2015-05-14T16:48:42-05:00 2014-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2013-07-01 381437919 MIDMICHIGAN MEDICAL CENTER-GRATIOT MIDM 9898393181 300 E WARWICK DR ALMA MI 488011096 FRANCINE M PADGETT SR. VP & TREASURER 9898393181 2015-05-14 true LAURA M EBEL P00184232 9894975300 2015-05-14 2013 2016-02-25 16:41:14Z MARK SANTAMARIA 300 E WARWICK DR ALMA MI 488011096 94464779 false X WWW.MIDMICHIGAN.ORG X 1953 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: 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. 17 14 785 221 105308 -43543 79173 197784 92453109 83709449 3440753 2463693 4461819 4489040 100434854 90859966 0 0 43504031 37020529 0 3463 61773593 58475773 105277624 95496302 -4842770 -4636336 125653023 111854865 54466611 46269532 71186412 65585333 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: 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. false false 81162581 83709449 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. 81162581 true true false false false false false false true false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false false true true true true false true 64 0 true 785 true true true false false false false false false false false false X 17 14 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 684458 51167 MARK SANTAMARIA PRESIDENT 2.00 50.00 X X 0 341690 32975 RAYMOND BOROWICZ DIRECTOR 2.00 X 0 0 0 DENNIS DUNLAP VICE CHAIR 2.00 X 0 0 0 NANCY GALLAGHER DIRECTOR 2.00 X 0 0 0 KELLY BEBOW DIRECTOR 2.00 X 0 0 0 WILLIAM HENDERSON DIRECTOR 2.00 X 0 0 0 ERIC HO MD DIRECTOR 2.00 X 0 0 0 DAVID ROSLUND DIRECTOR 2.00 X 0 0 0 SARAH WASSENAAR DDS CHAIR 2.00 X 0 0 0 DALE WEBURG DIRECTOR 2.00 X 0 0 0 LILLIAN CONNORS DIRECTOR 2.00 X 0 0 0 WILLIAM SCHMIDT DIRECTOR 2.00 X 0 0 0 PRAKASH SARVEPALLI MD DIRECTOR 2.00 X 0 0 0 LAURA MCCOLLUM SECRETARY/TR 2.00 X 0 0 0 SCOTT STROM DO DIRECTOR 2.00 X 0 0 0 JIM WHEELER DIRECTOR 2.00 X 0 0 0 FRANCINE PADGETT ASSISTANT TR 2.00 50.00 X 0 521192 141589 DONNA RAPP ASSISTANT SE 2.00 50.00 X 0 389673 125707 ROBIN WHITMORE VP OF NURSIN 50.00 X 220863 0 15057 BRAD BINSFELD DO PHYSICIAN 50.00 X 678018 0 6694 MARK MASLOVICH MD PHYSICIAN 50.00 X 529509 0 15213 DIANE MACDONALD MD PHYSICIAN 50.00 X 428465 0 17214 MAGED HANNA MD PHYSICIAN 50.00 X 354328 0 17294 GABRIEL ALMEIDA MD PHYSICIAN 50.00 X 205756 0 120 2416939 1937013 423030 23 false true false SODEXHO FOOD & NUTRITION SERVICES 300 E WARWICK ALMA MI 48801 FOOD SERVICES 2112035 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 631502096 REHAB MGMT 1472110 DIVERSIFIED CLINICAL SERVICES PO BOX 636981 CINCINNATI OH 452636981 CONSULTATION 688779 AEROTEK INC 3689 COLLECTION CENTER DR CHICAGO IL 60693 FORM DESIGN 672342 ANESTHESIA ASSOC OF ALMA PO BOX 423 ALMA MI 48801 PHYSICIAN SVCS 649879 14 197784 197784 MEDICARE/MEDICAID PAYMENTS 621990 55456645 55456645 NET PATIENT REVENUE 621990 28140724 28140724 REFERENCE LABORATORY 541900 105308 105308 CONTRACTED CLINICAL SERVICES 621110 6772 6772 83709449 1005830 549810 456020 6 6 206827 206827 206827 206827 5022125 40545 3534966 69847 1487159 -29302 1457857 1457857 INCENTIVE PAYMENTS 900099 1828458 1828458 CAFETERIA/FOOD SERVICE 900099 539574 539574 OUTSIDE INCOME 722514 208458 208458 1705723 1705723 4282213 90859966 87896590 105308 2660284 X 214677 107338 107339 28935354 24796815 4136628 1911 1121044 959068 161889 87 4632001 3893664 737654 683 2117453 1829055 288263 135 10939 10939 69900 69900 87336 87336 23058818 16027703 7031115 23768 2749 21019 1324136 676609 646880 647 2350949 1693419 657530 62443 40696 21747 52487 32936 19551 1934152 1934152 6526545 6343820 182725 289576 173145 116431 MEDICAL SUPPLIES 13980373 13980373 PHYSICIAN PRACTICE INVEST 6221678 6221678 QAAP FEES 2428969 2428969 LICENSES & DUES 53704 20392 33312 95496302 81162581 14330258 3463 5191 3581 342391 1171489 15423828 9296239 2415 71933 890531 1012078 2914907 2242538 113211997 60519371 59101761 52692626 7592470 5501315 38171791 39009423 896600 652204 311138 201439 125653023 111854865 9101648 7396188 40893550 35463565 458205 4013208 3409779 54466611 46269532 X 71165254 65511080 21158 74253 71186412 65585333 125653023 111854865 -4636336 3434183 -4398926 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 1114220 1114220 51840016 24057321 27782695 3262396 2405894 856502 56963797 34056156 22907641 31568 31568 52692626 OTHER FINANCIAL INVESTMENTS 39009423 F 39009423 LT 3RD PARTY PAY, ASSET RETIRE OBLG 3409779 3409779 93895368 3434183 3915 3438098 90457270 87336 315360 402696 90859966 95619683 181415 181415 95438268 87336 -29302 58034 