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        <Explanation>MIDMICHIGAN HEALTH CONTRACTS WITH THE FREDRICK GROUP TO MONITOR HEALTHCARE LEGISLATION AND EVALUATE THE POTENTIAL IMPACT OF THE LEGISLATION ON OUR HEALTH SYSTEM.</Explanation>
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        <Description>ISOMM</Description>
        <MethodOfValuation>C</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>572619636</TotalOfBookValueProgramRelated>
      <OtherLiabilities>
        <Description>ACCRUED PENSION/RETIREMENT BENEFITS</Description>
        <Amount>30736816</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMP, SELF INS, OTHER</Description>
        <Amount>26712108</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER</Description>
        <Amount>160000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>57608924</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>23877155</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3568598</NetUnrealizedGainsInvestments>
      <OtherRevenues>1978</OtherRevenues>
      <RevenueNotRptdF990>3570576</RevenueNotRptdF990>
      <RevenueSubtotal>20306579</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>202571</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>46987827</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>47190398</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>67496977</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>18260734</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>3209</OtherExpensesIncluded>
      <ExpensesNotRptdF990>3209</ExpensesNotRptdF990>
      <ExpensesSubtotal>18257525</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>202571</InvestmentExpensesNotIncluded2>
      <OtherExpensesNotIncluded>1962442</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>2165013</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>20422538</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XI, LINE 2D</ReturnReference>
        <Explanation>NET ASSETS RELEASED FROM RESTRICTIONS 1,978</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>REVENUE AMOUNTS INCLUDED ON RETURN - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XI, LINE 4B</ReturnReference>
        <Explanation>RECLASSED AFFILIATE EXPENSE 1,962,442 INCOME FROM CONSOLIDATED SUBSIDIARIES 44,798,341 512(B)(17) INCOME 230,253 LOSS ON DISPOSAL -3,209</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XII, LINE 2D</ReturnReference>
        <Explanation>LOSS ON DISPOSAL 3,209</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XII, LINE 4B</ReturnReference>
        <Explanation>RECLASSED AFFILIATE EXPENSE 1,962,442</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc6">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
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          <BusinessNameLine1>MIDLAND CENTER FOR THE ARTS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1801 W ST ANDREWS ST</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386114020</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY - MIDMI</BusinessNameLine1>
          <BusinessNameLine2>REGIONAL OFFICE</BusinessNameLine2>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1111 S HENRY SUITE A</AddressLine1>
          <City>BAY CITY</City>
          <State>MI</State>
          <ZIPCode>48706</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131788491</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>24500</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDLAND COMMUNITY TENNIS CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>900 EAST WACKERLY ST</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381534400</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>6500</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTRAL MICHIGAN UNIVERSITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1200 S FRANKLIN ST</AddressLine1>
          <City>MOUNT PLEASANT</City>
          <State>MI</State>
          <ZIPCode>48859</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386004447</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>6250</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDLAND TOMORROW</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>300 RODD ST SUITE 201</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382600199</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDMICHIGAN COMMUNITY COLLEGE</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1375 S CLARE AVENUE</AddressLine1>
          <City>HARRISON</City>
          <State>MI</State>
          <ZIPCode>48625</ZIPCode>
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        <EINOfRecipient>381812272</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>13214</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDMICHIGAN DISTRICT HEALTH DEPT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>651 N STATE STREET STE 2</AddressLine1>
          <City>STANTON</City>
          <State>MI</State>
          <ZIPCode>48888</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381808049</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>11200</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>FREELAND COMMUNITY SPORTS</BusinessNameLine1>
          <BusinessNameLine2>ASSOCIATION</BusinessNameLine2>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5690 MIDLAND RD</AddressLine1>
          <City>FREELAND</City>
          <State>MI</State>
