2016-05-16T16:02:48-05:00 2015-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2014-07-01 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898393181 703 NORTH MCEWAN STREET CLARE MI 48617 FRANCINE M PADGETT SR. VP & TREASURER 9898393181 2016-05-16 true LAURA M EBEL P00184232 9894975300 2016-05-16 2014 2016-08-17 19:52:53Z RAYMOND STOVER 703 NORTH MCEWAN STREET CLARE MI 48617 48949404 false X WWW.MIDMICHIGAN.ORG X 1951 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. 20 13 323 62 14517 47663 69655 41378692 43867081 602422 331010 2395520 1268724 44424297 45536470 0 0 17981884 18084421 0 0 25607648 25663098 43589532 43747519 834765 1788951 36940104 37260443 9902104 9187933 27038000 28072510 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. false false 35314573 43867081 MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,034 PATIENT ADMISSIONS AND 89,260 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2015. THE CATH LAB HAD 74 VISITS IN FISCAL YEAR 2015. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 35314573 true true false false false false false false false false true true false false true false false true false false false false false false true false true true false false true true false false false false false false false false false false false false false false false true true true true false true 0 0 323 true true true false false false false false false false false false X 20 13 false false false false true true true true true false false true true true true true true true true false X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X DIANE POSTLER-SLATTERY DIRECTOR 2.00 50.00 X 0 818581 174843 TOM CLARINGBOLD DO DIRECTOR 2.00 50.00 X 0 343515 36445 ROBERT NUNOO MD DIRECTOR 2.00 50.00 X 0 325674 16380 RAYMOND STOVER PRESIDENT 2.00 50.00 X X 0 274243 120247 LEYDA SU HAM DO DIRECTOR 2.00 50.00 X 0 222941 6379 RICHARD BRATTON DO DIRECTOR 2.00 2.00 X 0 20559 10 MARY GRIFFORE DIRECTOR 2.00 3.00 X 0 5285 189 JEFFREY FOSSITT SECRETARY 2.00 0.00 X 0 0 0 TOM HOUSE DIRECTOR 2.00 0.00 X 0 0 0 DON RICHARDS TREASURER 2.00 0.00 X 0 0 0 LISA BENIC VICE CHAIR 2.00 0.00 X 0 0 0 AMY STARK DIRECTOR 2.00 0.00 X 0 0 0 JOYCE THOMPSON DIRECTOR 2.00 0.00 X 0 0 0 JJ KLAUS DIRECTOR 2.00 0.00 X 0 0 0 DAN TIMMINS DIRECTOR 2.00 0.00 X 0 0 0 JOLENE COMPTON DIRECTOR 2.00 0.00 X 0 0 0 JOAN DAVID DIRECTOR 2.00 0.00 X 0 0 0 ANN ROWE DIRECTOR 2.00 0.00 X 0 0 0 GLENN SMITH CHAIR 2.00 0.00 X 0 0 0 DAVID SPRANG DIRECTOR 2.00 0.00 X 0 0 0 GLENN KING VP OF NURSIN 50.00 0.00 X 168375 0 22976 EDWARDO MUNOZ CRNA 50.00 0.00 X 229124 0 18141 RICHARD DEFLUITER CRNA 50.00 0.00 X 220375 0 27064 RUSSELL RADER ANESTHESIOLO 50.00 0.00 X 207442 0 23651 WILLIAM GROVES CRNA 50.00 0.00 X 204162 0 22758 KELLY MATHISON CRNA 50.00 0.00 X 192359 0 15971 1221837 2010798 485054 10 false true false 15161 54494 69655 MEDICARE/MEDICAID PAYMENTS 621990 27006511 27006511 NET PATIENT REVENUE 621990 16683990 16683990 CONTRACTED CLINICAL SERVICES 621990 162063 162063 REFERENCE LABORATORY 621500 14517 14517 43867081 294523 294523 3444280 3367847 39946 76433 -39946 36487 36487 15161 5141 -5141 INCENTIVE PAYMENTS 900099 806270 806270 OUTSIDE INCOME 900099 209265 209265 