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 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT SR. VP & TREASURER 5178393181 2017-05-15 true LAURA M EBEL P00184232 9894975300 2017-05-15 2015 2021-01-29 14:40:06Z GREGORY ROGERS 4000 WELLNESS DRIVE MIDLAND MI 48670 435181145 false X WWW.MIDMICHIGAN.ORG X 1940 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 OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU. 14 9 2544 385 967131 6930266 4070859 346793815 380158377 10328432 10140917 13648550 14224168 377701063 408594321 198000 195725 0 129806295 139202659 0 379530 213416623 228440036 343420918 367838420 34280145 40755901 585831445 604023414 177331159 178324275 408500286 425699139 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 OUR VISION IS TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE WITH YOU. false false 296703062 380158377 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. 195725 195725 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 296898787 true true false false false false false false true true true true false false true false false true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true true false true 0 0 2544 true true true false false false false false false false false false false false X 14 9 false false false false true true true true true false false true true true true true true true true true true X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 X DIANE POSTLER-SLATTERY DIRECTOR 2.00 50.00 X 0 1064088 184566 GREGORY ROGERS PRESIDENT 2.00 50.00 X X 0 682236 243689 DAVID RODEN MD DIRECTOR 2.00 50.00 X 0 531879 17424 SASHA SAVAGE MD DIRECTOR 50.00 0.00 X 250819 0 46319 DANNY GREIG MD DIRECTOR 2.00 0.00 X 30450 0 0 BOBBIE ARNOLD DIRECTOR 2.00 0.00 X 0 0 0 BILL COLLINS DIRECTOR 2.00 0.00 X 0 0 0 PAM BOUNDY DIRECTOR 2.00 0.00 X 0 0 0 JIM FABIANO DIRECTOR 2.00 0.00 X 0 0 0 ROBERT LOFIEGO DIRECTOR 2.00 0.00 X 0 0 0 JON LYNCH DIRECTOR 2.00 0.00 X 0 0 0 WALLACE MAYTON CHAIR 2.00 0.00 X 0 0 0 AMY WILSON DIRECTOR 2.00 0.00 X 0 0 0 CHUCK KENDALL VICE CHAIR 2.00 0.00 X 0 0 0 FRANCINE M PADGETT SR. VP & TRE 2.00 50.00 X 0 564798 177543 DONNA RAPP SENIOR VP/SE 2.00 50.00 X 0 473209 132289 ADELBERTO ADAN VP 50.00 0.00 X 317759 0 132187 JANICE PENNEY VP CNO 50.00 0.00 X 290441 0 164782 DIANE NOLD VP 50.00 0.00 X 281990 0 93104 KELLY HILL MD MEDICAL DIRE 50.00 0.00 X 258101 0 76021 MICHAEL ERICKSON VP 50.00 X 268319 0 45570 ERIC BECKER MD PHYSICIAN 50.00 X 248796 0 6812 COREY KALO CRNA 50.00 X 246482 0 30554 ANDREW WOLFORD MD PHYSICIAN 50.00 0.00 X 245644 0 11799 WILLIAM DERY MD PHYSICIAN 50.00 X 243682 0 43933 2682483 3316210 1406592 103 false true false 1662790 2408069 4070859 MEDICARE/MEDICAID PAYMENTS 621990 229077293 229077293 PATIENT REVENUE, NET 621990 148890927 148890927 CONTRACTED CLINICAL SERVICES 621990 1454048 1454048 REFERENCE LABORATORY 621500 533264 533264 FITNESS CENTER 624100 202845 202845 380158377 8889929 990938 7898991 29869 29869 29869 29869 27837307 505 26463005 123819 1374302 -123314 1250988 1250988 SUBSIDIARY RELATED INCOME 900099 7516046 7516046 CAFETERIA/FOOD SERVICE 900099 1298442 1298442 EXEMPT INCENTIVE PAYMENTS 900099 1013597 1013597 4366214 3213288 231022 921904 14194299 408594321 392156137 967131 11400194 X 195725 195725 1547003 282009 1264994 106008726 82578707 23214678 215341 6366882 4905033 1449102 12747 17786773 13702893 4048268 35612 7493275 