MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349306374
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T13:07:51-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREWS HOOPER PAVLIK PLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MIDM	NameControl
Phone	9898393181	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	FRANCINE M PADGETT	Name
Title	SR. VP & TREASURER	Title
Phone	9898393181	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LAURA M EBEL	Name
Phone	9894975300	Phone
Date Prepared	2014-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY ROGERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	381654291	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MIDMICHIGAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1940	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2520	TotalNbrEmployees
Total Nbr Volunteers	545	TotalNbrVolunteers
Total Gross UBI	292415	TotalGrossUBI
Net Unrelated Business Txbl Income	-276610	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7342951	ContributionsGrantsPriorYear
Contributions Grants Current Year	4255517	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	303791371	ProgramServiceRevenuePriorYear
Program Service Revenue CY	307442210	ProgramServiceRevenueCY
Investment Income Prior Year	10881156	InvestmentIncomePriorYear
Investment Income Current Year	14147038	InvestmentIncomeCurrentYear
Other Revenue Prior Year	17689387	OtherRevenuePriorYear
Other Revenue Current Year	25556485	OtherRevenueCurrentYear
Total Revenue Prior Year	339704865	TotalRevenuePriorYear
Total Revenue Current Year	351401250	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	237350	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	239100	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	125252813	SalariesEtcPriorYear
Salaries Etc Current Year	130188427	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	174115	TotalFundrsngExpCurrentYear
Other Expense Prior Year	205558736	OtherExpensePriorYear
Other Expenses Current Year	199624350	OtherExpensesCurrentYear
Total Expenses Prior Year	331048899	TotalExpensesPriorYear
Total Expenses Current Year	330051877	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8655966	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21349373	RevenuesLessExpensesCY
Total Assets BOY	566339285	TotalAssetsBOY
Total Assets EOY	591435828	TotalAssetsEOY
Total Liabilities BOY	206316069	TotalLiabilitiesBOY
Total Liabilities EOY	198133070	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	360023216	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	393302758	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	261009595	Expense
Revenue	307442210	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,640 PATIENT ADMISSIONS AND 262,994 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2013. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	239100	Expense
Grants	239100	Grants
Description	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	261248695	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	188	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2520	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	FM PADGETT SR VP TREASURER	NamePerson
Telephone Number	9898393181	TelephoneNumber

Address US AddressUS

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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
RICHARD REYNOLDS
DIRECTOR	2.00	50.00	X	0	1490788	335094
GREGORY ROGERS
PRESIDENT	2.00	50.00	X	0	404477	161845	X
JAMES BICKNELL MD
DIRECTOR	2.00	50.00	X	0	281591	44725
KERRY PIERCE MD
DIRECTOR	2.00	50.00	X	0	266722	46226
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	50.00	X	0	48183	0
BOBBIE ARNOLD
DIRECTOR	2.00		X	0	0	0
BILL COLLINS
DIRECTOR	2.00		X	0	0	0
PAM BOUNDY
DIRECTOR	2.00		X	0	0	0
CHUCK KENDALL
DIRECTOR	2.00		X	0	0	0
CARL ELLINGER
DIRECTOR	2.00		X	0	0	0
JIM FABIANO
DIRECTOR	2.00		X	0	0	0
NANCY KAUFMAN
DIRECTOR	2.00		X	0	0	0
TOM OLEN DO
DIRECTOR	2.00		X	0	0	0
ROBERT LOFIEGO
CHAIR	2.00		X	0	0	0
JON LYNCH
VICE CHAIR	2.00		X	0	0	0
WALLACE MAYTON
DIRECTOR	2.00		X	0	0	0
MARGARET RIECKER
DIRECTOR	2.00		X	0	0	0
JIM SHEPICH MD
DIRECTOR	2.00		X	0	0	0
AMY WILSON
DIRECTOR	2.00		X	0	0	0
FRANCINE PADGETT
SENIOR VP/TR	2.00	50.00		0	354655	108431	X
DONNA RAPP
SENIOR VP/SE	2.00	50.00		0	317852	107258	X
WILLIAM DERY MD
MEDICAL DIRE	50.00	0.00		266721	0	82461		X
ADELBERTO ADAN
VP	50.00	0.00		213648	0	75630		X
DIANE NOLD
VP	50.00	0.00		209724	0	61753		X
MARK ADAMS MD
PHYSICIAN	50.00	0.00		270438	0	0			X
BRANDON OSTAHOWSKI
CRNA	50.00	0.00		265043	0	10986			X
EGLE KLUGIENE MD
PHYSICIAN	50.00			257128	0	768			X
ERIC BECKER MD
PHYSICIAN	50.00	0.00		243650	0	6608			X
ARTURAS KLUGAS MD
PHYSICIAN	50.00	0.00		243569	0	19807			X
MICHELLE WOOD
FORMER KEY E	0.00	0.00		177919	0	79862				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2147840	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3164268	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1141454	TotalOtherCompensation
Number Individuals GT100 K	88	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
SKANSKA USA BUILDING INC
14776 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONSTRUCTION	9109696
MIDLAND EMERGENCY RM CORP
2000 DILLOWAY DR	MIDLAND	MI	48640	ER PHYSICIANS	5376030
MIDMICHIGAN ANESTHESIOLOGY GROUP
PO BOX 67000 DEPT 103901	DETROIT	MI	48267	SERVICES	2359800
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688	PHILADELPHIA	PA	191822688	CONSULTING	1602837
SIEMENS MED SOLUTIONS USA INC
DEPT 14195	PALATINE	IL	600554195	MAINTENANCE	1578081	C/O MELLON BANK