CAFETERIA/FOOD SERVICE 722514 104405 104405 153925 153925 1273865 45536470 45022024 14517 435415 X 14088437 13245652 842785 605869 587955 17914 2406741 2302534 104207 983374 939799 43575 1320 1320 24000 24000 23665 23665 8395790 2471868 5923922 62279 43816 18463 734372 590312 144060 807457 350340 457117 28107 25285 2822 228727 228727 1720566 1040925 679641 147019 490 146529 PHYSICIAN SUBSIDY 7969844 7969844 MEDICAL SUPPLIES 3978366 3975440 2926 QAAP FEES 900900 900900 LOSS ON EARLY DEBT EXTIN 640686 640686 43747519 35314573 8432946 0 1320 1395 715182 567816 5759946 6673555 3069 2226 375901 162333 32086139 19499250 13525200 12586889 2066873 1972626 14466858 15250898 25755 42705 36940104 37260443 2729852 2345298 4390748 4378321 316458 698618 2465046 1765696 9902104 9187933 X 27033299 28030455 4701 42055 27038000 28072510 36940104 37260443 1788951 -43081 -711360 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1826668 1826668 16122880 9287419 6835461 962894 680759 282135 13165635 9531072 3634563 8062 8062 12586889 OTHER FINANCIAL INVESTMENTS 15250898 F 15250898 SELF INSURANCE, OTHER 1765696 1765696 44890055 -43081 -624756 -667837 45557892 23665 -45087 -21422 45536470 43160556 37442 37442 43123114 23665 600740 624405 43747519 SCHEDULE D, PAGE 4, PART XI, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 15,930 LOSS ON EARLY EXTINGUISHMENT OF DEBT -640,686 TOTAL 0 SCHEDULE D, PAGE 4, PART XI, LINE 4B LOSS ON DISPOSAL OF ASSETS - RECLASSIFIED -39,946 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED -5,141 TOTAL 0 SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 32,301 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED 5,141 TOTAL 0 SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -39,946 LOSS ON EARLY EXTINGUISHMENT OF DEBT 640,686 TOTAL 0 LOVE LIGHT TREE 15161 15161 900 4241 15161 15161 900 4241 5141 -5141 true true true X true X true true true false true true 1 64322 64322 0.00150 1 10168399 7016574 3151825 0.07200 2 10232721 7016574 3216147 0.07350 107 8968 69379 4878 64501 0.00150 77 141 177797 177797 0.00410 43 200 24973 24973 0.00060 227 9309 272149 4878 267271 0.00610 229 9309 10504870 7021452 3483418 0.07960 3 2472 2472 0.00010 11 13325 13325 0.00030 1 9 6888 6888 0.00020 2 42261 42261 0.00100 26 64946 64946 0.00150 true 3451369 190373 14137601 14019942 117659 X true true 1 1 MIDMICHIGAN MEDICAL CENTER - CLARE 703 N MCEWAN ST CLARE MI 486171440 X X X MIDMICHIGAN MEDICAL CENTER - CLARE 1 false false true X X X X X X X X X X 13 true false false true X WWW.MIDMICHIGAN.ORG X true 13 true WWW.MIDMICHIGAN.ORG false false true X 150.000000000000 200.000000000000 X X X X X X true true X X X X true X true X true X X true X false true FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 5 MIDMICHIGAN MEDICAL CENTER-CLARES COMMUNITY EDUCATION COORDINATOR IS INVOLVED IN A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT; CALLED THE TOGETHER WE CAN HEALTH IMPROVEMENT PLANNING WORKING GROUP (HIP) FOR CLARE AND GLADWIN COUNTY. THIS WORKING GROUP IS A SUBCOMMITTEE OF THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL, A COLLABORATIVE OF COMMUNITY MEMBERS AND AGENCIES FROM ACROSS THE REGION LED BY THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT IN AN EFFORT TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES SERVED, INCLUSIVE OF THOSE SERVED BY MIDMICHIGAN MEDICAL CENTER-CLARE. OTHER MEMBERS INCLUDE THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CHIEF HEALTH OFFICER; DIRECTOR OF PUBLIC HEALTH PROMOTION AND PREPAREDNESS AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; HEALTH PROMOTION AND PREPAREDNESS SUPERVISOR AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; AND DIRECTOR OF PERSONAL HEALTH SERVICES AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-CLARE IS A PARTNER WITH MIHIA. THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY OF HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 11 I. HEALTH CARE ACCESS GOAL: IMPROVE ACCESS TO SEAMLESS, COMPREHENSIVE, QUALITY HEALTH CARE SERVICES TO INCLUDE HEALTH CARE PROVIDERS, DIAGNOSTIC SERVICES AND AREA REFERRAL RESOURCES. PRIORITY ACTIONS 1. INFORM COMMUNITY MEMBERS REGARDING AVAILABLE INSURANCE AND PAYMENT OPTIONS. 2. CONNECT PEOPLE TO SERVICES. - UTILIZED HEALTH CARE STAFF AT COMMUNITY VENUES: I. NURSE NAVIGATORS II. DISCHARGE PLANNERS III. WELLNESS COACHES 3. ARRANGE TRANSPORTATION TO SERVICES FOR THOSE WHO WOULD NOT OTHERWISE RECEIVE THESE SERVICES. - UTILIZED VAN FOR CANCER SERVICES; GAS CARDS FOR TRANSPORTATION TO PHYSICIAN OFFICES. 4. HELP PEOPLE FIND A HEALTH CARE PROVIDER THROUGH PHYSICIAN REFERRAL SERVICES. - CONNECT PEOPLE VIA HEALTH LINE 5. INCREASE NUMBER OF PATIENTS SERVED BY A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) 6. WAIT TIMES FOR URGENT CARE POSTED ON WWW.MIDMICHIGAN.ORG 7. RECRUIT PHYSICIANS, MID-LEVELS AND OTHER HEALTH CARE PROVIDERS TO AREAS OF NEED. 8. CONTINUE PROJECTS TARGETED AT PREVENTABLE READMISSIONS FOR SELECTED DIAGNOSES. 9. IMPLEMENT PROJECTS TARGETED AT PREVENTABLE HOSPITAL STAYS. 10. ADMISSION REVIEW PROCESS TO DETERMINE APPROPRIATENESS OF EACH ADMISSION. II. HEALTH CARE BEHAVIORS GOAL: IMPROVE HEALTH BEHAVIORS TO PROMOTE HEALTH AND REDUCE THE RISK OF CHRONIC DISEASE. CRITICAL MEASURES: IMPROVED PHYSICAL ACTIVITY AND EATING; REDUCED PREVALENCE OF OVERWEIGHT AND OBESITY. 1. INCREASE THE LEVEL OF FITNESS THROUGH INCENTIVIZED PHYSICAL ACTIVITY PROGRAMS IN THE COMMUNITIES AND SCHOOLS. 2. INSTITUTE PAYMENT AND REIMBURSEMENT SYSTEMS THAT INCENTIVIZE PREVENTIVE CARE. 3. RECORD HEALTH SCREENING AND OTHER HEATH CARE PREVENTIVE ACTIONS IN EMR. 4. EXPAND USE OF EMR TO INCLUDE PREVENTIVE MEASURE TRACKING. 5. SMOKING CESSATION PROGRAMS, TO INCLUDE INCENTIVES, WELLNESS COUNSELING AND TOBACCO FACILITATORS (TELEPHONE SUPPORT AND NO TO LOW OUT OF POCKET COST). 6. TOBACCO USE CESSATION: MEDIA CAMPAIGNS USING BRIEF, RECURRING MESSAGES TO INFORM AND MOTIVATE TOBACCO USERS TO QUIT. III. CLINICAL PREVENTIVE AND SUPPORTIVE SERVICES GOAL: REDUCE DISEASE AND ECONOMIC BURDEN OF CHRONIC DISEASES AND IMPROVE QUALITY OF LIFE FOR PEOPLE WHO HAVE OR ARE AT RISK FOR CHRONIC DISEASES THROUGH CHRONIC DISEASE PREVENTION AND DETECTION (HEART DISEASE, CANCER, AND DIABETES). CRITICAL MEASURES: REDUCE OVERALL HEART DISEASE, CANCER, DIABETES INCIDENCE AND DEATH RATES. IV. MATERNAL AND INFANT HEALTH GOAL: IMPROVED PREGNANCY AND POSTPARTUM HEALTH BEHAVIORS TO IMPROVE THE HEALTH AND WELLBEING OF MOTHERS AND INFANTS. CRITICAL MEASURES: IMPROVEMENT IN MATERNAL AND INFANT CHILD HEALTH; DECREASE IN TEEN BIRTH RATES. INCREASE THE PROPORTION OF PREGNANT WOMEN WHO ATTEND A SERIES OF PREPARED CHILDBIRTH CLASSES. 