MYMICHIGAN MEDICAL CENTER ALMA: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER ALMA (EIN 38-1437919)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201501349349307770
Schema version: 2013v4.0
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T16:48:42-05:00	ReturnTs
Tax Period End	2014-06-30	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5300 GRATIOT RD	AddressLine1
City	SAGINAW	City
State	MI	State
ZIP Code	486386035	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	381437919	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GRATIOT	BusinessNameLine1

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	300 E WARWICK DR	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	488011096	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCINE M PADGETT	PersonNm
Person Title	SR. VP & TREASURER	PersonTitleTxt
Phone	9898393181	PhoneNum
Signature	2015-05-14	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	2015-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK SANTAMARIA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 E WARWICK DR	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	488011096	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$94,464,779	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	1953	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: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	785	TotalEmployeeCnt
Total Volunteers	221	TotalVolunteersCnt
Total Gross UBI	$105,308	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$43,543	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$79,173	PYContributionsGrantsAmt
CY Contributions Grants	$197,784	CYContributionsGrantsAmt
PY Program Service Revenue	$92,453,109	PYProgramServiceRevenueAmt
CY Program Service Revenue	$83,709,449	CYProgramServiceRevenueAmt
PY Investment Income	$3,440,753	PYInvestmentIncomeAmt
CY Investment Income	$2,463,693	CYInvestmentIncomeAmt
PY Other Revenue	$4,461,819	PYOtherRevenueAmt
CY Other Revenue	$4,489,040	CYOtherRevenueAmt
PY Total Revenue	$100,434,854	PYTotalRevenueAmt
CY Total Revenue	$90,859,966	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$43,504,031	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,020,529	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,463	CYTotalFundraisingExpenseAmt
PY Other Expenses	$61,773,593	PYOtherExpensesAmt
CY Other Expenses	$58,475,773	CYOtherExpensesAmt
PY Total Expenses	$105,277,624	PYTotalExpensesAmt
CY Total Expenses	$95,496,302	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,842,770	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$4,636,336	CYRevenuesLessExpensesAmt
Total Assets BOY	$125,653,023	TotalAssetsBOYAmt
Total Assets EOY	$111,854,865	TotalAssetsEOYAmt
Total Liabilities BOY	$54,466,611	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$46,269,532	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$71,186,412	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$65,585,333	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: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$81,162,581	ExpenseAmt
Revenue	$83,709,449	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - GRATIOT PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT, ISABELLA, AND MONTCALM COUNTIES. 4,300 PATIENT ADMISSIONS AND 130,911 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2014. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Desc
Total Program Service Expenses	$81,162,581	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	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	64	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	785	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DR	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

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	$684,458	$51,167
MARK SANTAMARIA
PRESIDENT	2.00	50.00	Yes (X)	$0	$341,690	$32,975	Yes (X)
RAYMOND BOROWICZ
DIRECTOR	2.00		Yes (X)	$0	$0	$0
DENNIS DUNLAP
VICE CHAIR	2.00		Yes (X)	$0	$0	$0
NANCY GALLAGHER
DIRECTOR	2.00		Yes (X)	$0	$0	$0
KELLY BEBOW
DIRECTOR	2.00		Yes (X)	$0	$0	$0
WILLIAM HENDERSON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
ERIC HO MD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
DAVID ROSLUND
DIRECTOR	2.00		Yes (X)	$0	$0	$0
SARAH WASSENAAR DDS
CHAIR	2.00		Yes (X)	$0	$0	$0
DALE WEBURG
DIRECTOR	2.00		Yes (X)	$0	$0	$0
LILLIAN CONNORS
DIRECTOR	2.00		Yes (X)	$0	$0	$0
WILLIAM SCHMIDT
DIRECTOR	2.00		Yes (X)	$0	$0	$0
PRAKASH SARVEPALLI MD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
LAURA MCCOLLUM
SECRETARY/TR	2.00		Yes (X)	$0	$0	$0
SCOTT STROM DO
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JIM WHEELER
DIRECTOR	2.00		Yes (X)	$0	$0	$0
FRANCINE PADGETT
ASSISTANT TR	2.00	50.00		$0	$521,192	$141,589	Yes (X)
DONNA RAPP
ASSISTANT SE	2.00	50.00		$0	$389,673	$125,707	Yes (X)
ROBIN WHITMORE
VP OF NURSIN	50.00			$220,863	$0	$15,057		Yes (X)
BRAD BINSFELD DO
PHYSICIAN	50.00			$678,018	$0	$6,694			Yes (X)
MARK MASLOVICH MD
PHYSICIAN	50.00			$529,509	$0	$15,213			Yes (X)
DIANE MACDONALD MD
PHYSICIAN	50.00			$428,465	$0	$17,214			Yes (X)
MAGED HANNA MD
PHYSICIAN	50.00			$354,328	$0	$17,294			Yes (X)
GABRIEL ALMEIDA MD
PHYSICIAN	50.00			$205,756	$0	$120			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,416,939	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,937,013	TotReportableCompRltdOrgAmt
Total Other Compensation	$423,030	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
SODEXHO FOOD & NUTRITION SERVICES
300 E WARWICK	ALMA	MI	48801	FOOD SERVICES	$2,112,035
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	631502096	REHAB MGMT	$1,472,110
DIVERSIFIED CLINICAL SERVICES
PO BOX 636981	CINCINNATI	OH	452636981	CONSULTATION	$688,779
AEROTEK INC
3689 COLLECTION CENTER DR	CHICAGO	IL	60693	FORM DESIGN	$672,342
ANESTHESIA ASSOC OF ALMA
PO BOX 423	ALMA	MI	48801	PHYSICIAN SVCS	$649,879