5991803 1485709 15763 11233 11233 222000 222000 478337 478337 84037391 60005112 23937365 94914 209678 64878 143845 955 50374230 45394563 4976674 2993 224762 155186 69373 203 5555395 1265019 4290376 435403 172774 261907 722 390694 239274 151140 280 6067135 5317788 749347 17388448 15240815 2147633 1658122 1658122 PHYSICIAN PRACTICE SUBSID 42198540 42198540 MEDICAL SUPPLIES 19188668 19188668 367838420 296898787 70560103 379530 9604 10204 1106096 4065936 1581657 1268489 37236269 39907039 770022 737505 3435467 3541760 13792743 14887548 356645211 204229461 158427473 152415750 42909093 122742449 321774100 261288271 3544117 3158463 1244804 585831445 604023414 19773852 24967443 127693786 125503130 1050000 1050000 20117609 17909011 8695912 8894691 177331159 178324275 X 371710026 395334820 23245830 16555397 13544430 13808922 408500286 425699139 585831445 604023414 40755901 -6836876 -16720172 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 13544430 740 263752 13808922 12898005 400925 245500 13544430 12664974 3950 229081 12898005 12396980 51272 216722 12664974 12090216 103806 202958 12396980 1.00000 false false 1152894 1152894 202633581 94144486 108489095 21833717 9304866 12528851 126246112 100780109 25466003 4778907 4778907 152415750 OTHER FINANCIAL INVESTMENTS 261288271 F 261288271 SELF INSURANCE, DEF COMP, & ACC PEN 8894691 8894691 405576779 -6836876 4405407 -2431469 408008248 478337 107736 586073 408594321 377365621 10005538 10005538 367360083 478337 478337 367838420 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 true true true X true X true true true false true true 1 483642 483642 0.00130 1 53322656 42116149 11206507 0.03050 2 53806298 42116149 11690149 0.03180 2364 55702 827675 42420 785255 0.00210 12 314 12081767 5649209 6432558 0.01750 1 54288 54288 0.00010 4 107769 107769 0.00030 2381 56016 13071499 5691629 7379870 0.02010 2383 56016 66877797 47807778 19070019 0.05180 1 464 464 1 20880 20880 0.00010 1 57513 57513 0.00020 1 93 93 2 48529 48529 0.00010 1 10985 10985 8 48 19744 19744 0.00010 1 47757 47757 0.00010 16 48 205965 205965 0.00060 true 12847731 1327391 111428451 103910266 7518185 X true true NPS ASSOCIATES LLC AMBULATORY SURGERY CENTER 0.44000 0.56000 1 1 MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 SEE SCHEDULE H, PART VI 1060000089 X X X X MIDMICHIGAN MEDICAL CENTER-MIDLAND 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 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-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. 14 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 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. true SCHOLARSHIPS-ALMA COLLEGE 3 3500 SCHOLARSHIPS-CALVIN COLL 2 3000 SCHOLARSHIPS-CENTRAL MI U 22 42500 SCHOLARSHIPS-CHAMBERLAIN 5 5250 SCHOLARSHIPS-DAVENPORT UN 10 11500 SCHOLARSHIPS-DELTA COLLEG 4 1600 SCHOLARSHIPS-DUKE 1 2500 SCHOLARSHIPS-FERRIS STATE 14 17750 SCHOLARSHIPS-GANNON UNIV 1 1500 SCHOLARSHIPS-GRAND VALLEY 1 1750 SCHOLARSHIPS-LSSU 2 1750 SCHOLARSHIPS-MIDMI CC 3 1000 SCHOLARSHIPS-MSU 9 17250 SCHOLARSHIPS-OAKLAND UNIV 3 4250 SCHOLARSHIPS-ROSALIND FRA 1 1000 SCHOLARSHIPS-SVSU 20 22625 SCHOLARSHIPS-U OF M 14 17750 SCHOLARSHIPS-U OF PHOENIX 3 1750 SCHOLARSHIPS-WALDEN UNIV 6 4750 SCHOLARSHIPS-WAYNE STATE 6 13500 SCHOLARSHIPS-WEST GOV U 4 6000 SCHOLARSHIPS-CASE WESTERN 1 1500 SCHOLARSHIPS-KENT STATE 1 1500 SCHOLARSHIPS-JACKSONVILLE 1 1000 SCHOLARSHIPS-NOVA SE