PUBLIC THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTP://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FAQ- BILLING/NOINSURANCE. MIDMICHIGAN HEALTH PROVIDES FINANCIAL AID TO PATIENTS BASED ON THEIR INCOME, ASSETS AND NEEDS. IN ADDITION, MIDMICHIGAN HEALTH MAY BE ABLE TO HELP FIND FREE OR LOW-COST HEALTH INSURANCE, OR WORK WITH PATIENTS TO ARRANGE A MANAGEABLE PAYMENT PLAN.
PART VI, LINE 4 - COMMUNITY INFORMATION	MIDMICHIGAN MEDICAL CENTER-MIDLANDS'S PRIMARY SERVICE AREA IS COMPRISED OF THE 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY, PLUS FREELAND AND AUBURN. 48.1% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 64.0%. COVENANT ALSO SERVES MIDLAND'S PRIMARY SERVICE AREA, RECEIVING 13.1% OF THE INPATIENT MARKET, FOLLOWED BY MCLAREN - BAY REGION WITH A 6.0% CAPTURE. THE COLEMAN/SANFORD SERVICE AREA IS A DESIGNATED LOW INCOME POPULATION GROUP HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS -------------------------------------------------------------------------- 2016 % OVER MEDIAN MEDIAN POPULATION 65 YEARS INCOME AGE -------------------------------------------------------------------------- 100,728 16.6% 53,186 38.1 RACE -------------------------------------------------------------------------- WHITE/ NATIVE CAUCASIAN ASIAN AMERICAN HISPANIC BLACK -------------------------------------------------------------------------- 94.2% 2.4% 0.5% 1.5% 1.4%
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MIDMICHIGAN HEALTH'S FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. WE PARTNER WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY. ADDITIONALLY, STAFF PARTICIPATES IN COMMUNITY COLLABORATIVE PARTNERSHIPS FOR AREA NON- PROFITS WITH A FOCUS ON HEALTH LIKE MIDLAND CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS, AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THE COMMUNITY HEALTH MANAGER FOR MIDMICHIGAN MEDICAL CENTER-MIDLAND IS AN ACTIVE MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT (CHAI) COMMITTEE OF THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY AND SERVES AS THE SECRETARY AND CHAIR ELECT FOR THE MIDLAND HEALTH AND HUMAN SERVICES COUNCIL.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	8.9 MILLION IN COMMUNITY BENEFITS WAS 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. IN FY 2016, 32,523 PERSONS WERE REACHED WITH GENERAL COMMUNITY EDUCATION TOPICS LIKE ADVANCED DIRECTIVES, CANCER PREVENTION, DRUG AND ALCOHOL DANGERS, AND SAFETY EDUCATION. 1,384 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST SCREENINGS, INCLUDING SCREENINGS FOR CANCER, PERIPHERAL ARTERY DISEASE, CHOLESTEROL AND OBESITY. THESE SCREENINGS PROVIDED A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDED DIABETES EDUCATION TO 88 PEOPLE, AND HAD 694 BREASTFEEDING EDUCATION AND SUPPORT CONTACTS. HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS WITH MANY OF THESE PROGRAMS. TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA II CERTIFICATION WERE PROVIDED, INCLUDING 1,150 BIKE HELMET FITTINGS FOR CHILDREN, 532 THINK FIRST PARTICIPANTS, AND FALL PREVENTION/INJURY PREVENTION TRAINING FOR 269 PERSONS. MIDMICHIGAN HEALTH COMMUNITY HEALTH STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFO ABOUT MIDMICHIGAN ACCESS LINE, AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFICES RE: MIDMICHIGAN ACCESS LINE, TO HELP THEM DETERMINE IF A PROGRAM OR SERVICE IS AVAILABLE LOCALLY, OR TO TRANSFER THEM TO A PHYSICIAN OFFICE OR DEPARTMENT FOR REFERRALS. A TOTAL OF 3,241 INDIVIDUALS WERE PROVIDED GUIDANCE OR REFERRALS TO COMMUNITY SERVICES AND PUBLIC ASSISTANCE PROGRAMS, AND 58 INDIVIDUALS WERE ASSISTED WITH ENROLLMENT IN PUBLIC, MEDICAL PROGRAMS.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MICHIGAN
ADDITIONAL INFORMATION	PART I, LINES 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. PART V, PAGE 3 AND PAGE 4 (LINES 7A AND 10A) WWW.MIDMICHIGAN.ORG/ABOUT/OUR-AFFILIATES/MEDICAL-CENTERS/MIDLAND/ PART V, PAGE 5, LINE 16A AND 16C WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF- FINANCIAL-AID/ PART V, PAGE 6, LINE 20B AT THIS TIME WE NOTIFY ALL INPATIENTS PRIOR TO DISCHARGE.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (30 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS-ALMA COLLEGE	3	$3,500
SCHOLARSHIPS-CALVIN COLL	2	$3,000
SCHOLARSHIPS-CENTRAL MI U	22	$42,500
SCHOLARSHIPS-CHAMBERLAIN	5	$5,250
SCHOLARSHIPS-DAVENPORT UN	10	$11,500
SCHOLARSHIPS-DELTA COLLEG	4	$1,600
SCHOLARSHIPS-DUKE	1	$2,500
SCHOLARSHIPS-FERRIS STATE	14	$17,750
SCHOLARSHIPS-GANNON UNIV	1	$1,500
SCHOLARSHIPS-GRAND VALLEY	1	$1,750
SCHOLARSHIPS-LSSU	2	$1,750
SCHOLARSHIPS-MIDMI CC	3	$1,000
SCHOLARSHIPS-MSU	9	$17,250
SCHOLARSHIPS-OAKLAND UNIV	3	$4,250
SCHOLARSHIPS-ROSALIND FRA	1	$1,000
SCHOLARSHIPS-SVSU	20	$22,625
SCHOLARSHIPS-U OF M	14	$17,750
SCHOLARSHIPS-U OF PHOENIX	3	$1,750
SCHOLARSHIPS-WALDEN UNIV	6	$4,750
SCHOLARSHIPS-WAYNE STATE	6	$13,500
SCHOLARSHIPS-WEST GOV U	4	$6,000
SCHOLARSHIPS-CASE WESTERN	1	$1,500
SCHOLARSHIPS-KENT STATE	1	$1,500
SCHOLARSHIPS-JACKSONVILLE	1	$1,000
SCHOLARSHIPS-NOVA SE UNIV	1	$1,500
SCHOLARSHIPS-SDSU	1	$1,750
SCHOLARSHIPS-MARYVILLE U	1	$1,500
SCHOLARSHIPS-WILKES UNIV	1	$1,500
SCHOLARSHIPS-SOUTH COLLEG	1	$1,500
SCHOLARSHIPS-ARCADIA UNIV	1	$1,500