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	63	NumberOfContractorsGT100K
Government Grants	2109539	GovernmentGrants
All Other Contributions	2145978	AllOtherContributions
Total Contributions	4255517	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID PAYMENTS	621990	167519257	167519257
PATIENT REVENUE, NET	621990	139137033	139137033
CONTRACTED CLINICAL SERVICES	621990	334215	334215
REFERENCE LABORATORY	621500	315433		315433
FITNESS CENTER	624100	136272		136272

Field	Value	IRS element (for citing)
Total Program Service Revenue	307442210	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5120527	TotalRevenueColumn
Related Or Exempt Function Income	1308279	RelatedOrExemptFunctionIncome
Exclusion	$3,812,248	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	8	TotalRevenueColumn
Exclusion	$8	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	11196	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	11196	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	11196	TotalRevenueColumn
Exclusion	$11,196	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	39234544	Securities
Other	45000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	30166830	Securities
Other	86211	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	9067714	Securities
Other	-41211	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9026503	TotalRevenueColumn
Exclusion	$9,026,503	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EXEMPT AFFILIATE REVENUE	900099	17961654	17961654
EXEMPT INCENTIVE PAYMENTS	900099	3086406	3086406
EXEMPT JOINT VENTURE REVENUE	900099	2116934	2116934

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2380295	TotalRevenueColumn
Related Or Exempt Function Income	671726	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-159290	UnrelatedBusinessRevenue
Exclusion	$1,867,859	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	25545289	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	351401250	TotalRevenueColumn
Related Or Exempt Function Income	332135504	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	292415	UnrelatedBusinessRevenue
Exclusion	$14,717,814	ExclusionAmount

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

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	239100	Total
Program Services	239100	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	770842	Total
Program Services	299480	ProgramServices
Management And General	471362	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	99755831	Total
Program Services	76451837	ProgramServices
Management And General	23194529	ManagementAndGeneral
Fundraising	109465	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	9207992	Total
Program Services	6538913	ProgramServices
Management And General	2659033	ManagementAndGeneral
Fundraising	10046	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13364364	Total
Program Services	10131787	ProgramServices
Management And General	3217966	ManagementAndGeneral
Fundraising	14611	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7089398	Total
Program Services	5521489	ProgramServices
Management And General	1559401	ManagementAndGeneral
Fundraising	8508	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	267901	Total
Management And General	267901	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	204607	Total
Management And General	204607	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	641124	Total
Management And General	641124	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	71046357	Total
Program Services	56460454	ProgramServices
Management And General	14560424	ManagementAndGeneral
Fundraising	25479	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	218837	Total
Program Services	93311	ProgramServices
Management And General	124415	ManagementAndGeneral
Fundraising	1111	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7355959	Total
Program Services	4236872	ProgramServices
Management And General	3115677	ManagementAndGeneral
Fundraising	3410	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	951556	Total
Program Services	140874	ProgramServices
Management And General	810438	ManagementAndGeneral
Fundraising	244	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5752240	Total
Program Services	1442057	ProgramServices
Management And General	4310183	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	247571	Total
Program Services	106157	ProgramServices
Management And General	141309	ManagementAndGeneral
Fundraising	105	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	349567	Total
Program Services	146963	ProgramServices
Management And General	202604	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	8627204	Total
Program Services	3736981	ProgramServices
Management And General	4889963	ManagementAndGeneral
Fundraising	260	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29040550	Total
Program Services	21297566	ProgramServices
Management And General	7742108	ManagementAndGeneral
Fundraising	876	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	516023	Total
Management And General	516023	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	52352616	52352616
PHYSICIAN PRACTICE SUBSID	22052000	22052000
MISCELLANEOUS	238	238