UNIV 1 1500 SCHOLARSHIPS-SDSU 1 1750 SCHOLARSHIPS-MARYVILLE U 1 1500 SCHOLARSHIPS-WILKES UNIV 1 1500 SCHOLARSHIPS-SOUTH COLLEG 1 1500 SCHOLARSHIPS-ARCADIA UNIV 1 1500 SCHEDULE I, PAGE 1, PART I, LINE 2 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. X true true X X X X X false true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 697400 343002 23686 161889 22677 1248654 GREGORY ROGERS PRESIDENT 456720 192987 32529 222835 20854 925925 DAVID RODEN MD DIRECTOR 335833 194316 1730 30 17394 549303 SASHA SAVAGE MD DIRECTOR 224457 16890 9472 27630 18689 297138 FRANCINE M PADGETT SR. VP & TREASURER 396504 138597 29697 163116 14427 742341 DONNA RAPP SENIOR VP/SECRETARY 303780 106182 63247 118244 14045 605498 51439 ADELBERTO ADAN VP 232306 82424 3029 113147 19040 449946 JANICE PENNEY VP CNO 225715 62754 1972 150916 13866 455223 DIANE NOLD VP 214217 60977 6796 77006 16098 375094 KELLY HILL MD MEDICAL DIRECTOR 248396 8723 982 65266 10755 334122 MICHAEL ERICKSON VP 208285 58869 1165 27286 18284 313889 ERIC BECKER MD PHYSICIAN 228662 10723 9411 30 6782 255608 COREY KALO CRNA 238184 800 7498 15044 15510 277036 ANDREW WOLFORD MD PHYSICIAN 223886 8200 13558 15 11784 257443 WILLIAM DERY MD PHYSICIAN 226821 8723 8138 28259 15674 287615 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. A MICHIGAN FINANCE AUTHORITY 2011D 800596186 2011-06-09 12763800 CAPITAL PROJECTS false false true B MICHIGAN FINANCE AUTHORITY 2014 800596186 59447P5V9 2014-12-18 140555140 REFUNDING '06 & '09 BONDS false false false A 6538945 12763800 26670 3157830 2011 true false true true B 1219110 140550140 139294806 1255334 2014 false true true true A false false false false false false true B false false false false false false true A false true false false true false false false true B false true false false false false false false true A false B false SCHEDULE K - ADDITIONAL INFORMATION MICHIGAN FINANCE AUTHORITY 2011D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS, THEREFORE, NO ARBITRAGE REBATE CALCULATION IS REQUIRED. ROBIN NELSON FAMILY MEMBER 100334 EMPLOYMENT 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 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 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 true MIDMICHIGAN MEDICAL CENTER-CLARE 703 NORTH MCEWAN STREET CLARE MI 48617 381518643 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 ST 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 CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET RD 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-MIDLAND VOLUNTEERS 4000 WELLNESS DRIVE MIDLAND MI 48670 061723993 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 true true false false false false true true true true MIDMICHIGAN PHYSICIANS GROUP B 12708857 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC B 4000000 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP J 157634 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 687060 BOOKS & RECORDS MIDMICHIGAN HEALTH P 34305854 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1178869 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 229722 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT Q 3615010 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE Q 1918799 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN Q 1235140 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP Q 555144 BOOKS & RECORDS