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$197,784	AllOtherContributionsAmt
Total Contributions	$197,784	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PAYMENTS	621990	$55,456,645	$55,456,645
NET PATIENT REVENUE	621990	$28,140,724	$28,140,724
REFERENCE LABORATORY	541900	$105,308		$105,308
CONTRACTED CLINICAL SERVICES	621110	$6,772	$6,772

Field	Value	IRS element (for citing)
Total Program Service Revenue	$83,709,449	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,005,830	TotalRevenueColumnAmt
Related Or Exempt Func Income	$549,810	RelatedOrExemptFuncIncomeAmt
Exclusion	$456,020	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6	TotalRevenueColumnAmt
Exclusion	$6	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$206,827	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$206,827	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$206,827	TotalRevenueColumnAmt
Exclusion	$206,827	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,022,125	SecuritiesAmt
Other	$40,545	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,534,966	SecuritiesAmt
Other	$69,847	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,487,159	SecuritiesAmt
Other	-$29,302	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,457,857	TotalRevenueColumnAmt
Exclusion	$1,457,857	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
INCENTIVE PAYMENTS	900099	$1,828,458	$1,828,458
CAFETERIA/FOOD SERVICE	900099	$539,574		$539,574
OUTSIDE INCOME	722514	$208,458	$208,458

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,705,723	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,705,723	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,282,213	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,859,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$87,896,590	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$105,308	UnrelatedBusinessRevenueAmt
Exclusion	$2,660,284	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$214,677	TotalAmt
Program Services	$107,338	ProgramServicesAmt
Management And General	$107,339	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,935,354	TotalAmt
Program Services	$24,796,815	ProgramServicesAmt
Management And General	$4,136,628	ManagementAndGeneralAmt
Fundraising	$1,911	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,121,044	TotalAmt
Program Services	$959,068	ProgramServicesAmt
Management And General	$161,889	ManagementAndGeneralAmt
Fundraising	$87	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,632,001	TotalAmt
Program Services	$3,893,664	ProgramServicesAmt
Management And General	$737,654	ManagementAndGeneralAmt
Fundraising	$683	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,117,453	TotalAmt
Program Services	$1,829,055	ProgramServicesAmt
Management And General	$288,263	ManagementAndGeneralAmt
Fundraising	$135	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,939	TotalAmt
Management And General	$10,939	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$69,900	TotalAmt
Management And General	$69,900	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$87,336	TotalAmt
Management And General	$87,336	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,058,818	TotalAmt
Program Services	$16,027,703	ProgramServicesAmt
Management And General	$7,031,115	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,768	TotalAmt
Program Services	$2,749	ProgramServicesAmt
Management And General	$21,019	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,324,136	TotalAmt
Program Services	$676,609	ProgramServicesAmt
Management And General	$646,880	ManagementAndGeneralAmt
Fundraising	$647	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,350,949	TotalAmt
Program Services	$1,693,419	ProgramServicesAmt
Management And General	$657,530	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$62,443	TotalAmt
Program Services	$40,696	ProgramServicesAmt
Management And General	$21,747	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$52,487	TotalAmt
Program Services	$32,936	ProgramServicesAmt
Management And General	$19,551	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,934,152	TotalAmt
Program Services	$1,934,152	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,526,545	TotalAmt
Program Services	$6,343,820	ProgramServicesAmt
Management And General	$182,725	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$289,576	TotalAmt
Program Services	$173,145	ProgramServicesAmt
Management And General	$116,431	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,980,373	$13,980,373
PHYSICIAN PRACTICE INVEST	$6,221,678	$6,221,678
QAAP FEES	$2,428,969	$2,428,969
LICENSES & DUES	$53,704	$20,392	$33,312