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	330051877	Total
Program Services	261248695	ProgramServices
Management And General	68629067	ManagementAndGeneral
Fundraising	174115	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8219	BOY
EOY	7652	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4752350	BOY
EOY	1727756	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	3750623	BOY
EOY	2543641	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	42280965	BOY
EOY	44729551	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	941429	BOY
EOY	738683	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1956933	BOY
EOY	2660944	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	13251381	BOY
EOY	14291914	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	394137581	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	187225674	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	223757313	BOY
EOY	206911907	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	33463524	BOY
EOY	52822137	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	235447414	BOY
EOY	258158970	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4056626	BOY
EOY	4292098	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2672508	BOY
EOY	2550575	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	566339285	BOY
EOY	591435828	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27795661	BOY
EOY	24057374	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	163646844	BOY
EOY	159500338	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14873564	BOY
EOY	14575358	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	206316069	BOY
EOY	198133070	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	331059688	BOY
EOY	362135058	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16566548	BOY
EOY	18502726	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12396980	BOY
EOY	12664974	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	360023216	BOY
EOY	393302758	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	566339285	BOY
EOY	591435828	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21349373	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	10692259	ReconciliationUnrealizedInvest
Reconcilation Other Changes	1237910	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12396980	BeginningOfYearBalance
Contributions	51272	Contributions
Investment Earnings Or Losses	216722	InvestmentEarningsOrLosses
End Of Year Balance	12664974	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12090216	BeginningOfYearBalance
Contributions	103806	Contributions
Investment Earnings Or Losses	202958	InvestmentEarningsOrLosses
End Of Year Balance	12396980	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11892692	BeginningOfYearBalance
Contributions	6020	Contributions
Investment Earnings Or Losses	191504	InvestmentEarningsOrLosses
End Of Year Balance	12090216	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11708254	BeginningOfYearBalance
Contributions	3425	Contributions
Investment Earnings Or Losses	181013	InvestmentEarningsOrLosses
End Of Year Balance	11892692	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11531535	BeginningOfYearBalance
Contributions	5164	Contributions
Investment Earnings Or Losses	171555	InvestmentEarningsOrLosses
End Of Year Balance	11708254	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1153467	OtherCostOrOtherBasis
Book Value	1153467	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182176072	OtherCostOrOtherBasis
Depreciation	68999669	Depreciation
Book Value	113176403	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21342185	OtherCostOrOtherBasis
Depreciation	5100715	Depreciation
Book Value	16241470	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	186400240	OtherCostOrOtherBasis
Depreciation	113125290	Depreciation
Book Value	73274950	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3065617	OtherCostOrOtherBasis
Book Value	3065617	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	206911907	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	258158970	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	258158970	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SELF INSURANCE, DEF COMP, & ACC PEN	Description
Amount	$14,575,358	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	14575358	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	362361521	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	10692259	NetUnrealizedGainsInvestments
Other Revenues	867925	OtherRevenues
Revenue Not Rptd F990	11560184	RevenueNotRptdF990
Revenue Subtotal	350801337	RevenueSubtotal
Investment Expenses Not Included	641124	InvestmentExpensesNotIncluded
Other Revenues Not Included	-41211	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	599913	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	351401250	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	330318953	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	908438	OtherExpensesIncluded
Expenses Not Rptd F990	908438	ExpensesNotRptdF990
Expenses Subtotal	329410515	ExpensesSubtotal
Investment Expenses Not Included2	641124	InvestmentExpensesNotIncluded2
Other Expenses Not Included	238	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	641362	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	330051877	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	HOSPITAL OPERATIONS SUPPORT 1,662,123 HOSPITAL CAPITAL SUPPORT 6,423,767 SCHOLARSHIP FUNDS 3,729,476 COMMUNITY SERVICE FUNDS 849,608 --------- 12,664,974
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 709,045 MEDWARE SALES - RECLASSIFIED -238 BOOK/TAX DIFFERENCE FROM K-1 159,118
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -41,211
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 41,211 NET ASSETS RELEASED FROM RESTRICTIONS 867,227
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	MEDWARE SALES - RECLASSIFIED 238