1. TARGET UNDERSERVED POPULATIONS TO INCLUDE TEEN MOMS AND THOSE IN FINANCIAL NEED. 2. COLLABORATE WITH OTHER AGENCIES TO PROVIDE NEEDED CARE, EDUCATION AND SERVICES ACROSS COUNTY LINES. 3. INCREASE THE PROPORTION OF NEW MOTHERS WHO RECEIVE BREASTFEEDING SUPPORT. 4. PROVIDE CHILDBIRTH PREPARATION CLASSES FOR AREAS WITH LOW BIRTH WEIGHT BABIES AND INCREASED OBESITY RATES. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 13H PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 16I THE COMPLETE POLICY IS NOT PUBLISHED. HOWEVER, NOTICES OF THE EXISTENCE OF A FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN REGISTRATION AREAS (INCLUDING EMERGENCY ROOM). PATIENT BILLING INVOICES AND THE HOSPITAL WEBSITE INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 24 - PATIENTS WHO DID NOT FOLLOW THEIR INSURANCE POLICY RULES (SUCH AS ACCESSING PARTICIPATING PROVIDERS, OBTAINING REFERRALS, ETC.) - GUARANTORS REFUSING TO ASSIGN BENEFITS TO THE HOSPITAL IF THEY ARE AVAILABLE - PATIENTS WHO ARE UNCOOPERATIVE WITH THE MEDICAID APPLICATION PROCESS 7 MIDMI MEDICAL CENTER-CLARE REHAB SV 231 SOUTH FIRST STREET HARRISON MI 48625 REHABILITATION SERVICES ONLY MIDMICHIGAN HEALTH PARK-HOUGHTON LK 9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629 REHABILITATION, LAB, & MAMMOGRAPHY MIDMICHIGAN URGENT CARE - CLARE 700 WEST FIFTH ST CLARE MI 48617 URGENT CARE, OCCUPATIONAL MEDICINE CLARE MMO RHC 602 BEECH STREET CLARE MI 48617 RURAL HEALTH CLINIC HARRISON RHC 815 NORTH CLARE AVENUE HARRISON MI 48625 RURAL HEALTH CLINIC FARWELL RHC 2812 WEST CADILLAC DRIVE FARWELL MI 48622 RURAL HEALTH CLINIC 6TH AND MAPLE STREET 212 W SIXTH STREET CLARE MI 48617 RURAL HEALTH CLINIC PART II - COMMUNITY BUILDING ACTIVITIES MIDMICHIGAN MEDICAL CENTER-CLARE EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-CLARE PARTICIPATES IN THE RESD CLARE/GLADWIN GREAT START COLLABORATIVE. THIS COLLABORATIVE PARTNERS WITH MANY COMMUNITY LEADERS, BUSINESS OWNERS, CHARITABLE AND FAITH BASED ORGANIZATIONS, HEALTH AND HUMAN SERVICE AGENCIES, EDUCATORS AND PARENTS TO ESTABLISH AND MAINTAIN A NETWORK OF COUNTY-WIDE SUPPORTS AND SERVICES TO ACHIEVE BETTER RESULTS FOR YOUNG CHILDREN AND FAMILIES. MIDMICHIGAN MEDICAL CENTER-CLARE IS ALSO A PARTNER IN MANY DIFFERENT COMMUNITY HEALTH IMPROVEMENT ACTIVITIES INCLUDING 1016 BOARD OF DIRECTORS, TOGETHER WE CAN, CLARE/GLADWIN HEALTH IMPROVEMENT PLANNING COMMITTEE, MID MICHIGAN COMMUNITY COLLEGE PHLEBOTOMY PROGRAM ADVISORY COMMITTEE, MID MICHIGAN COMMUNITY COLLEGE FOUNDATION, CENTRAL HEALTH PLAN, AND MIDMICHIGAN COMMUNITY HEALTH SERVICES BOARD OF DIRECTORS. ALL IN WHICH WORK IN A VARIETY OF FACETS TO IMPROVE THE HEALTH IN OUR COUNTY. MIDMICHIGAN MEDICAL CENTER-CLARE PROVIDES COMMUNITY SUPPORT IN A VARIETY OF WAYS BY PARTICIPATING IN CLARE AND GLADWIN COUNTY UNITED WAY, LIONS CLUB, ROTARY, 911 DISPATCH, LOCAL EMERGENCY PLANNING COMMITTEE, AND THE PARDEE CANCER BOARD. MIDMICHIGAN MEDICAL CENTER-CLARE IS ALSO