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$95,496,302	TotalAmt
Program Services	$81,162,581	ProgramServicesAmt
Management And General	$14,330,258	ManagementAndGeneralAmt
Fundraising	$3,463	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,191	BOYAmt
EOY	$3,581	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$342,391	BOYAmt
EOY	$1,171,489	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,423,828	BOYAmt
EOY	$9,296,239	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,415	BOYAmt
EOY	$71,933	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$890,531	BOYAmt
EOY	$1,012,078	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,914,907	BOYAmt
EOY	$2,242,538	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$113,211,997	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$60,519,371	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$59,101,761	BOYAmt
EOY	$52,692,626	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,592,470	BOYAmt
EOY	$5,501,315	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$38,171,791	BOYAmt
EOY	$39,009,423	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$896,600	BOYAmt
EOY	$652,204	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$311,138	BOYAmt
EOY	$201,439	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$125,653,023	BOYAmt
EOY	$111,854,865	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,101,648	BOYAmt
EOY	$7,396,188	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,893,550	BOYAmt
EOY	$35,463,565	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$458,205	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,013,208	BOYAmt
EOY	$3,409,779	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,466,611	BOYAmt
EOY	$46,269,532	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$71,165,254	BOYAmt
EOY	$65,511,080	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,158	BOYAmt
EOY	$74,253	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$71,186,412	BOYAmt
EOY	$65,585,333	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$125,653,023	BOYAmt
EOY	$111,854,865	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$4,636,336	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,434,183	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$4,398,926	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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,114,220	OtherCostOrOtherBasisAmt
Book Value	$1,114,220	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,840,016	OtherCostOrOtherBasisAmt
Depreciation	$24,057,321	DepreciationAmt
Book Value	$27,782,695	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,262,396	OtherCostOrOtherBasisAmt
Depreciation	$2,405,894	DepreciationAmt
Book Value	$856,502	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,963,797	OtherCostOrOtherBasisAmt
Depreciation	$34,056,156	DepreciationAmt
Book Value	$22,907,641	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,568	OtherCostOrOtherBasisAmt
Book Value	$31,568	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,692,626	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$39,009,423	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$39,009,423	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	LT 3RD PARTY PAY, ASSET RETIRE OBLG	Desc
Amt	$3,409,779	Amt

Field	Value	IRS element (for citing)
Total Liability	$3,409,779	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$93,895,368	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,434,183	NetUnrealizedGainsInvstAmt
Other Revenue	$3,915	OtherRevenueAmt
Revenue Not Reported	$3,438,098	RevenueNotReportedAmt
Revenue Subtotal	$90,457,270	RevenueSubtotalAmt
Investment Expenses Not Incld	$87,336	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$315,360	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$402,696	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$90,859,966	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$95,619,683	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$181,415	OtherExpensesIncludedAmt
Expenses Not Reported	$181,415	ExpensesNotReportedAmt
Expenses Subtotal	$95,438,268	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$87,336	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	-$29,302	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$58,034	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$95,496,302	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART IV, LINE 2B	ON FEBRUARY 1, 2012 MIDMICHIGAN MEDICAL CENTER-GRATIOT SOLD 3 DIALYSIS UNITS TO TOTAL RENAL CARE, INC. AS A PART OF THE SALE, 5% OF THE TRANSACTION WAS BEING HELD IN ESCROW FOR A PERIOD OF TWO YEARS, ENDING FEBRUARY 1, 2014. PROCEEDS OF THE ESCROW ACCOUNT REMAINING AT THE END OF THE TWO YEAR PERIOD, AFTER A FINAL RECONCILIATION, WERE DISTRIBUTED TO MIDMICHIGAN MEDICAL CENTER - GRATIOT ON MARCH 31, 2014 AND THE ESCROW ACCOUNT WAS CLOSED.
SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 3,915
SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -29,302 INCOME FROM CONSOLIDATED SUBSIDIARIES 344,662
SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL 181,415
SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -29,302