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	2139282	TotalCommunityBenefitExpense
Net Community Benefit Expense	2139282	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	34935780	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19125110	DirectOffsettingRevenue
Net Community Benefit Expense	15810670	NetCommunityBenefitExpense
Percent Of Total Expense	0.04790	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	37075062	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19125110	DirectOffsettingRevenue
Net Community Benefit Expense	17949952	NetCommunityBenefitExpense
Percent Of Total Expense	0.05440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	777	NumberOfActivitiesOrPrograms
Persons Served	289132	PersonsServed
Total Community Benefit Expense	716462	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78681	DirectOffsettingRevenue
Net Community Benefit Expense	637781	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	2081	PersonsServed
Total Community Benefit Expense	5065432	TotalCommunityBenefitExpense
Net Community Benefit Expense	5065432	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	54288	TotalCommunityBenefitExpense
Net Community Benefit Expense	54288	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	87	NumberOfActivitiesOrPrograms
Persons Served	12538	PersonsServed
Total Community Benefit Expense	315208	TotalCommunityBenefitExpense
Net Community Benefit Expense	315208	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	873	NumberOfActivitiesOrPrograms
Persons Served	303751	PersonsServed
Total Community Benefit Expense	6151390	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78681	DirectOffsettingRevenue
Net Community Benefit Expense	6072709	NetCommunityBenefitExpense
Percent Of Total Expense	0.01840	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	875	NumberOfActivitiesOrPrograms
Persons Served	303751	PersonsServed
Total Community Benefit Expense	43226452	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19203791	DirectOffsettingRevenue
Net Community Benefit Expense	24022661	NetCommunityBenefitExpense
Percent Of Total Expense	0.07280	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	1552	TotalCommunityBuildingExpense
Net Community Building Expense	1552	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	24578	TotalCommunityBuildingExpense
Net Community Building Expense	24578	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Total Community Building Expense	38519	TotalCommunityBuildingExpense
Net Community Building Expense	38519	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	11404	TotalCommunityBuildingExpense
Net Community Building Expense	11404	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	21	NumberOfActivitiesOrPrograms
Total Community Building Expense	31349	TotalCommunityBuildingExpense
Net Community Building Expense	31349	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	400	PersonsServed
Total Community Building Expense	21765	TotalCommunityBuildingExpense
Net Community Building Expense	21765	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	3654	TotalCommunityBuildingExpense
Net Community Building Expense	3654	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	76	NumberOfActivitiesOrPrograms
Persons Served	400	PersonsServed
Total Community Building Expense	132821	TotalCommunityBuildingExpense
Net Community Building Expense	132821	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,807,262	BadDebtExpenseAmount
Amount Attributable To	1160650	AmountAttributableTo
Amount Reimbursed By Medicare	106675301	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	106490987	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	184314	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NPS ASSOCIATES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.44000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.56000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	13	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	200.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	14	NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DR	MIDLAND	MI	48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
MIDMI MED OFFICES- CAMPUS RIDGE I
4401 CAMPUS RIDGE DR	MIDLAND	MI	48640	REHABILITATION SERVICES & LABORATORY
MIDMI MED OFFICES-CAMPUS RIDGE II
4500 CAMPUS RIDGE DR	MIDLAND	MI	48640	INFUSION CENTER
RIECKER SURGERY CENTER
4400 WELLNESS DR	MIDLAND	MI	48640	AMBULATORY SURGERY
MIDMICHIGAN MEDICAL OFFICES-MIDLAND
4009 ORCHARD DR	MIDLAND	MI	48640	PHYSICIAN OFFICE & LABORATORY
MIDLAND PROFESSIONAL SUITES
555 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES, LAB, RADIOLOGY
ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLY	MIDLAND	MI	48642	REHABILITATION SERVICES
WEST WACKERLY BUILIDING
2524 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES
MIDMICHIGAN HEALTH PARK-MT PLEASANT
4851 E PICKARD ST	MT PLEASANT	MI	48858	REHAB, LAB, CARDIOLOGY, RADIOLOGY
MIDMICHIGAN MED OFFICES-FREELAND
5694 MIDLAND RD	FREELAND	MI	48623	REHABILITATION SERVICES, LAB, RADIOLOGY
MIDMICHIGAN GRATIOT CANCER CENTER
315 WARWICK DR	ALMA	MI	48801	RADIATION ONCOLOGY
MIDMICHIGAN MEDICAL OFFICES-AUBURN
929 W MIDLAND RD	AUBURN	MI	48611	LABORATORY
MPG CARDIOLOGY
301 W WACKERLY	MIDLAND	MI	48640	CARDIOLOGY DIAGNOSTIC SERVICES
MIDMICHIGAN MEDICAL OFFICES-SANFORD
40 W SAGINAW RD	SANFORD	MI	48657	LABORATORY