          <ZIPCode>48623</ZIPCode>
        </AddressUS>
        <EINOfRecipient>204803638</EINOfRecipient>
        <IRCSection>501C3</IRCSection>
        <AmountOfCashGrant>6100</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MIDLAND AREA CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>300 RODD STREET SUITE 101</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </AddressUS>
        <EINOfRecipient>380832915</EINOfRecipient>
        <IRCSection>501C6</IRCSection>
        <AmountOfCashGrant>6100</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>9</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES</Identifier>
        <ReturnReference>SCHEDULE I, PAGE 1, PART I, LINE 2</ReturnReference>
        <Explanation>MIDMICHIGAN HEALTH PROVIDES CHARITABLE CONTRIBUTIONS TO THOSE ORGANIZATIONS THAT APPLY AND MEET THE REQUIRED CRITERIA FOR CHARITABLE GIVING. THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT COORDINATOR FOLLOWS UP WITH EACH REQUEST TO ASCERTAIN THAT EACH REQUEST MEETS THE COMMUNITY BENEFIT STANDARDS. NO FUNDS ARE PROVIDED DIRECTLY TO INDIVIDUALS AND IT IS EXPECTED THAT WRITTEN ACKNOWLEDGEMENT FROM THE DONEE IS RECEIVED IN A TIMELY FASHION.</Explanation>
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD REYNOLDS</NamePerson>
        <Title>PRESIDENT</Title>
        <BaseCompensationFilingOrg>558629</BaseCompensationFilingOrg>
        <BonusFilingOrg>50000</BonusFilingOrg>
        <OtherCompensationFilingOrg>882159</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>312473</DeferredCompFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>GREGORY ROGERS</NamePerson>
        <Title>EXECUTIVE VP</Title>
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        <TotalCompensationFilingOrg>566322</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>FRANCINE PADGETT</NamePerson>
        <Title>TREASURER</Title>
        <BaseCompensationFilingOrg>305957</BaseCompensationFilingOrg>
        <BonusFilingOrg>15000</BonusFilingOrg>
        <OtherCompensationFilingOrg>33698</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>84095</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>24336</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>463086</TotalCompensationFilingOrg>
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        <NamePerson>DONNA RAPP</NamePerson>
        <Title>SECRETARY</Title>
        <BaseCompensationFilingOrg>277354</BaseCompensationFilingOrg>
        <BonusFilingOrg>15000</BonusFilingOrg>
        <OtherCompensationFilingOrg>25498</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>BRIAN RODGERS</NamePerson>
        <Title>SENIOR VP</Title>
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        <OtherCompensationFilingOrg>17296</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>72765</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17436</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>397552</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LYNN BRUCHHOF</NamePerson>
        <Title>VP HUMAN RESOURCES</Title>
        <BaseCompensationFilingOrg>183184</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>40087</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>24740</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7482</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>255493</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREG GHILARDI</NamePerson>
        <Title>VP HUMAN RESOURCES</Title>
        <BaseCompensationFilingOrg>162958</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>8632</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18877</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>19875</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>210342</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK SANTAMARIA</NamePerson>
        <Title>PRESIDENT-ADMIN CORP</Title>
        <BaseCompensationFilingOrg>208060</BaseCompensationFilingOrg>
        <BonusFilingOrg>60000</BonusFilingOrg>
        <OtherCompensationFilingOrg>8857</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>3355</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13939</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>294211</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL LARSON</NamePerson>
        <Title>CIO - ADMIN CORP</Title>
        <BaseCompensationFilingOrg>174041</BaseCompensationFilingOrg>
        <BonusFilingOrg>40000</BonusFilingOrg>
        <OtherCompensationFilingOrg>737</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4298</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5303</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>224379</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHANDRA MORSE</NamePerson>
        <Title>VP</Title>
        <BaseCompensationFilingOrg>186021</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <OtherCompensationFilingOrg>4282</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>37595</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4812</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>242710</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>DANIEL SORENSON MD</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <BaseCompensationFilingOrg>181813</BaseCompensationFilingOrg>
        <BonusFilingOrg>17500</BonusFilingOrg>