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	false	ExpensesExceedBudgetInd
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	$223,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$223,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,607,974	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,382,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,225,146	NetCommunityBenefitExpnsAmt
Total Expense	0.04420	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,831,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,382,828	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,448,724	NetCommunityBenefitExpnsAmt
Total Expense	0.04660	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	811	ActivitiesOrProgramsCnt
Persons Served	10015	PersonsServedCnt
Total Community Benefit Expns	$324,837	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$318,792	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	314	PersonsServedCnt
Total Community Benefit Expns	$53,309	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,309	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	94	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$43,426	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$43,426	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	908	ActivitiesOrProgramsCnt
Persons Served	10329	PersonsServedCnt
Total Community Benefit Expns	$421,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,045	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$415,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	910	ActivitiesOrProgramsCnt
Persons Served	10329	PersonsServedCnt
Total Community Benefit Expns	$15,253,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,388,873	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,864,251	NetCommunityBenefitExpnsAmt
Total Expense	0.05090	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,686	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,686	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$203	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,480	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,232	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,232	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$49,169	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$49,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$137,743	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$137,743	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$227,678	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$227,678	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,971,920	BadDebtExpenseAmt
Bad Debt Expense Attributable	$549,369	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$33,224,421	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$33,262,182	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$37,761	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	false	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GRATIOT	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 E WARWICK DRIVE	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	48801	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GRATIOT	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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 Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MIDMICHIGAN.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Lawsuit	Yes (X)	PermitLawsuitInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Lawsuit	Yes (X)	LawsuitInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-GRATIOT - PART V, LINE 3	MIDMICHIGAN MEDICAL CENTER-GRATIOTS COMMUNITY EDUCATION COORDINATOR, IS A STEERING COMMITTEE MEMBER FOR A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT; CALLED LIVE WELL GRATIOT COUNTY. THE GROUP PROVIDES A PROFILE OF GRATIOT COUNTY TO INCLUDE LOCAL STATISTICS IN ADDITION TO STATE, COUNTY AND PROVIDER DATA, IN ORDER TO ADDRESS HEALTH NEEDS, IN THE GRATIOT COMMUNITY. OTHER CONTRIBUTORS INCLUDE: GRATIOT COMMISSION ON AGING; DIRECTOR ALMA ACTION ASSOCIATION; GRATIOT COUNTY SUBSTANCE ABUSE COALITION; AND MID-MICHIGAN DIST. HEALTH DEPT. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-GRATIOT 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-GRATIOT - PART V, LINE 12I	PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-GRATIOT - PART V, LINE 14G	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-GRATIOT - PART V, LINE 22	- 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

