MYMICHIGAN HOME CARE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN HOME CARE (EIN 38-1459397)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-14
IRS object ID
201511349349307606
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T15:40:24-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383133790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15300 GRATIOT RDAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code486386035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381459397EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN VISITING NURSEBusinessNameLine1
Business Name Line2ASSOCIATIONBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlMIDMBusinessNameControlTxt
Phone9898393181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13007 N SAGINAWAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code486404555ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANCINE M PADGETTPersonNm
Person TitleSR. VP & TREASURERPersonTitleTxt
Phone9898393181PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA M EBELPreparerPersonNm
PTINP00184232PTIN
Phone9894975300PhoneNum
Preparation2015-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN HOME CAREBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerCHRISTINE CHESNYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13007 N SAGINAW RDAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48640ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$22,499,053GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MIDMICHIGAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1941FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO 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 ARE THE REGIONAL LEADER IN PARTNERING WITH INDIVIDUALS TO ACHIEVE THEIR OPTIMAL QUALITY OF LIFE THROUGH CUSTOMIZED HEALTH SERVICES IN THE HOME AND COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee370TotalEmployeeCnt
Total Volunteers76TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$224,308PYContributionsGrantsAmt
CY Contributions Grants$148,815CYContributionsGrantsAmt
PY Program Service Revenue$20,860,506PYProgramServiceRevenueAmt
CY Program Service Revenue$20,615,289CYProgramServiceRevenueAmt
PY Investment Income$559,771PYInvestmentIncomeAmt
CY Investment Income$618,963CYInvestmentIncomeAmt
PY Other Revenue$7,627PYOtherRevenueAmt
CY Other Revenue$515CYOtherRevenueAmt
PY Total Revenue$21,652,212PYTotalRevenueAmt
CY Total Revenue$21,383,582CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,747,111PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,056,430CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$70PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,691,597PYOtherExpensesAmt
CY Other Expenses$7,736,081CYOtherExpensesAmt
PY Total Expenses$20,438,778PYTotalExpensesAmt
CY Total Expenses$21,792,511CYTotalExpensesAmt
PY Revenues Less Expenses$1,213,434PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$408,929CYRevenuesLessExpensesAmt
Total Assets BOY$19,291,909TotalAssetsBOYAmt
Total Assets EOY$19,873,602TotalAssetsEOYAmt
Total Liabilities BOY$2,592,337TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,340,608TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,699,572NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,532,994NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 ARE THE REGIONAL LEADER IN PARTNERING WITH INDIVIDUALS TO ACHIEVE THEIR OPTIMAL QUALITY OF LIFE THROUGH CUSTOMIZED HEALTH SERVICES IN THE HOME AND COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,398,400ExpenseAmt
Revenue$8,852,601RevenueAmt
DescHOME HEALTH SERVICES - TO ENABLE PATIENTS TO BE AT HOME WHILE RECUPERATING AND RECEIVING QUALITY MEDICAL CARE. THIS INCLUDES NURSING SERVICES, SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES, AND SOCIAL WORK. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 64,373.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,066,410ExpenseAmt
Revenue$5,592,372RevenueAmt
DescHOSPICE - PROVIDES PALLIATIVE CARE AND SUPPORTIVE SERVICES (PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL CARE) FOR DYING PATIENTS AND THEIR FAMILIES. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. PATIENT DAYS = 32,321 TOTAL VISITS = 20,835.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,320,895ExpenseAmt
Revenue$4,876,088RevenueAmt
DescPRIVATE DUTY AND HOME MEDICAL EQUIPMENT - PRIVATE DUTY NURSING PROGRAM PROVIDES IN HOME NURSING AND HOME HEALTH AID SERVICES TO THE AREA IN THE LOWEST POSSIBLE COST SETTING. HOME MEDICAL EQUIPMENT SUPPLIES EQUIPMENT AND INSTRUCTION TO PERSONS WITH MEDICALLY DETERMINED NEEDS. PRIVATE DUTY NURSING HOURS = 94,282Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$920,256ExpenseAmt
Revenue$1,294,228RevenueAmt
DescHOME INFUSION OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$920,256TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,294,228TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$18,705,961TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee370EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFM PADGETT SR VP TREASURERPersonNm
Phone9898393181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DIANE POSTLER-SLATTERY
DIRECTOR2.0050.00Yes (X)$0$684,458$51,167
J CHRISTOPHER HOUGH MD
DIRECTOR2.0050.00Yes (X)$0$303,872$94,778
SATYENDRA DHAR MD
DIRECTOR2.0050.00Yes (X)$0$233,303$19,112
CHRISTINE CHESNY
PRESIDENT2.0050.00Yes (X)$0$221,462$48,437Yes (X)
DAVE BENDER
DIRECTOR2.000.00Yes (X)$0$0$0
JUSTIN EBEL
CHAIR2.000.00Yes (X)$0$0$0
BILL GAGLIARDI
VICE CHAIR2.000.00Yes (X)$0$0$0
KATHY ALLEN
DIRECTOR2.000.00Yes (X)$0$0$0
SHARON MILLER
DIRECTOR2.000.00Yes (X)$0$0$0
LISA ZIETTLOW
DIRECTOR2.000.00Yes (X)$0$0$0
HERM TRIEZENBERG
DIRECTOR2.000.00Yes (X)$0$0$0
LAUREN ESSENMACHER
DIRECTOR2.000.00Yes (X)$0$0$0
SHANNON WILSON