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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 (15 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANE POSTLER-SLATTERY
DIRECTOR	$697,400	$343,002	$23,686	$161,889	$22,677	$1,248,654
GREGORY ROGERS
PRESIDENT	$456,720	$192,987	$32,529	$222,835	$20,854	$925,925
DAVID RODEN MD
DIRECTOR	$335,833	$194,316	$1,730	$30	$17,394	$549,303
SASHA SAVAGE MD
DIRECTOR							$224,457	$16,890	$9,472	$27,630	$18,689	$297,138
FRANCINE M PADGETT
SR. VP & TREASURER	$396,504	$138,597	$29,697	$163,116	$14,427	$742,341
DONNA RAPP
SENIOR VP/SECRETARY	$303,780	$106,182	$63,247	$118,244	$14,045	$605,498							$51,439
ADELBERTO ADAN
VP							$232,306	$82,424	$3,029	$113,147	$19,040	$449,946
JANICE PENNEY
VP CNO							$225,715	$62,754	$1,972	$150,916	$13,866	$455,223
DIANE NOLD
VP							$214,217	$60,977	$6,796	$77,006	$16,098	$375,094
KELLY HILL MD
MEDICAL DIRECTOR							$248,396	$8,723	$982	$65,266	$10,755	$334,122
MICHAEL ERICKSON
VP							$208,285	$58,869	$1,165	$27,286	$18,284	$313,889
ERIC BECKER MD
PHYSICIAN							$228,662	$10,723	$9,411	$30	$6,782	$255,608
COREY KALO
CRNA							$238,184	$800	$7,498	$15,044	$15,510	$277,036
ANDREW WOLFORD MD
PHYSICIAN							$223,886	$8,200	$13,558	$15	$11,784	$257,443
WILLIAM DERY MD
PHYSICIAN							$226,821	$8,723	$8,138	$28,259	$15,674	$287,615