REPRESENTED IN THE COMMUNITY FROM AN ECONOMIC DEVELOPMENT STANDPOINT, BY SERVING ON THE CHAMBER OF COMMERCE AS WELL AS THE CLARE COUNTY COMMUNITY FOUNDATION. BOTH OF WHICH ASSIST THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS. FINALLY, MIDMICHIGAN MEDICAL CENTER-CLARE WORKS IN THE COMMUNITY TO ENHANCE WORKFORCE DEVELOPMENT THROUGH CONTINUED PHYSICIAN RECRUITMENT ALONG WITH SUPPORTING A BUILDING BUSINESS CONNECTIONS EVENT, WHICH CONNECTS LOCAL BUSINESSES TO HIGH SCHOOL AND COLLEGE STUDENTS ENTERING THE WORKFORCE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COSTREPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. LINE 2 - COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. LINE 3 - BAD DEBT ATTRIBUTABLE TO CHARITY CARE: HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE. PART III, LINE 8 - MEDICARE EXPLANATION THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S COLLECTION POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. MIDMICHIGAN HEALTH ASSURES THE COST OF THE PROGRAM (INTEREST) AND GUARANTEES THE RECEIVABLES. PART VI, LINE 2 - NEEDS ASSESSMENT MIDMICHIGAN MEDICAL CENTER-CLARE OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS IDENTIFIED IN THE ASSESSMENT. DATA WITHIN THE CHNA COMES FROM A VARIETY OF LOCAL AND NATIONAL SOURCES. THIS DATA IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES; AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS. MIDMICHIGAN MEDICAL CENTER-CLARE PARTICIPATES IN A STRONG COLLABORATIVE PARTNERSHIP HEADED BY CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CALLED THE TOGETHER WE CAN INITIATIVE, AND A SMALLER SUBSET OF THAT GROUP; THE CLARE-GLADWIN HEALTH IMPROVEMENT TEAM. THESE GROUPS HAVE DEVELOPED A HEALTH IMPROVEMENT PLAN THAT PARALLELS THE WORK OF THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PLAN TO IMPROVE COUNTY HEALTH AND CONSEQUENTLY THEIR RANKINGS AS DETERMINED BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS. COMMUNITY BENEFITS PROVIDED TO THE AREAS SERVED INCLUDE BUT ARE NOT LIMITED TO DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS, AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. THE FIRST IMPLEMENTATION STRATEGY, DEVELOPED FOR FY 2013-2016, INCLUDED REGULAR MEASUREMENT OF SHORT-TERM IMPACT ON PRIORITY ACTION ITEMS, AND LONG-TERM IMPACT ON COMMUNITY HEALTH STATUS. CURRENTLY MIDMICHIGAN MEDICAL CENTER-CLARE IS IN THE PROCESS OF UPDATING A NEW CHNA TO ADDRESS CURRENT COMMUNITY NEEDS. WE ARE IN THE PREPLANNING PHASE OF OUR 2017-2020 CHNA; IDENTIFYING RESOURCE GAPS AND MAPPING OUT THE SCOPE OF THIS PLAN. 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 AND DISCHARGE PLANNERS 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 HTTPS://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 PATIENTS RECEIVE FREE OR LOW-COST HEALTH INSURANCE OR WORK WITH THE PATIENT TO ARRANGE A MANAGEABLE PAYMENT PLAN. PART VI, LINE 4 - COMMUNITY INFORMATION MIDMICHIGAN MEDICAL CENTER-CLARE'S PRIMARY SERVICE AREA IS COMPRISED OF THE 4 ZIP CODES WHICH CAPTURE CLARE COUNTY. 