DIRECTOR2.000.00Yes (X)$0$0$0
STEVE SCOTT
DIRECTOR2.000.00Yes (X)$0$0$0
FRANCINE PADGETT
ASSISTANT TR2.0050.00$0$521,192$141,589Yes (X)
DONNA RAPP
ASSISTANT SE2.0050.00$0$389,673$125,707Yes (X)
JAMES ROLLIN
PHYSICAL THE50.000.00$185,188$0$11,185Yes (X)
DARREN SEYMOUR
PHYSICAL THE50.000.00$182,865$0$24,009Yes (X)
JILL ROBY-SNYDER
VP50.000.00$123,423$0$19,216Yes (X)
LAURA DRLIK
PHYSICAL THE50.000.00$115,949$0$5,897Yes (X)
JULENE DOBRZELEWSKI
PHYSICAL THE50.000.00$111,720$0$12,158Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$719,145TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,353,960TotReportableCompRltdOrgAmt
Total Other Compensation$553,255TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
MCKESSON INFORMATION SERVICES
PO BOX 98347CHICAGOIL606938347SUPPORT SERVICE$186,936
MASONIC PATHWAYS
1200 WRIGHT AVEALMAMI48801CLINICAL SERV$113,482
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$11,380FederatedCampaignsAmt
Fundraising$19,832FundraisingAmt
All Other Contributions$117,603AllOtherContributionsAmt
Total Contributions$148,815TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID621610$16,113,764$16,113,764
NET PATIENT REVENUE621610$4,501,525$4,501,525
FieldValueIRS element (for citing)
Total Program Service Revenue$20,615,289TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,389TotalRevenueColumnAmt
Exclusion$154,389ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,568,864SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,104,290SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$464,574SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$464,574TotalRevenueColumnAmt
Exclusion$464,574ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,724FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$19,832ContriRptFundraisingEventAmt
Fundraising Direct Expenses$11,181FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,457TotalRevenueColumnAmt
Exclusion-$8,457ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescALL OTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$8,972TotalRevenueColumnAmt
Related Or Exempt Func Income$8,972RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,383,582TotalRevenueColumnAmt
Related Or Exempt Func Income$20,624,261RelatedOrExemptFuncIncomeAmt
Exclusion$610,506ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,300,078TotalAmt
Program Services$10,394,573ProgramServicesAmt
Management And General$905,505ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$371,841TotalAmt
Program Services$343,909ProgramServicesAmt
Management And General$27,932ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,566,058TotalAmt
Program Services$1,455,671ProgramServicesAmt
Management And General$110,387ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$818,453TotalAmt
Program Services$754,496ProgramServicesAmt
Management And General$63,957ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Management And General$12,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,389TotalAmt
Management And General$26,389ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$656,239TotalAmt
Program Services$355,684ProgramServicesAmt
Management And General$300,555ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$846,827TotalAmt
Program Services$689,772ProgramServicesAmt
Management And General$157,055ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,819TotalAmt
Program Services$12,504ProgramServicesAmt
Management And General$270,315ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$818,287TotalAmt
Program Services$771,871ProgramServicesAmt
Management And General$46,416ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,156TotalAmt
Program Services$6,718ProgramServicesAmt
Management And General$19,438ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$145,597TotalAmt
Program Services$70,288ProgramServicesAmt
Management And General$75,309ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,924TotalAmt
Management And General$3,924ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COST OF GOODS SOLD$2,024,857$2,024,857
PATIENT CARE EXPENSE$1,095,754$1,095,754
AFFILIATE EXPENSES$1,055,918$8,340$1,047,578
MEDICAL SUPPLIES$720,010$720,010

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,304TotalAmt
Program Services$1,514ProgramServicesAmt
Management And General$19,790ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,792,511TotalAmt
Program Services$18,705,961ProgramServicesAmt
Management And General$3,086,550ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,900BOYAmt
EOY$1,750EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$125,293BOYAmt
EOY$328,714EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$294BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,204,018BOYAmt
EOY$4,326,351EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,563BOYAmt
EOY$3,211EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$82,221BOYAmt
EOY$100,517EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,609,394LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,746,923LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$978,703BOYAmt
EOY$862,471EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,895,917BOYAmt
EOY$14,250,588EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,291,909BOYAmt
EOY$19,873,602EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,517,194BOYAmt
EOY$1,301,392EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$474,350BOYAmt
EOY$416,859EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$600,793BOYAmt
EOY$622,357EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,592,337BOYAmt
EOY$2,340,608EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,120,560BOYAmt
EOY$16,797,734EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$289,482BOYAmt
EOY$272,120EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$289,530BOYAmt