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
URGENT CARE - ALMA
321 E WARWICK DRIVE	ALMA	MI	48801	REGIONAL HEALTH CLINIC
BROADWAY HEALTH SERVICES
411 W BROADWAY STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
CENTER FOR OBGYN - ALMA
315 E WARWICK DRIVE STE D	ALMA	MI	48801	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE-BRECKENRIDGE
302 W CHESTNUT	BRECKENRIDGE	MI	48615	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - ST LOUIS
224 N MILL ST	ST LOUIS	MI	48880	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - VESTABURG
8776 EAST HOWARD CITY-EDMORE ROAD	VESTABURG	MI	48891	REGIONAL HEALTH CLINIC
GRATIOT HEALTH PARTNERS
1750 E BELLOWS STE B	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
ITHACA FAMILY PRACTICE
820 N PINE RIVER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
MEDICAL HEMATOLOGYONCOLOGY UNIT
315 WARWICK DRIVE STE C	ALMA	MI	48801	REGIONAL HEALTH CLINIC
MONTCALM HEALTH SERVICES
1021 E MAIN ST	EDMORE	MI	48829	REGIONAL HEALTH CLINIC
MT PLEASANT OBGYN
1621 E BROOMFIELD STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
ITHACA OBGYN
121 NORTH PINE RIVER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
MT PLEASANT VISITING PHYSICIANS
211 S CRAPO STE J	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
DR ELIE OBEID
411 W BROADWAY STE B	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
7320 N ALGER STE G	ALMA	MI	48801	REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
1621 E BROOMFIELD STE C	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
PLEASANT WOMEN'S CARE
1621 E BROOMFIELD STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
GRATIOT PHYSICAL REHABILITATION
328 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
GRATIOT WOUND TREATMENT CENTER
320 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
GRATIOT REHABILITATION SVS ITHACA
509 E CENTER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
DR RAKESH SAXENA-INTERNAL MEDICINE
311 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
DR INDIRA SAXENA
311 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - ITHACA
121 N PINE RIVER ST	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
SLEEP DISORDERS CENTER - ALMA
200 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
SLEEP DISORDERS CENTER - MT PLEASAN
1750 BELLOWS ST STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
MPG HEMATOLOGY
200 E WARWICK STE C	ALMA	MI	48801	REGIONAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIES	MIDMICHIGAN MEDICAL CENTER-GRATIOT EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-GRATIOT IS A KEY PARTNER WITH THE UNITED WAY OF GRATIOT COUNTY, WHICH SUPPORTS MANY NON- PROFIT AGENCIES AND PROJECTS IN GRATIOT COUNTY, INCLUDING THE LIVE WELL INITIATIVE THROUGH MIDMICHIGAN HEALTH DEPARTMENT. MIDMICHIGAN MEDICAL CENTER-GRATIOT EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NON-PROFIT BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT OF HEALTH AND HUMAN SERVICES PROJECTS, AND PARTICIPATING IN STRATEGIC INITIATIVES THROUGH THE GRATIOT COLLABORATIVE COUNCIL THAT IMPACT COMMUNITY HEALTH, ESPECIALLY FOR CHILDREN LIVING IN THE COUNTY. GRATIOT 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 - 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. THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 1,523,791 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2014. HOWEVER, WITHOUT MEANINGFUL USE PAYMENTS THIS ORGANIZATION WOULD HAVE SHOWN A MEDICARE SHORTFALL OF 2,419,082.
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 GRATIOT 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 IMPLEMENTATION STRATEGY FOR FY 2013-2016 INCLUDES REGULAR MEASUREMENT OF SHORT-TERM IMPACT ON PRIORITY ACTION ITEMS AND LONG-TERM IMPACT ON COMMUNITY HEALTH STATUS. 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. PARTIAL LIST OF SOURCES FOR GENERAL HEALTH DATA FOLLOW: CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS); COMBINED ADULT AND YOUTH. COUNTY HEALTH RANKINGS (UNIVERSITY OF WISCONSIN DATA) CDC DATA AND STATISTICS (USED FOR GENERAL AND AGE SPECIFIC AND HEALTH CONDITION DATA SUCH AS AGING, TOBACCO USE, VACCINES AND IMMUNIZATIONS) MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION WHO COUNTRY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION (HEART AND OBESITY PREVENTION INFORMATION) NATIONAL CANCER INSTITUTE CANCER STUDIES CDC FUNDED STATISTICS ON HIV/AIDS; LUNG CANCER; SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICS-MENTAL DISORDERS CENTERS FOR MEDICARE AND MEDICAID SERVICES - RESEARCH, STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS U.S. CENSUS BUREAU KAISER FAMILY FOUNDATION. WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS. FOR EXAMPLE, LIVE WELL GRATIOT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DEVELOPED OUT OF A PARTNERSHIP BETWEEN THE HOSPITAL AND MIDMICHIGAN DISTRICT HEALTH DEPARTMENT TO ADDRESS HEALTH NEEDS OF GRATIOT COUNTY AND DEVELOP A HEALTH IMPROVEMENT PLAN SPECIFIC TO THE IDENTIFIED NEEDS.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MIDMICHIGAN MEDICAL CENTER-GRATIOT COMMUNICATES TO PATIENTS AND THE PUBLIC OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE 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/PATIENTSVISITORS/BILLING- INSURANCE/FAQ-BILLING/NOINSURANCE.
