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 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898393181 703 NORTH MCEWAN STREET CLARE MI 48617 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 RAYMOND STOVER 703 NORTH MCEWAN STREET CLARE MI 48617 45896457 false X WWW.MIDMICHIGAN.ORG X 1951 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. 17 10 360 68 8369 -12038 34880 47663 41750605 41378692 882412 602422 2495359 2395520 45163256 44424297 0 0 17591039 17981884 0 0 26100571 25607648 43691610 43589532 1471646 834765 41863244 36940104 16421934 9902104 25441310 27038000 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 ARE THE PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. false false 35582550 41378692 MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,172 PATIENT ADMISSIONS AND 89,906 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2014. THE CATH LAB HAD 39 VISITS IN FISCAL YEAR 2014. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 35582550 true true false false false false false false false false true true false false true false false true false false false false false false true false true true false false true true false false false false false false false false true false false false false false false true true true true false true 24 0 true 360 true true true false false false false false false false false false X 17 10 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 TOM CLARINGBOLD DO DIRECTOR 2.00 50.00 X 0 323019 36434 RAYMOND STOVER PRESIDENT 2.00 50.00 X X 0 262794 76116 LEYDA SU HAM DO DIRECTOR 2.00 50.00 X 0 214335 6411 MICHAEL WERTHEIMER MD DIRECTOR 2.00 50.00 X 0 162237 35293 JEFFREY FOSSITT SECRETARY 2.00 X 0 0 0 MIKE JENKINS CHAIR 2.00 X 0 0 0 TOM HOUSE DIRECTOR 2.00 X 0 0 0 DON RICHARDS TREASURER 2.00 X 0 0 0 KAREN KLEINHARDT DIRECTOR 2.00 X 0 0 0 LISA BENIC VICE CHAIR 2.00 X 0 0 0 AMY STARK DIRECTOR 2.00 X 0 0 0 THERESA SLOCUM DIRECTOR 2.00 X 0 0 0 JJ KLAUS DIRECTOR 2.00 X 0 0 0 DAN TIMMINS 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 WILLIAM GROVES CRNA 50.00 X 216045 0 26186 RUSSELL RADER ANESTHESIOLO 50.00 X 208758 0 23941 KELLY MATHISON CRNA 50.00 X 208518 0 16796 RICHARD DEFLUITER CRNA 50.00 X 208151 0 24037 JOSHUA SCHEXNAILDRE CRNA 50.00 X 185374 0 8444 LAWRENCE BARCO FORMER PRESI 0.00 X 138348 0 0 1165194 2557708 572121 11 true true false MICHIGAN EMERGENCY PHYS LLP PO BOX 793 TRAVERSE CITY MI 496850793 ER ADMIN 958880 SIEMENS MED SOLUTIONS USA INC C/O MELLON BANK DEPT 14195 PALATINE IL 600554195 EQUIP MAINT 789842 THREE RIVERS CONSTRUCTION PO BOX 1467 MIDLAND MI 48641 CONSTRUCTION 739959 EMCARE INC 7032 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 PHYSICIAN SVCS 721442 KAWKAWLIN ROOFING COMPANY INC PO BOX 538 KAWKAWLIN MI 486310538 CONSTRUCTION 331079 6 17574 30089 47663 MEDICARE/MEDICAID PAYMENTS 621990 26093117 26093117 NET PATIENT REVENUE 621990 15062120 15062120 CONTRACTED CLINICAL SERVICES 621990 215086 215086 REFERENCE LABORATORY 621500 8369 8369 41378692 171074 171074 4 4 1897621 1335695 130582 561926 -130582 431344 431344 17574 5883 -5883 AFFILIATE RELATED INCOME 900099 695271 695271 OUTSIDE INCOME 900099 224689 224689 CAFETERIA/FOOD SERVICE 722514 98989 98989 1382454 1382454 2401403 44424297 43672737 8369 701411 X 47072 47072 14232416 13582074 650342 560911 536654 24257 2120462 2022347 98115 1021023 975146 45877 28800 28800 35641 35641 9196844 3796121 5400723 65390 47883 17507 793158 528322 264836 1212092 711918 500174 32509 31094 1415 295537 295537 1682485 989420 693065 216517 554 215963 PHYSICIAN SUBSIDY 7197867 7173867 24000 MEDICAL SUPPLIES 3729262 3722995 6267 QAAP FEES 1010224 1010224 LOSS ON EARLY DEBT EXTIN 111322 111322 43589532 35582550 8006982 0 1470 1320 216730 715182 6357628 5759946 2825 3069 401157 375901 31991315 18466115 13678601 13525200 3489701 2066873 17539189 14466858 175943 25755 41863244 36940104 4568640 2729852 