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BUILDING ACTIVITIES	PART II	MIDMICHIGAN MEDICAL CENTERMIDLAND MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERMIDLAND IS A KEY PARTNER WITH UNITED WAY OF MIDLAND COUNTY WHICH SUPPORTS MANY NONPROFIT AGENCIES IN MIDLAND COUNTY INCLUDING 211 FIRST CALL FOR HELP MIDMICHIGAN MEDICAL CENTERMIDLAND EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NONPROFIT BOARDS ANDOR COMMITTEES PROVIDING OVERSIGHT FOR HEALTH AND HUMAN SERVICES PROJECTS AND PARTICIPATING IN STRATEGIC INITIATIVES THROUGH THE HEALTH AND HUMAN SERVICES COUNCIL THAT IMPACT COMMUNITY HEALTH SUCH AS THOSE FOR SUBSTANCE ABUSE PREVENTION MIDLAND IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	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 COSTTOCHARGE RATIO IS APPLIED TO THE CHARGE WRITEOFF 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 HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE
MEDICARE EXPLANATION	PART III LINE 8	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NONBENEFICIARIES AND NONBENEFICIARIES 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 COSTTOCHARGE RATIO METHOD THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 17875830 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2013 HOWEVER WITHOUT MEANINGFUL USE PAYMENTS THIS ORGANIZATION WOULD HAVE SHOWN A MEDICARE SHORTFALL OF 19512486
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN HEALTHS 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 AIDCHARITY 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 00 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE MIDMICHIGAN HEALTH ASSUMES THE COST OF THE PROGRAM INTEREST AND GUARANTEES THE RECEIVABLES
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTER MIDLAND 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 20132016 INCLUDES REGULAR MEASUREMENT OF SHORTTERM IMPACT ON PRIORITY ACTION ITEMS AND LONGTERM 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 HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS US 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 IN MIDLAND A BEHAVIORAL RISK FACTOR SURVEY IS COMPLETED EVERY FOUR YEARS AND THE DATA IS USED WITHIN THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT IMPROVEMENT COMMITTEE TO OUTLINE HEALTH HUMAN SERVICE NEEDS AND PRIORITIES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLAND COMMUNICATES TO PATIENTS AND THE PUBLIC 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 LOWCOST 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 FOLLOWUP OR EXPEDITED APPLICATIONS THEY PROVIDE MEDICAID APPLICATIONS PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS
COMMUNITY INFORMATION	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLANDS PRIMARY SERVICE AREA IS COMPRISED OF THE 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY PLUS FREELAND AND AUBURN 531 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 669 MIDMICHIGAN MEDICAL CENTER MIDLANDS SECONDARY MARKET IS CLARE COUNTY WITH 103 OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 145 OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY COVENANT ALSO SERVES MIDLANDS PRIMARY SERVICE AREA RECEIVING 112 OF THE INPATIENT MARKET FOLLOWED BY MCLAREN BAY REGION WITH A 53 CAPTURE DEMOGRAPHICS 2013 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 101524 152 73301 52172 39991 402 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 938 17 04 22 19
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	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 PARTICIPATES IN COMMUNITY COLLABORATIVES FOR AREA NONPROFITS WITH A FOCUS ON HEALTH LIKE THE MIDLAND GLADWIN AREA CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NONPROFIT 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 CENTERMIDLAND IS AN ACTIVE MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE OF THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY
AFFILIATED HEALTH CARE INFORMATION	PART VI	63 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS SCREENINGS SPECIAL EVENTS AND HEALTH EXPERTISE INCLUDING INSURANCE UNDERREIMBURSEMENTS 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 INVITATIONS TO WOMENS HEALTH CONFERENCES IN GLADWIN ALMA AND MIDLAND WERE SENT TO UNDERINSURED WOMEN AND THOSE REFERRED BY HEALTH CARE PROVIDERS THE PROGRAM CHALLENGED ATTENDEES TO TAKE CHARGE OF THEIR HEALTH AND THEY ESTABLISHED GOALS AND ACTIONS FOR POSITIVE CHANGE THE MARCH CONFERENCES FEATURED ADVICE FROM MIDMICHIGAN HEALTH PROVIDERS AND THE WOMENS GUIDE TO LIVING WELL PARTICIPANTS RECEIVED FOLLOWUP CALLS THREE MONTHS LATER TO SEE IF CHANGED BEHAVIORS HAD BECOME HEALTHY HABITS IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES ADDITIONAL BREASTFEEDING SUPPORT THROUGH BREASTFEEDING FACILITATORS AND SCHOLARSHIPS FOR THOSE WHO COULD NOT AFFORD BREASTFEEDING PREPARATION CLASS WERE PROVIDED ADDITIONALLY A BEST PRACTICE EDUCATIONAL AND NETWORKING CONFERENCE BUILDING BRIDGES FOR BREASTFEEDING DURATION WAS HELD FOR PRACTITIONERS INCLUDING DOCTORS NURSES LACTATION CONSULTANTS AND ANY OTHER SUPPORT STAFF WHO WORK WITH MOMS AND NEWBORNS FREE OR LOWCOST STROKE KNOW YOUR NUMBERS TOTAL LIPID PROFILE BLOOD GLUCOSE BLOOD PRESSURE WEIGHT BODY MASS INDEX AND WAIST CIRCUMFERENCE AND OSTEOPOROSIS SCREENINGS PROVIDED CONVENIENT FREE OR LOWCOST 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 5266 PEOPLE IN OUR SERVICE AREA THIS YEAR AT A COST OF 96204 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASED PHYSICAL ACTIVITY AMONG CHILDREN MIDMICHIGAN HEALTH AND THE GREAT LAKES LOONS EXPANDED THE FITNESS WATCH PROJECT TO REACH 1000 CHILDREN IN THE REGION IN 4TH OR 5TH GRADE NOTING AN INCREASE IN AT LEAST ONE MEASURE OF PHYSICAL FITNESS IN 92 OF THE PARTICIPANTS ADDITIONALLY 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
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MICHIGAN
ADDITIONAL INFORMATION	PART VI	PART I LINES 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES THE PATIENTS 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 CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE
MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 3	PART V LINE 3	MIDMICHIGAN MEDICAL CENTERMIDLANDS COMMUNITY EDUCATION COORDINATOR IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLANDS HEALTH AND HUMAN SERVICE COUNCIL OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE THE DOW CHEMICAL COMPANY MIDLAND SENIOR SERVICES COUNCIL ON AGING COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN AND THE 1016 RECOVERY NETWORK THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS ADDITIONALLY MIDMICHIGAN MEDICAL CENTERMIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA WHICH IS A FORMAL MULTISTAKEHOLDER COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14COUNTY REGION IT SERVES THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION
MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	PATIENTS RELIGIOUS BELIEFS PREVENTS HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY
MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 14G	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
MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 22	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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (41 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS- NORTHERN	2	1000
SCHOLARSHIPS-MIDMI CC	7	4750
SCHOLARSHIPS-ANDREWS UNIV	1	2000
SCHOLARSHIPS-U OF DETROIT	3	4500
SCHOLARSHIPS-MICH TECH U	1	1000
SCHOLARSHIPS-CENTRAL MI U	24	39500
SCHOLARSHIPS-U OF QUEENSL	1	3000
SCHOALRSHIPS-RUSH MED COL	1	2500
SCHOLARSHIPS-ST GEORGE U.	1	2000
SCHOLARSHIPS-COLUMBIA UNI	1	1000
SCHOLARSHIPS-ST. LOUIS U.	1	1500
SCHOLARSHIPS-DELTA COLLEG	5	4000
SCHOLARSHIPS-IN WESLEYAN	1	500
SCHOLARSHIPS-INDIANA UNIV	1	3000
SCHOLARSHIPS-AT STILL UNI	1	2500
SCHOLARSHIPS-ALBANY MED C	1	3000
SCHOLARSHIPS-DUBUSK COLL	1	3000
SCHOLARSHIPS-CHAMBERLAIN	1	1000
SCHOLARSHIPS-BARRY UNIV.	1	1250
SCHOLARSHIPS-ADVENTIC UNI	1	1000
SCHOLARSHIPS-GRAND CANYON	1	1000
SCHOLARSHIPS-GANNON UNIV	1	1000
SCHOLARSHIPS-DAVENPORT UN	5	4500
SCHOLARSHIPS-DUQUESNE U	1	500
SCHOLARSHIPS-UNIV OF CINC	1	1500
SCHOLARSHIPS-MIDWESTERN U	1	2000
SCHOLARSHIPS-UNIV OF INDI	1	1500
SCHOLARSHIPS-FERRIS STATE	8	12000
SCHOLARSHIPS-GRAND VALLEY	4	6500
SCHOLARSHIPS-UNIV OF PITT	1	2000
SCHOLARSHIPS-MAYO CLINIC	2	4500
SCHOLARSHIPS-MSU	18	40500
SCHOLARSHIPS-OAKLAND UNIV	4	5000
SCHOLARSHIPS-OHIO STATE U	1	2500
SCHOLARSHIPS-UNIV OF IOWA	1	2000
SCHOLARSHIPS-SVSU	33	32100
SCHOLARSHIPS- U OF M	11	18000
SCHOLARSHIPS-WALDEN UNIV	1	500
SCHOLARSHIPS-WAYNE STATE	8	17000
SCHOLARSHIPS-WASHINGTON U	1	1000
SCHOLARSHIPS-WESTERN MI	2	1500