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE COUNTRY CLUB DUES. MIDMICHIGAN MEDICAL CENTER-MIDLAND HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS PORTION OF THE PAYMENT ARE TREATED AS TAXABLE INCOME. ADAN, ADELBERTO VP ERICKSON, MICHAEL VP NOLD, DIANE VP THE ORGANIZATION ONLY REIMBURSES THE MONTHLY SOCIAL MEMBERSHIP (NO INITIATION DUES) OF LESS THAN 150 PER MONTH.
SCHEDULE J, PAGE 1, PART I, LINE 4	DONNA RAPP 0 51,439 0
SCHEDULE J, PART III	PART I, LINE 4 (CONTINUED) THESE PAYMENTS RELATE TO THE NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) AND WERE PAID IN ACCORDANCE WITH THE VESTING OF THE PLAN. THESE PAYMENTS WERE PREVIOUSLY REPORTED IN THE FISCAL YEAR EARNED ON FORM 990 AS DEFERRED COMPENSATION. PART I, LINE 4B ROGERS, PADGETT, RAPP, POSTLER-SLATTERY, NOLD, ERICKSON, AND ADAN ARE PARTICIPANTS IN A 457(F) PLAN. PAYMENTS WERE MADE TO RAPP IN 2015. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANTS ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS AND THE PARTICIPANT EARNS 75 POINTS. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING. PART III - OTHER ADDITIONAL INFORMATION ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MICHIGAN FINANCE AUTHORITY 2011D
A	800596186	2011-06-09	$12,763,800	CAPITAL PROJECTS	false	false	Yes (true)
MICHIGAN FINANCE AUTHORITY 2014
B	800596186	2014-12-18	$140,555,140	REFUNDING '06 & '09 BONDS	false	false	false	59447P5V9

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$6,538,945	$12,763,800	$26,670	$3,157,830	2011	Yes (true)	false	Yes (true)	Yes (true)
B	$1,219,110	$140,550,140	$1,255,334		2014	false	Yes (true)	Yes (true)	Yes (true)	$139,294,806

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	ROBIN NELSON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$100,334	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU.
FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PAGE 6, PART VI, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED.
FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND DO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PAGE 6, PART VI, LINE 15A	THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PAGE 6, PART VI, LINE 15B	ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
FORM 990, PAGE 6, PART VI, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII	PART VII, SECTION B - INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII - RELATED ORGANIZATIONS NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES IS NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART IX, LINE 11G	EQUIPMENT MAINTENANCE 570,115 4,777,101 26,604 PURCHASED/CONTRACT SERVICES 37,292,603 14,321,865 67,016 OTHER PROFESSIONAL SERVICES 22,142,394 4,838,399 1,294
FORM 990, PART XI, LINE 9	FAS 158 LIABILITY 219,735 TRANSFER OF CAPITAL TO TAX EXEMPT ORG -12,708,857 TRANSFER OF CAPITAL TO TAX EXEMPT ORG -4,000,000 BOOK/TAX DIFFERENCE FROM K-1 -231,050 TOTAL -16,720,172

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-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREET	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-ALPENA
1501 W CHISHOLM ST	ALPENA	MI	49707	386000029	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LT CARE	MI	501C3	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 CARE	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	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-MIDLAND VOLUNTEERS
4000 WELLNESS DRIVE	MIDLAND	MI	48670	061723993	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$12,708,857	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
B	$4,000,000	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	$157,634	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	$687,060	BOOKS & RECORDS
MIDMICHIGAN HEALTH
P	$34,305,854	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	$1,178,869	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	$229,722	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	$3,615,010	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	$1,918,799	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	$1,235,140	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	$555,144	BOOKS & RECORDS