9991772 4390748 316458 1861522 2465046 16421934 9902104 X 25433400 27033299 7910 4701 25441310 27038000 41863244 36940104 834765 1315823 -553898 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1826668 1826668 15917510 8813160 7104350 828922 642411 186511 13200741 9010544 4190197 217474 217474 13525200 OTHER FINANCIAL INVESTMENTS 14466858 F 14466858 SELF INSURANCE, OTHER 2465046 INTERCOMPANY LOANS 2465046 45747565 1315823 -93379 1222444 44525121 35641 -136465 -100824 44424297 43629904 56754 56754 43573150 35641 -19259 16382 43589532 SCHEDULE D, PAGE 4, PART XI, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS FOR CAP. PURCHASES 17,944 LOSS ON EARLY EXTINGUISHMENT OF DEBT -111,323 SCHEDULE D, PAGE 4, PART XI, LINE 4B LOSS ON DISPOSAL OF ASSETS - RECLASSIFIED -130,582 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED -5,883 SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 50,871 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED 5,883 SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -130,582 LOSS ON EARLY EXTINGUISHMENT OF DEBT 111,323 LOVE LIGHT TREE 17574 17574 900 4983 17574 17574 900 4983 5883 -5883 true true true X true X true true true false true true 1 95165 95165 0.00220 1 7887496 5234775 2652721 0.06090 2 7982661 5234775 2747886 0.06300 112 3923 182036 3204 178832 0.00410 75 118 104349 104349 0.00240 14 350 2542 2542 0.00010 201 4391 288927 3204 285723 0.00660 203 4391 8271588 5237979 3033609 0.06960 12 4133 4133 0.00010 53 5053 5053 0.00010 1 23 551 551 1 18798 18798 0.00040 90 28535 28535 0.00070 true 1799230 69718 14274224 14670463 -396239 X true true 1 1 MIDMICHIGAN MEDICAL CENTER - CLARE 703 N MCEWAN ST CLARE MI 486171440 X X X MIDMICHIGAN MEDICAL CENTER - CLARE 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 - CLARE - PART V, LINE 3 MIDMICHIGAN MEDICAL CENTER-CLARES COMMUNITY EDUCATION COORDINATOR IS INVOLVED IN A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT; CALLED THE TOGETHER WE CAN HEALTH IMPROVEMENT PLANNING WORKING GROUP (HIP) FOR CLARE AND GLADWIN COUNTY. THIS WORKING GROUP IS A SUBCOMMITTEE OF THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL, A COLLABORATIVE OF COMMUNITY MEMBERS AND AGENCIES FROM ACROSS THE REGION LED BY THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT IN AN EFFORT TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES SERVED, INCLUSIVE OF THOSE SERVED BY MIDMICHIGAN MEDICAL CENTER-CLARE. OTHER MEMBERS INCLUDE THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CHIEF HEALTH OFFICER; DIRECTOR OF PUBLIC HEALTH PROMOTION AND PREPAREDNESS AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; HEALTH PROMOTION AND PREPAREDNESS SUPERVISOR AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT; AND DIRECTOR OF PERSONAL HEALTH SERVICES AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-CLARE IS A PARTNER WITH MIHIA. THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY OF HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - PART V, LINE 12I PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY. FACILITY 1, MIDMICHIGAN MEDICAL CENTER - CLARE - 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 - CLARE - 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 7 MIDMI MEDICAL CENTER-CLARE REHAB SV 231 SOUTH FIRST STREET HARRISON MI 48625 REHABILITATION SERVICES ONLY MIDMICHIGAN HEALTH PARK-HOUGHTON LK 9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629 REHABILITATION, LAB, & MAMMOGRAPHY MIDMICHIGAN URGENT CARE - CLARE 700 WEST FIFTH ST CLARE MI 48617 URGENT CARE, OCCUPATIONAL MEDICINE CLARE MMO RHC 602 BEECH STREET CLARE MI 48617 RURAL HEALTH CLINIC HARRISON RHC 815 NORTH CLARE AVENUE HARRISON MI 48625 RURAL HEALTH CLINIC FARWELL RHC 2812 WEST CADILLAC DRIVE FARWELL MI 48622 RURAL HEALTH CLINIC 6TH AND MAPLE STREET 212 W SIXTH STREET CLARE MI 48617 RURAL HEALTH CLINIC PART II - COMMUNITY BUILDING ACTIVITIES MIDMICHIGAN