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
RICHARD REYNOLDS
DIRECTOR	558629	50000	882159	312473	22621	1825882	425203
GREGORY ROGERS
PRESIDENT	368729		35748	143800	18045	566322
JAMES BICKNELL MD
DIRECTOR	280080		1511	30122	14603	326316
KERRY PIERCE MD
DIRECTOR	181679	83972	1071	28946	17280	312948
FRANCINE PADGETT
SENIOR VPTREASURER	305957	15000	33698	84095	24336	463086
DONNA RAPP
SENIOR VPSECRETARY	277354	15000	25498	93285	13973	425110
WILLIAM DERY MD
MEDICAL DIRECTOR								258568	8153	67959	14502	349182
ADELBERTO ADAN
VP								207878	5770	55859	19771	289278
DIANE NOLD
VP								193290	6434	42724	19029	271477	10000
MARK ADAMS MD
PHYSICIAN								270438				270438
BRANDON OSTAHOWSKI
CRNA								249652	391	10010	976	276029	15000
EGLE KLUGIENE MD
PHYSICIAN								236267	20861	10	758	257896
ERIC BECKER MD
PHYSICIAN								236375	7275	20	6588	250258
ARTURAS KLUGAS MD
PHYSICIAN								227711	15858	10	19797	263376
MICHELLE WOOD
FORMER KEY EMPLOYEE								174977	2942	70226	9636	257781