95496302 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 true true true X true X true true false true true 1 223578 223578 0.00230 1 14607974 10382828 4225146 0.04420 2 14831552 10382828 4448724 0.04660 811 10015 324837 6045 318792 0.00330 3 314 53309 53309 0.00060 94 43426 43426 0.00050 908 10329 421572 6045 415527 0.00440 910 10329 15253124 10388873 4864251 0.05090 2 6165 6165 0.00010 6 16686 16686 0.00020 1 203 203 1 3480 3480 8 14232 14232 0.00010 4 49169 49169 0.00050 4 137743 137743 0.00140 26 227678 227678 0.00240 true 3971920 549369 33224421 33262182 -37761 X true false 1 1 MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DRIVE ALMA MI 48801 X X X MIDMICHIGAN MEDICAL CENTER-GRATIOT 1 true X X X X X X X X X X 13 true false true X WWW.MIDMICHIGAN.ORG X X X X X X X X X true false true true 150.000000000000 true 200.000000000000 true X X X X X X X true true X true X X true X X X X X true X false true 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 26 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 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. X X X X X false true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 527025 111784 45649 33067 18100 735625 MARK SANTAMARIA PRESIDENT 260267 71181 10242 16807 16168 374665 FRANCINE PADGETT ASSISTANT TREASURER 329724 90341 101127 117994 23595 662781 DONNA RAPP ASSISTANT SECRETARY 285948 78293 25432 110797 14910 515380 ROBIN WHITMORE VP OF NURSING 168299 27625 24939 11054 4003 235920 BRAD BINSFELD DO PHYSICIAN 648953 29065 15 6679 684712 MARK MASLOVICH MD PHYSICIAN 392267 121757 15485 25 15188 544722 DIANE MACDONALD MD PHYSICIAN 418690 9775 15 17199 445679 MAGED HANNA MD PHYSICIAN 300352 53976 15 17279 371622 GABRIEL ALMEIDA MD PHYSICIAN 161277 44479 120 205876 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. A 2003-CNTY OF GRATIOT HOSP FIN AUTH 386004853 2003-05-01 5000000 CAPITAL PROJECTS false false false B 2006-MI STATE HOSP FIN AUTH 382889417 59465HEB8 2006-11-07 32496000 CAPITAL PROJECTS false false false A 5000000 18866 4981134 2004 false false true true B 33148835 1577036 187653 31384146 2009 false false true true A false false false false false false true B false false false false 0.00010 0.00010 false false true A false false true false false false false false true B false false false true false false false false true 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. ANESTHESIA ASSOCIATES OF ALMA PC BUSINESS 1559710 FEES FOR SERVICES false ALISON DUNLAP FAMILY 25517 EMPLOYMENT false DENNIS DUNLAP SON FAMILY 42789 EMPLOYMENT false FORM 990 - ORGANIZATION'S MISSION TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: 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 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-CLARE 703 NORTH MCEWAN STREET CLARE MI 48617 381518643 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN 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 MIDMICHIGAN VNA DBA MIDMI HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN REGIONAL IMAGING 4000 WELLNESS DRIVE MIDLAND MI 48670 352182295 EQUIPMENT MI 501C3 11B MIDMI HLTH true MIDMICHIGAN URGENT CARE 3009 N SAGINAW RD MIDLAND MI 48640 205064848 AMBULATORY MI 501C3 9 MIDMI HLTH true MIDMICHIGAN HEALTH DEVELOPMENT ASSO 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 FACILITIES MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 188 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true AUXILIARY-MIDMICHIGAN MED CTR-GRAT 300 E WARWICK DRIVE ALMA MI 48801 382312831 AUXILIARY MI 501C3 11D NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVE GOVERNORS SQUARE BUILDING 4 2ND FL GEORGE TOWN GRAND CAYMAN CJ KY1-1102 980585596 INSURANCE CJ MIDMI HLTH C CORP false false true false false false false false false false true true false false false false true true true false MIDMICHIGAN PHYSICIANS GROUP B 2680992 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP J 93462 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 142925 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 2124147 BOOKS & RECORDS MIDMICHIGAN HEALTH P 9475062 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 6361988 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE Q 74278 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND Q 736106 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND R 72830 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC R 2176515 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP R 143349 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND S 176500 BOOKS & RECORDS