MEDICAL CENTER-CLARE EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-CLARE IS A KEY PARTNER WITH UNITED WAY OF CLARE AND GLADWIN COUNTY, WHICH SUPPORTS MANY NON-PROFIT AGENCIES IN THESE COUNTIES, INCLUDING 211 FIRST CALL FOR HELP. MIDMICHIGAN MEDICAL CENTER-CLARE EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NON-PROFIT BOARDS AND/OR COMMITTEES, IMPACTING COMMUNITY HEALTH THROUGH CONTRIBUTIONS TO ORGANIZATIONS AND COMMITTEES THAT GATHER TO IMPROVE HEALTH, SUCH AS THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY COUNCIL AND THE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE. CLARE IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS AND A BUSINESS EXPO EACH YEAR THAT PROVIDES HEALTH CARE SCREENINGS. 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 3,760,201 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 4,422,152. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S COLLECTION POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. MIDMICHIGAN HEALTH ASSURES THE COST OF THE PROGRAM (INTEREST) AND GUARANTEES THE RECEIVABLES. PART VI, LINE 2 - NEEDS ASSESSMENT MIDMICHIGAN MEDICAL CENTER CLARE OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. 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, THE MIDMICHIGAN COMMUNITY ACTION AGENCY COMMUNITY NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS, AND INCLUDES CLARE, GLADWIN, AND MIDLAND COUNTIES (THIS SURVEY ADDRESSES HEALTH CARE COST, INCLUDING PRESCRIPTION MEDICATIONS, AFFORDABLE PREVENTATIVE HEALTH CARE, AND TRANSPORTATION TO SERVICES). CLARE PARTICIPATES IN A STRONG COLLABORATIVE PARTNERSHIP HEADED BY CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CALLED TOGETHER WE CAN, AND A SMALLER SUBSET OF THAT GROUP THE CLARE-GLADWIN HEALTH IMPROVEMENT PLAN. THESE GROUPS HAVE DEVELOPED A HEALTH IMPROVEMENT PLAN THAT IS BEING ENACTED TO IMPROVE COUNTY HEALTH AND CONSEQUENTLY THEIR RANKINGS AS DETERMINED BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WE COMMUNICATE 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-CLARE'S PRIMARY SERVICE AREA IS COMPRISED OF THE 4 ZIP CODES WHICH CAPTURE CLARE COUNTY. 79.9% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 20.3%. MIDMICHIGAN MEDICAL CENTER-MIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 34.4% MARKET SHARE FOLLOWED BY MCLAREN - CENTRAL MICHIGAN WITH A 15.7% MARKET CAPTURE AND MIDMICHIGAN MEDICAL CENTER-GRATIOT AT A 5.6% CAPTURE. CLARE COUNTY IS A DESIGNATED LOW INCOME MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2014 % OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE --------------------------------------------------------------------------- 33,465 20.8% 42,600 34,210 13,989 45.1 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 95.8% 0.3% 0.8% 2.0% 1.1% 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 PARTICIPATE IN COMMUNITY COLLABORATIVES FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE THE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THE COMMUNITY EDUCATION COORDINATOR FOR MIDMICHIGAN MEDICAL CENTER-CLARE IS AN ACTIVE MEMBER OF THE TOGETHER WE CAN HEALTH IMPROVEMENT TEAM FOR CLARE AND GLADWIN COUNTIES. 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. AREAS OF FOCUS IN THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT PLANS ARE: 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-CLARE FOCUSED ON DIABETES PREVENTION THROUGH PREDIABETES CLASSES, ALONG WITH OFFERED SCREENINGS AND EDUCATION FOR PEOPLE WITH DIABETES. ADDITIONALLY, CLOSE TO 750 COMMUNITY MEMBERS ATTENDED HEALTH FAIRS WHERE EDUCATION AND HEALTH CARE SCREENINGS WERE PROVIDED. IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES, ADDITIONAL BREASTFEEDING SUPPORTS THROUGH BREASTFEEDING FACILITATORS WERE PROVIDED. JUST UNDER 750 INDIVIDUALS PARTICIPATED IN FREE OR LOW-COST HEART DISEASE AND STROKE SCREENING (TOTAL LIPID PROFILE, BLOOD GLUCOSE, BLOOD PRESSURE, WEIGHT, BODY MASS INDEX, WAIST CIRCUMFERENCE, EKG), BLOOD PRESSURE, AND OSTEOPOROSIS SCREENINGS PROVIDED CONVENIENT FREE OR LOW-COST MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. 