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. ADAN, ADELBERTO VP NOLD, DIANE VP
NON-FIXED PAYMENTS PROVIDED	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.
OTHER ADDITIONAL INFORMATION	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 REYNOLDS, ROGERS, PADGETT, BICKNELL, RAPP, POSTLER-SLATTERY, AND ADAN 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MSHFA - 2006A
A	MICHIGAN STATE HOSPITAL FINANCING A	382889417	59465HEB8	2006-11-07	40078400	CAPITAL PROJECTS	false	false	false
MSHFA - 2009A
B		382889417	59465HLF1	2009-06-17	77220000	CAPITAL PROJECTS	false	false	false
MICHIGAN FINANCE AUTH-SERIES D
C		800596186		2011-06-09	12763800	CAPITAL PROJECTS	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow
A	40883565	231439	41457291	2009	false	false	true	true
B	77220000	1143877	67735440	2011	false	false	true	true	7805078
C	12763800	26670	3157830	2011	true	false	true	true		9579299

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	0.01080	0.01080	false	false	false	true
B	false	false	false	false			false	false	false	true
C	false	false	false	false			false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	true	false	false	false	false	true
B	false	true	false	false	false	false	false	false	true
C	false	false	true	false	true	false	false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	MSHFA 2006A DUE TO BOND PREMIUMS PART 1 LINE A COLUMN E DOES NOT MATCH PART II LINE 3 COLUMN A
DATE REBATE COMPUTATION PERFORMED	SCHEDULE K	MSHFA 2006A 050110
ADDITIONAL INFORMATION	SCHEDULE K	MSHFA 2006A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUE IN COLUMN A THEREFORE FORM 8038T IS NOT REQUIRED MICHIGAN FINANCE AUTHSERIES D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS THEREFORE NO ARBITRAGE REBATE CALCULATION IS REQUIRED