EOY$463,140EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,699,572BOYAmt
EOY$17,532,994EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,291,909BOYAmt
EOY$19,873,602EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$408,929ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,242,351NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$340,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$411,258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$287,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$224,308CurrentTaxYearMinus1YearAmt
Current Tax Year$148,815CurrentTaxYearAmt
Total$1,412,597TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,471,429CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,918,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,760,489CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,860,506CurrentTaxYearMinus1YearAmt
Current Tax Year$20,615,289CurrentTaxYearAmt
Total$103,626,122TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,318CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,325CurrentTaxYearMinus1YearAmt
Current Tax Year$2,724CurrentTaxYearAmt
Total$11,695TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,813,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,331,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,050,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,087,139CurrentTaxYearMinus1YearAmt
Current Tax Year$20,766,828CurrentTaxYearAmt
Total$105,050,414TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,680CurrentTaxYearMinus1YearAmt
Total$425,736TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,680CurrentTaxYearMinus1YearAmt
Total$425,736TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$104,624,678PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$190,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170,830CurrentTaxYearMinus1YearAmt
Current Tax Year$154,389CurrentTaxYearAmt
Total$822,831TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$190,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170,830CurrentTaxYearMinus1YearAmt
Current Tax Year$154,389CurrentTaxYearAmt
Total$822,831TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,801CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,101CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,048CurrentTaxYearMinus1YearAmt
Current Tax Year$8,972CurrentTaxYearAmt
Total$48,638TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,011,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,466,979CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,238,938CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,274,017CurrentTaxYearMinus1YearAmt
Current Tax Year$20,930,189CurrentTaxYearAmt
Total$105,921,883TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98780PublicSupportCY509Pct
Public Support PY5090.98470PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 12FormAndLineReferenceDesc
ExplanationSTUDENT NURSING PROGRAM & MISC OTHER 48,638ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$289,530BeginningYearBalanceAmt
Investment Earnings Or Losses$173,610InvestmentEarningsOrLossesAmt
End Year Balance$463,140EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$283,500BeginningYearBalanceAmt
Investment Earnings Or Losses$6,030InvestmentEarningsOrLossesAmt
End Year Balance$289,530EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$324,000BeginningYearBalanceAmt
Investment Earnings Or Losses-$40,500InvestmentEarningsOrLossesAmt
End Year Balance$283,500EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,480BeginningYearBalanceAmt
Investment Earnings Or Losses$110,520InvestmentEarningsOrLossesAmt
End Year Balance$324,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$145,260BeginningYearBalanceAmt
Investment Earnings Or Losses$68,220InvestmentEarningsOrLossesAmt
End Year Balance$213,480EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,299,441OtherCostOrOtherBasisAmt
Depreciation$810,542DepreciationAmt
Book Value$488,899BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,123OtherCostOrOtherBasisAmt
Depreciation$25,320DepreciationAmt
Book Value$17,803BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,266,830OtherCostOrOtherBasisAmt
Depreciation$1,911,061DepreciationAmt
Book Value$355,769BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$862,471TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER FINANCIAL INVESTMENTSDesc
Book Value$14,250,588BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$14,250,588TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSELF-INSURANCE, DEFERRED COMP, OTHERDesc
Amt$622,357Amt
FieldValueIRS element (for citing)
Total Liability$622,357TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$22,779,626TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,242,351NetUnrealizedGainsInvstAmt
Other Revenue$168,901OtherRevenueAmt
Revenue Not Reported$1,411,252RevenueNotReportedAmt
Revenue Subtotal$21,368,374RevenueSubtotalAmt
Investment Expenses Not Incld$26,389InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$11,181OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$15,208RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,383,582TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,946,205TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$180,083OtherExpensesIncludedAmt
Expenses Not Reported$180,083ExpensesNotReportedAmt
Expenses Subtotal$21,766,122ExpensesSubtotalAmt
Investment Expenses Not Incld2$26,389InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$26,389ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,792,511TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4CONSIDERED AN ENDOWMENT, THE PRINCIPAL MUST REMAIN IN DOW CHEMICAL STOCK INDEFINITELY WITH DIVIDENDS BEING EXPENDED BY THE AGENCY FOR OPERATIONS.