81.7% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 20.1%. MIDMICHIGAN MEDICAL CENTER-MIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 35.6% MARKET SHARE FOLLOWED BY MCLAREN - CENTRAL MICHIGAN WITH A 12.8% MARKET CAPTURE AND MIDMICHIGAN MEDICAL CENTER-GRATIOT AT A 5.7% CAPTURE. CLARE COUNTY IS A DESIGNATED LOW INCOME MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2015 % OVER MEDIAN POPULATION 65 YEARS INCOME --------------------------------------------------------------------------- 33,291 21.8% 40,124 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 MEMBERS SIT ON THE HOSPITAL BOARD FOR EACH SUBSIDIARY OF MIDMICHIGAN HEALTH. THESE BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH SUBSIDIARY. ADDITIONALLY, STAFF PARTICIPATE IN COMMUNITY COLLABORATIONS FOR AREA NON-PROFITS WHO HAVE A FOCUS ON HEALTH. EXAMPLES INCLUDE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE, AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THE COMMUNITY EDUCATION SPECIALIST FOR MIDMICHIGAN MEDICAL CENTER-CLARE IS AN ACTIVE MEMBER OF THE TOGETHER WE CAN COUNTY HEALTH IMPROVEMENT (HIP) WORKING GROUP, THAT ACTS TO IMPROVE HEALTH AT THE LOCAL LEVEL THROUGH ACTIVITIES AND ADVOCACY. GROUPS HAVE BEEN FORMED IN ARENAC, CLARE, GLADWIN, ISABELLA, OSCEOLA, AND ROSCOMMON COUNTIES. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM 7.6 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. MIDMICHIGAN HEALTH'S FY2013 - FY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT FOCUS AREAS INCLUDE: ACCESS TO CARE, INCLUDING INITIATION AND COORDINATION OF CARE, CONTINUITY OF SERVICES AND CARE FOR THE UNDERINSURED; HEALTH OUTCOMES INCLUDING HEART DISEASE, CANCER AND DIABETES; HEALTH CARE BEHAVIORS INCLUDING HEALTHY DIET, PHYSICAL ACTIVITY AND HEALTHY WEIGHT; AND MATERNAL AND INFANT HEALTH, INCLUDING IMPROVED BIRTH WEIGHTS AND BREASTFEEDING DURATION. CURRENT EVALUATION OF DATA WILL DETERMINE FUTURE FOCUS FOR THE FY2017-FY2020 CHNA. MIDMICHIGAN MEDICAL CENTER-CLARE HAD 725 COMMUNITY MEMBERS ATTEND HEALTH FAIRS WHERE EDUCATION AND HEALTH CARE SCREENINGS WERE PROVIDED. ADDITIONALLY, 503 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST SCREENINGS AS FOLLOWS: TOTAL LIPID PROFILE, BLOOD GLUCOSE, BLOOD PRESSURE, WEIGHT, BODY MASS INDEX, WAIST CIRCUMFERENCE, EKG, MAMMOGRAM OR OSTEOPOROSIS SCREENINGS. THESE SCREENINGS, AT A LOSS OF 5,367.16, PROVIDED CONVENIENT FREE OR LOW-COST MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. ADDITIONALLY, HEALTH FAIRS WERE A VENUE USED TO REACH OUT AND ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN MEDICAL CENTER-CLARE COLLABORATED WITH SCHOOLS FOR MANY OF THESE TYPES OF PROGRAMS AS WELL. ADDITIONALLY, TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA II CERTIFICATION WERE INITIATED; PROVIDING 650 CONTACTS INLCUDING BIKE HELMET FITTINGS FOR CHILDREN, THINK FIRST, AND FALL PREVENTION EDUCATION. MIDMICHIGAN HEALTH COMMUNITY EDUCATION STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFORMATION ABOUT 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. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MICHIGAN ADDITIONAL INFORMATION PART I, LINE 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. X X X X X false false false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 618774 190578 9229 153011 21832 993424 TOM CLARINGBOLD DO DIRECTOR 277228 65322 965 19564 16881 379960 ROBERT NUNOO MD DIRECTOR 324286 1388 10 16370 342054 RAYMOND STOVER PRESIDENT 221694 44500 8049 98294 21953 394490 LEYDA SU HAM DO DIRECTOR 171813 50860 268 10 6369 229320 GLENN KING VP OF NURSING 147514 20161 700 8474 14502 191351 EDWARDO MUNOZ CRNA 227764 375 985 11469 6672 247265 RICHARD DEFLUITER CRNA 219022 375 978 11322 15742 247439 RUSSELL RADER ANESTHESIOLOGY MGR 204124 1500 1818 10514 13137 231093 WILLIAM GROVES CRNA 201820 375 1967 10363 12395 226920 KELLY MATHISON CRNA 181664 10375 320 9673 6298 208330 SCHEDULE J, PART III POSTLER-SLATTERY AND STOVER ARE PARTICIPANTS IN A 457(F) PLAN. NO PAYMENTS WERE MADE TO THESE PARTICIPANTS DURING 2014. 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 2014 MI FINANCE AUTHORITY 800596186 59447P5V9 2014-12-18 4806815 CAPITAL PROJECTS false false false A 4332800 4854112 4809832 44281 2014 false true true true A false false false false false false true A false false true false false false false false false A true SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION 2014 MI FINANCE AUTHORITY PART I (E) PROCEEDS 4,816,815.00 ACCRUED INTEREST 37,297.34 --------------- PART II LINE 3 PROCEEDS 4,854,112.34 FORM 990 - ORGANIZATION'S MISSION TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS,INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND MUST ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. FORM 990, PAGE 6, PART VI, LINE 15A ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PAGE 6, PART VI, LINE 15B ALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. FORM 990, PAGE 6, PART VI, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII SECTION B, LINE 1 - INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY THE HOLDING COMPANY MIDMICHIGAN HEALTH, 38-2459948. FORM 990, PAGE 7, PART VII 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 AFFILIATE. THEREFORE THE FULL TIME SERVICE TO ALL AFFILIATES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. FORM 990, PART IX, LINE 11G ASSOCIATION DUES & OTHER FEES 1,783,024 5,666,012 0 PURCHASED/CONTRACT SERVICES 688,844 257,910 0 MIDMICHIGAN HEALTH 4000 WELLNESS DRIVE MIDLAND MI 48670 382459948 SUPPORT MI 501C3 11A NA false MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 380833014 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME EQUIP MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET ROAD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 608 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true MIDMI MED CENTER-CLARE VOLUNTEERS 703 NORTH MCEWAN STREET CLARE MI 48617 382944967 SUPPORT MI 501C3 11A NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GEORGE TOWN GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false true false false false false false false false false true false false false false true false false false MIDMICHIGAN PHYSICIANS GROUP B 711360 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 117436 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 1494024 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 57587 BOOKS & RECORDS MIDMICHIGAN HEALTH P 3846845 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 522174 BOOKS & RECORDS