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MIDLAND EMERGENCY ROOM CORPORATION
BUSINESS	5669621	FEES FOR SERVICES	false
ROBIN NELSON
FAMILY MEMBER	108135	EMPLOYMENT	false
PAUL NOLD
FAMILY MEMBER	46609	EMPLOYMENT	false
ANDREW WOLFORD
FAMILY MEMBER	49143	EMPLOYMENT	false
MIDLAND ANESTHESIOLOGY GROUP
BUSINESS	2338000	MEDICAL STIPEND	false
TOM WOOD
FAMILY MEMBER	85559	EMPLOYMENT	false
HEATHER WOOD
FAMILY MEMBER	161751	EMPLOYMENT	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
ADDITIONAL INFORMATION	FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
ADDITIONAL INFORMATION	FORM 990, PART VI	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, AND RICHARD REYNOLDS.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	THE ARTICLES OF INCORPORATION OF THE ORGANIZATION WERE AMENDED IN JUNE OF 2013 TO INCLUDE THE FOLLOWING LANGUAGE: THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING A BENEFIT TO ITS MEMBER, AND THE CORPORATION MAY PAY DIVIDENDS OR DISTRIBUTE ITS INCOME OR PROFIT TO MIDMICHIGAN HEALTH, ITS SOLE MEMBER AND A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, PROVIDED ANY SUCH PAYMENTS OR DISTRIBUTIONS ARE OTHERWISE CONSISTENT WITH THE CORPORATION'S PURPOSES AND ARE OTHERWISE PERMITTED UNDER THE MICHIGAN NONPROFIT CORPORATION ACT, AS AMENDED. THE CORPORATION SHALL NOT TAKE ANY ACTION WHICH, IF TAKEN DIRECTLY BY MIDMICHIGAN HEALTH, WOULD REQUIRE APPROVAL OF ALL MEMBER CLASSES OF MIDMICHIGAN HEALTH, UNLESS SUCH ACTION IS APPROVED BY MIDMICHIGAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTS	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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	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 REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONS	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.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	ASSOCIATION DUES & OTHER FEES 21,574,841 6,783,879 659 PURCHASED/CONTRACT SERVICES 34,885,613 7,776,545 24,820
ADDITIONAL INFORMATION	FORM 990, PART XI	FAS 158 LIABILITY 1,078,792 BOOK/TAX DIFFERENCE K-1 159,118 TOTAL CHANGE OF NET ASSETS 1,237,910

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459948	SUPPORT	MI	501C3	11A	NA	false
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREET	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	11A	MIDMI HLTH	true
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVE	MIDLAND	MI	48670	352182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	true
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RD	MIDLAND	MI	48640	205064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN HEALTH 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-MIDLAND VOLUNTEERS
4000 WELLNESS DRIVE	MIDLAND	MI	48670	061723993	SUPPORT	MI	501C3	11A	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN ASSURANCE GROUP LTD	BusinessNameLine1

Address Foreign AddressForeign

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1051 23 LIME TREE BAY AVENUE	AddressLine1
Address Line2	GOVERNORS SQUARE BLDG 4 2ND FLOOR	AddressLine2
Province Or State	GRAND CAYMAN	ProvinceOrState
Country	CJ	Country

Field	Value	IRS element (for citing)
EIN	980585596	EIN
Primary Activity	INSURANCE	PrimaryActivity
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMI HLTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (80 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-GLADWIN
S	130281	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	70020	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	164819	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	6269432	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	865963	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	180383	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	432021	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	9624333	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	22371265	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	7761796	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	2048333	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
Q	400674	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q	89675	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q	90008	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q	194824	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	3209441	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
Q	186108	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
Q	63734	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
S	130281	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	70020	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	164819	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	6269432	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	865963	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	180383	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	432021	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	9624333	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	22371265	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	7761796	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	2048333	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
Q	400674	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q	89675	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q	90008	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q	194824	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	3209441	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
Q	186108	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
Q	63734	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
S	130281	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	70020	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	164819	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	6269432	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	865963	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	180383	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	432021	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	9624333	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	22371265	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	7761796	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	2048333	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
Q	400674	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q	89675	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q	90008	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q	194824	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	3209441	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
Q	186108	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
Q	63734	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
S	130281	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	70020	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	164819	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	6269432	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	865963	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	180383	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	432021	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	9624333	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	22371265	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	7761796	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	2048333	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
Q	400674	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q	89675	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q	90008	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q	194824	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	3209441	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
Q	186108	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
Q	63734	BOOKS RECORDS