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 FOR A TOTAL OF 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, LINE 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE. PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. X X X X X true true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 527025 111784 45649 33067 18100 735625 TOM CLARINGBOLD DO DIRECTOR 257339 64752 928 20611 15823 359453 RAYMOND STOVER PRESIDENT 191063 52015 19716 58383 17733 338910 LEYDA SU HAM DO DIRECTOR 173570 40540 225 10 6401 220746 MICHAEL WERTHEIMER MD DIRECTOR 122325 37363 2549 18930 16363 197530 FRANCINE PADGETT ASSISTANT TREASURER 329724 90341 101127 117994 23595 662781 DONNA RAPP ASSISTANT SECRETARY 285948 78293 25432 110797 14910 515380 WILLIAM GROVES CRNA 212513 400 3132 10935 15251 242231 RUSSELL RADER ANESTHESIOLOGY MGR 198739 1600 8419 10580 13361 232699 KELLY MATHISON CRNA 186342 20400 1776 10483 6313 225314 RICHARD DEFLUITER CRNA 207122 200 829 10483 13554 232188 JOSHUA SCHEXNAILDRE CRNA 174844 10300 230 8444 193818 LAWRENCE BARCO FORMER PRESIDENT 138348 138348 SCHEDULE J, PAGE 1, PART I, LINE 4 LAWRENCE BARCO 138,348 0 0 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 STOVER 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 2006A MI STATE HOSPITAL FINANCE 382889417 59465HEB8 2006-11-07 4332800 CAPITAL PROJECTS false false false A 4332800 25050 4394794 2009 false false true true A false false false false 0.00020 0.00020 false false true A false false false true false false false false true SCHEDULE K - DATE REBATE COMPUTATION PERFORMED 2006A MI STATE HOSPITAL FINANCE 05/01/10 SCHEDULE K - ADDITIONAL INFORMATION 2006A MI STATE HOSPITAL FINANCE IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THIS BOND ISSUE. THEREFORE, FORM 8038-T IS NOT REQUIRED. TERRESA SLOCUM FAMILY MEMBER 40322 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 ARE THE PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS,INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES 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 2,854,114 5,028,255 0 PURCHASED/CONTRACT SERVICES 942,007 372,468 0 MIDMICHIGAN HEALTH 4000 WELLNESS DRIVE MIDLAND MI 48670 382459948 SUPPORT MI 501C3 11A NA false MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 380833014 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME EQUIP MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET ROAD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN 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 DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 608 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true MIDMI MED CENTER-CLARE VOLUNTEERS 703 NORTH MCEWAN STREET CLARE MI 48617 382944967 SUPPORT MI 501C3 11A NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GEORGE TOWN GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false true true false true false false false false true true false false false false true true false false MIDMICHIGAN PHYSICIANS GROUP B 711360 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING C 157462 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING E 148418 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING K 331889 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 97989 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 1018179 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 74278 BOOKS & RECORDS MIDMICHIGAN HEALTH P 3810669 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 7415522 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND Q 525952 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP Q 81968 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN Q 53728 BOOKS & RECORDS