PART VI, LINE 4 - COMMUNITY INFORMATION	MIDMICHIGAN MEDICAL CENTER-GRATIOT'S PRIMARY SERVICE AREA IS COMPRISED OF THE 15 ZIP CODES WHICH CAPTURES ALL OF ISABELLA COUNTY AND MOST OF GRATIOT COUNTY. 74.4% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 34.0%. MIDMICHIGAN MEDICAL CENTER-MIDLAND ALSO SERVES THIS COMMUNITY RECEIVING AN 11.6% MARKET SHARE. MCLAREN - CENTRAL MICHIGAN, LOCATED IN ISABELLA COUNTY, RECEIVES 25.8% INPATIENT MARKET SHARE. THE LOW INCOME POPULATION GROUP IN ISABELLA COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AND ISABELLA COUNTY IS A DESIGNATED LOW INCOME POPULATION GROUP HEALTH PROFESSIONAL SHORTAGE AREA. GRATIOT COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA AS WELL AS A LOW INCOME POPULATION GROUP DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2014 % OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE --------------------------------------------------------------------------- 112,919 12.4% 50,176 37,320 40,878 32.2 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 87.5% 1.2% 2.2% 4.8% 4.3%
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MIDMICHIGAN HEALTHS FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. WE PARTNER WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH AFFILIATE. ADDITIONALLY, STAFF MEMBERS PARTICIPATE IN COMMUNITY COLLABORATIVES FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE GRATIOT COUNTY TOBACCO REDUCTION COALITION, AND DISTRICT ONE REGIONAL MEDICAL RESPONSE COALITION. GRATIOT COUNTY IS ALSO INCLUDED IN 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. SEVERAL HOSPITAL ADMINISTRATORS WERE CRUCIAL TO THE DEVELOPMENT OF A FREE HEALTH CLINIC IN GRATIOT COUNTY.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	5.4 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 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. MIDMICHIGAN MEDICAL CENTER-GRATIOT, ALONG WITH SEVERAL OTHER COMMUNITY PARTNERS, OPERATES THE GRATIOT COUNTY FREE CLINIC (GCFC). FOUNDED IN 2013, IT IS A PRIVATE, NON-PROFIT 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOCIAL AND HEALTH CARE CONCERNS ADDRESSED BY GCFC ARE BASED ON THE PRINCIPAL BELIEF THAT HEALTH CARE IS A RIGHT, NOT A PRIVILEGE. THE FREE CLINIC PROVIDES MEDICAL, DENTAL, PHARMACEUTICAL, AND/OR MENTAL HEALTH SERVICES AT LITTLE OR NO COST TO UNINSURED AND UNDERINSURED PEOPLE THROUGH THE USE OF VOLUNTEER HEALTH PROFESSIONALS, COMMUNITY VOLUNTEERS, AND PARTNERSHIPS WITH OTHER HEALTH PROVIDERS. THE HOSPITAL WORKS WITH THE FREE CLINIC TO NOT ONLY PROVIDE PROFESSIONAL AND VOLUNTEER SUPPORT BUT HEALTH SERVICES SUPPORT SUCH AS LAB & X-RAY TESTING. MIDMICHIGAN MEDICAL CENTER-GRATIOT HAS ALSO BEEN INVOLVED WITH VARIOUS GRATIOT COUNTY FESTIVALS INCLUDING THE GRATIOT COUNTY FAIR FOR YOUTH, MAPLE SYRUP FESTIVAL, AND ALMA HIGHLAND FESTIVAL FOR SEVERAL YEARS. AT EACH FESTIVAL, THE HOSPITAL PROIVDES VARIOUS RESOURCES AND HEALTH PROMOTION ACTIVITIES. ONE EXAMPLE INCLUDES A RUN OR WALK WITH A DOCTOR SERIES IN CONJUNCTION WITH THE ALMA HIGHLAND FESTIVAL SERIES OF RACES. MIDMICHIGAN HEALTH SCREENED 2,458 PEOPLE IN OUR SERVICE AREA THIS YEAR, AT A COST OF 48,310.25 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASED PHYSICAL ACTIVITY AMONG ADULTS AND CHILDREN. ADDITIONALLY, EXERCISE AND FITNESS RELATED ACTIVITIES TO 1,509 COMMUNITY MEMBERS WERE PROVIDED. 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 TWO CERTIFICATION WERE INITIATED; PROVIDING 1,157 BIKE HELMET FITTINGS FOR CHILDREN AND THINK FIRST AND FALL PREVENTION EDUCATION FOR MANY OTHERS. 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 INFO 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, 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
DIANE POSTLER-SLATTERY
DIRECTOR	$527,025	$111,784	$45,649	$33,067	$18,100	$735,625
MARK SANTAMARIA
PRESIDENT	$260,267	$71,181	$10,242	$16,807	$16,168	$374,665
FRANCINE PADGETT
ASSISTANT TREASURER	$329,724	$90,341	$101,127	$117,994	$23,595	$662,781
DONNA RAPP
ASSISTANT SECRETARY	$285,948	$78,293	$25,432	$110,797	$14,910	$515,380
ROBIN WHITMORE
VP OF NURSING							$168,299	$27,625	$24,939	$11,054	$4,003	$235,920
BRAD BINSFELD DO
PHYSICIAN							$648,953		$29,065	$15	$6,679	$684,712
MARK MASLOVICH MD
PHYSICIAN							$392,267	$121,757	$15,485	$25	$15,188	$544,722
DIANE MACDONALD MD
PHYSICIAN							$418,690		$9,775	$15	$17,199	$445,679
MAGED HANNA MD
PHYSICIAN							$300,352		$53,976	$15	$17,279	$371,622
GABRIEL ALMEIDA MD
PHYSICIAN							$161,277		$44,479	$120		$205,876