SCHEDULE D, PAGE 4, PART XI, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 168,901
SCHEDULE D, PAGE 4, PART XI, LINE 4BDIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED -11,181
SCHEDULE D, PAGE 4, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 168,902 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED 11,181

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesMILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1STARS IN THE GANameOfEvent1Amt
Gross Receipts Event1$13,246GrossReceiptsEvent1Amt
Charitable Contri Event1$13,246CharitableContriEvent1Amt
Food And Beverage Event1$1,783FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,939OtherDirectExpensesEvent1Amt
Name Of Event2HOSPICE LUNCHEONameOfEvent2Amt
Gross Receipts Event2$5,770GrossReceiptsEvent2Amt
Charitable Contri Event2$3,046CharitableContriEvent2Amt
Gross Revenue Event2$2,724GrossRevenueEvent2Amt
Other Direct Expenses Event2$2,184OtherDirectExpensesEvent2Amt
Gross Receipts Total$19,016GrossReceiptsTotalAmt
Charitable Contributions Tot$16,292CharitableContributionsTotAmt
Gross Revenue Total Events$2,724GrossRevenueTotalEventsAmt
Food And Beverage Total Events$1,783FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$5,123OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$6,906DirectExpenseSummaryEventsAmt
Net Income Summary-$4,182NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DIANE POSTLER-SLATTERY
DIRECTOR$527,025$111,784$45,649$33,067$18,100$735,625
J CHRISTOPHER HOUGH MD
DIRECTOR$281,160$9,294$13,418$77,417$17,361$398,650
SATYENDRA DHAR MD
DIRECTOR$222,922$9,901$480$10$19,102$252,415
CHRISTINE CHESNY
PRESIDENT$171,731$47,909$1,822$32,082$16,355$269,899
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
JAMES ROLLIN
PHYSICAL THERAPIST$180,608$400$4,180$9,286$1,899$196,373
DARREN SEYMOUR
PHYSICAL THERAPIST$174,431$400$8,034$9,136$14,873$206,874

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 7MIDMICHIGAN 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 IIION MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. SCHEDULE J, PART I, LINE 4B - PADGETT, POSTLER-SLATTERY, AND RAPP 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, THE PARTICIPANT EARNS 75 POINTS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO 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 ARE THE REGIONAL LEADER IN PARTNERING WITH INDIVIDUALS TO ACHIEVE THEIR OPTIMAL QUALITY OF LIFE THROUGH CUSTOMIZED HEALTH SERVICES IN THE HOME AND COMMUNITY.
FORM 990PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
FORM 990, PAGE 2, PART III, LINE 4DHOME INFUSION OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES.
FORM 990, PAGE 6, PART VI, LINE 6THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
FORM 990, PAGE 6, PART VI, LINE 7ATHE 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 7BTHE FOLLOWING RIGHTS AND RESPONSIBILITES 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 GAURANTEE 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 11BTHE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES 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 15AALL 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 15BALL 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 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PAGE 7, PART VIINO 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 PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES IS NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVEMIDLANDMI48670382459948SUPPORTMI501C311ANAfalse
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRIVEMIDLANDMI48670380833014HOSPITALMI501C33MIDMI HLTHYes (true)
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DRALMAMI48801381437919HOSPITALMI501C33MIDMI HLTHYes (true)
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREETCLAREMI48617381518643HOSPITALMI501C33MIDMI HLTHYes (true)
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREETGLADWINMI48624386020434HOSPITALMI501C33MIDMI HLTHYes (true)
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DRMIDLANDMI48642382623324LT CAREMI501C39MIDMI HLTHYes (true)
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREETGLADWINMI48624382754875LT CAREMI501C39MIDMI HLTHYes (true)
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET ROADMIDLANDMI48640383317788MED OFFICEMI501C311AMIDMI HLTHYes (true)
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVEMIDLANDMI48670352182295EQUIPMENTMI501C311BMIDMI HLTHYes (true)
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI501C39MIDMI HLTHYes (true)
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRIVEMIDLANDMI48670382459947OPERATIONSMI501C2MIDMI HLTHYes (true)
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI501C311AMIDMI HLTHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN ASSURANCE GROUP LTDBusinessNameLine1

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVENUEAddressLine1
Address Line2GOVERNORS SQUARE BLDG 4 2ND FLOORAddressLine2
CityGEORGE TOWNCity
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN980585596EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P$51,380BOOKS & RECORDS
MIDMICHIGAN HEALTH
P$993,408BOOKS & RECORDS

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