        <DeferredCompFilingOrg>30456</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10489</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>240258</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT CURRIE</NamePerson>
        <Title>VP</Title>
        <BaseCompensationFilingOrg>179589</BaseCompensationFilingOrg>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <OtherCompensationFilingOrg>8254</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>11885</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5437</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>215165</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FRINGE OR EXPENSE EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 1A</ReturnReference>
        <Explanation>THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. BRUCHHOF, LYNN - VP HUMAN RESOURCES ROGERS, GREGORY - EXEC VICE PRES PADGETT, FRANCINE - TREASURER RODGERS, BRIAN - SENIOR VICE PRES RAPP, DONNA - SECRETARY MORSE, CHANDRA - VICE PRESIDENT REYNOLDS, RICHARD - PRESIDENT WAGNER, JEFFREY - VICE PRESIDENT LARSON, MICHAEL - CIO - ADMIN CORP</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>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 - REYNOLDS, ROGERS, PADGETT, RAPP, RODGERS, POSTLER- SLATTERY, SANTAMARIA, AND BRUCHHOF ARE PARTICIPANTS IN A 457(F) PLAN. THE ONLY PAYMENT MADE IN 2012 WAS TO REYNOLDS WHO HAD VESTED AS OF 1/1/2012 AND RECEIVED THE AMOUNT REQUIRED TO BE PAID OUT ACCORDING TO THE PLAN. 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc8">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JERAMIE SODERBERG</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER</Relationship>
        <AmountOfTransaction>69635</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990</ReturnReference>
        <Explanation>PART I, LINES 3 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES</Identifier>
        <ReturnReference>FORM 990, PART V, LINE 4B</ReturnReference>
        <Explanation>CAYMAN ISLANDS, OTHER COUNTRY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VI</ReturnReference>
        <Explanation>LINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, RICHARD REYNOLDS, AND DON SHEETS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 4</ReturnReference>
        <Explanation>ARTICLES XI, XII, AND XIII OF THE ARTICLES OF INCORPORATION WERE DELETED IN THEIR ENTIRETY. ARTICLE II, SECTION 10 WAS AMENDED TO ADD THAT THE CORPORATION IS ORGANIZED AS A NONPROFIT CORPORATION AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES OR FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING HEALTHCARE SERVICES. IT ADDS THAT THE CORPORATION SHALL NOT CARRY ON ANY ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY TAX-EXEMPT CORPORATIONS UNDER SECTION 501(C)(3). SECTION 11 WAS ADDED TO ARTICLE II, STATING THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING BENEFIT TO THE MHC MEMBER CLASS AND THAT NOTHING IN ARTICLE II SHOULD BE CONSTRUED TO PROHIBIT THE CORPORATION FROM DISTRIBUTIONS TO ITS MEMBERS. ARTICLE VII WAS AMENDED TO STATE THAT THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS, WITH MORE THAN ONE CLASS OF MEMBERS, AND THE RIGHTS OF THE MEMBERS ARE IN THE BYLAWS OF THE CORPORATION. RESERVED POWERS OF THE MHC MEMBER CLASS SHALL NOT BE AMENDED WITHOUT THE CONSENT OF BOTH MEMBER CLASSES. ARTICLE VIII WAS AMENDED TO STATE THAT THE FINAL CORPORATE AUTHORITY IS VESTED IN THE BOARD OF DIRECTORS. ARTICLE IX WAS AMENDED TO STATE WHEN THE CORPORATION ASSUMES LIABILITY FOR ACTS OR OMISSIONS OF A VOLUNTEER: (A) THE VOLUNTEER WAS ACTING WITHIN THE SCOPE OF AUTHORITY, (B) THE VOLUNTEER WAS ACTING IN GOOD FAITH, (C) THE VOLUNTEER'S CONDUCT WAS NOT GROSSLY NEGLIGENT OR WILLFUL MISCONDUCT, (D) THE VOLUNTEER'S CONDUCT WAS NOT INTENTIONAL TORT, (E) THE VOLUNTEER'S CONDUCT WAS NOT A TORT INVOLVING A MOTOR VEHICLE. ARTICLE X WAS AMENDED TO STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, AFTER PAYING THE LIABILITIES OF THE CORPORATION, THE BOARD OF DIRECTORS WILL DISTRIBUTE ANY REMAINING ASSETS ACCORDING TO THE INTERNAL REVENUE CODE OR TO THE FEDERAL, STATE OR LOCAL GOVERNMENT FOR PUBLIC PURPOSES. ANY ASSETS NOT DISPOSED WILL BE DISPOSED BY THE CIRCUIT FOR THE COUNTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>AT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>ONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>ALL OFFICERS 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>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 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>ASSOCIATION DUES &amp; OTHER FEES 1,265,597 1,265,597 0 PURCHASED/CONTRACT SERVICES 3,748,690 207,727 0</Explanation>
      </GeneralExplanation>
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          <City>GLADWIN</City>
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          <City>MIDLAND</City>
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          <City>MIDLAND</City>
          <State>MI</State>
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      <TransactionsRelatedOrgsTable>
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        <NameOfOtherOrganization>
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        <TransactionType>Q</TransactionType>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN GLADWIN PINES</BusinessNameLine1>
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        <TransactionType>Q</TransactionType>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>