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 7

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.

SCHEDULE J, PART III

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. PART I, LINE 4B POSTLER-SLATTERY, PADGETT, RAPP, AND SANTAMARIA ARE PARTICIPANTS IN A 457 (F) PLAN. NO PAYMENTS TO THESE PARTICIPANTS WERE MADE IN 2013. 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.

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
2003-CNTY OF GRATIOT HOSP FIN AUTH
A	386004853	2003-05-01	$5,000,000	CAPITAL PROJECTS	false	false	false
2006-MI STATE HOSP FIN AUTH
B	382889417	2006-11-07	$32,496,000	CAPITAL PROJECTS	false	false	false	59465HEB8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$5,000,000	$18,866	$4,981,134	2004	false	false	Yes (true)	Yes (true)
B	$33,148,835	$187,653	$31,384,146	2009	false	false	Yes (true)	Yes (true)	$1,577,036

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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)	0.00010	0.00010

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION	2006-MI STATE HOSP FIN AUTH DUE TO BOND PREMIUMS PART 1, LINE B, COLUMN E DOES NOT MATCH PART II, LINE 3, COLUMN B.
SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	2006-MI STATE HOSP FIN AUTH 05/01/10
SCHEDULE K - ADDITIONAL INFORMATION	2003-CNTY OF GRATIOT HOSP FIN AUTH IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THESE BOND ISSUES (COLUMNS A, B, AND C). THEREFORE, FORM 8038-T IS NOT REQUIRED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANESTHESIA ASSOCIATES OF ALMA PC
BUSINESS	$1,559,710	FEES FOR SERVICES	false
ALISON DUNLAP
FAMILY	$25,517	EMPLOYMENT	false
DENNIS DUNLAP SON
FAMILY	$42,789	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.
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. 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 SURVEYS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND 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, 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 10,528,627 4,624,015 0 PURCHASED/CONTRACT SERVICES 5,499,076 2,407,100 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459948	SUPPORT	MI	501C3	11A	NA	false
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRIVE	MIDLAND	MI	48670	380833014	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes (true)
MIDMICHIGAN MEDICAL CENTER-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 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)
MIDMICHIGAN VNA DBA MIDMI 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 REGIONAL IMAGING
4000 WELLNESS DRIVE	MIDLAND	MI	48670	352182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	Yes (true)
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RD	MIDLAND	MI	48640	205064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN HEALTH DEVELOPMENT ASSO
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459947	FACILITIES	MI	501C2		MIDMI HLTH	Yes (true)
REGIONAL DIALYSIS SERVICES
PO BOX 188	ALMA	MI	48801	383120704	DIALYSIS	MI	501C3	11A	MIDMI HLTH	Yes (true)
AUXILIARY-MIDMICHIGAN MED CTR-GRAT
300 E WARWICK DRIVE	ALMA	MI	48801	382312831	AUXILIARY	MI	501C3	11D	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	BusinessNameLine1

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1051 23 LIME TREE BAY AVE	AddressLine1
Address Line2	GOVERNORS SQUARE BUILDING 4 2ND FL	AddressLine2
City	GEORGE TOWN	City
Province Or State	GRAND CAYMAN	ProvinceOrState
Country	CJ	Country
Postal Code	KY1-1102	PostalCode

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	BusinessNameLine1

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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN PHYSICIANS GROUP
B	$2,680,992	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	$93,462	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	$142,925	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	$2,124,147	BOOKS & RECORDS
MIDMICHIGAN HEALTH
P	$9,475,062	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	$6,361,988	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	$74,278	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q	$736,106	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
R	$72,830	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
R	$2,176,515	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	$143,349	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
S	$176,500	BOOKS & RECORDS