2014-05-15T13:07:51-05:00 2013-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2012-07-01 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT 9898393181 2014-05-14 true LAURA M EBEL 9894975300 2014-05-15 2012 2015-11-30 17:44:51Z GREGORY ROGERS 4000 WELLNESS DRIVE MIDLAND MI 48670 381654291 false X WWW.MIDMICHIGAN.ORG X 1940 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. 18 12 2520 545 292415 -276610 7342951 4255517 303791371 307442210 10881156 14147038 17689387 25556485 339704865 351401250 237350 239100 0 125252813 130188427 0 174115 205558736 199624350 331048899 330051877 8655966 21349373 566339285 591435828 206316069 198133070 360023216 393302758 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. false false 261009595 307442210 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. 239100 239100 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 261248695 true true false false false false false false false true true true false false true false false true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true true false true 188 0 true 2520 true true true false false false false false false false false false X 18 12 true false true false true true true true true false false true true true true true true true true true true X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 X RICHARD REYNOLDS 2.00 50.00 X 0 1490788 335094 GREGORY ROGERS 2.00 50.00 X X 0 404477 161845 JAMES BICKNELL MD 2.00 50.00 X 0 281591 44725 KERRY PIERCE MD 2.00 50.00 X 0 266722 46226 DIANE POSTLER-SLATTERY 2.00 50.00 X 0 48183 0 BOBBIE ARNOLD 2.00 X 0 0 0 BILL COLLINS 2.00 X 0 0 0 PAM BOUNDY 2.00 X 0 0 0 CHUCK KENDALL 2.00 X 0 0 0 CARL ELLINGER 2.00 X 0 0 0 JIM FABIANO 2.00 X 0 0 0 NANCY KAUFMAN 2.00 X 0 0 0 TOM OLEN DO 2.00 X 0 0 0 ROBERT LOFIEGO 2.00 X 0 0 0 JON LYNCH 2.00 X 0 0 0 WALLACE MAYTON 2.00 X 0 0 0 MARGARET RIECKER 2.00 X 0 0 0 JIM SHEPICH MD 2.00 X 0 0 0 AMY WILSON 2.00 X 0 0 0 FRANCINE PADGETT 2.00 50.00 X 0 354655 108431 DONNA RAPP 2.00 50.00 X 0 317852 107258 WILLIAM DERY MD 50.00 0.00 X 266721 0 82461 ADELBERTO ADAN 50.00 0.00 X 213648 0 75630 DIANE NOLD 50.00 0.00 X 209724 0 61753 MARK ADAMS MD 50.00 0.00 X 270438 0 0 BRANDON OSTAHOWSKI 50.00 0.00 X 265043 0 10986 EGLE KLUGIENE MD 50.00 X 257128 0 768 ERIC BECKER MD 50.00 0.00 X 243650 0 6608 ARTURAS KLUGAS MD 50.00 0.00 X 243569 0 19807 MICHELLE WOOD 0.00 0.00 X 177919 0 79862 2147840 3164268 1141454 88 true true false 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 C/O MELLON BANK DEPT 14195 PALATINE IL 600554195 MAINTENANCE 1578081 63 2109539 2145978 4255517 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 307442210 5120527 1308279 3812248 8 8 11196 11196 11196 11196 39234544 45000 30166830 86211 9067714 -41211 9026503 9026503 EXEMPT AFFILIATE REVENUE 900099 17961654 17961654 EXEMPT INCENTIVE PAYMENTS 900099 3086406 3086406 EXEMPT JOINT VENTURE REVENUE 900099 2116934 2116934 2380295 671726 -159290 1867859 25545289 351401250 332135504 292415 14717814 X 239100 239100 770842 299480 471362 99755831 76451837 23194529 109465 9207992 6538913 2659033 10046 13364364 10131787 3217966 14611 7089398 5521489 1559401 8508 267901 267901 204607 204607 641124 641124 71046357 56460454 14560424 25479 218837 93311 124415 1111 7355959 4236872 3115677 3410 951556 140874 810438 244 5752240 1442057 4310183 247571 106157 141309 105 349567 146963 202604 8627204 3736981 4889963 260 29040550 21297566 7742108 876 516023 516023 MEDICAL SUPPLIES 52352616 52352616 PHYSICIAN PRACTICE SUBSID 22052000 22052000 MISCELLANEOUS 238 238 330051877 261248695 68629067 174115 8219 7652 4752350 1727756 3750623 2543641 42280965 44729551 941429 738683 1956933 2660944 13251381 14291914 394137581 187225674 223757313 206911907 33463524 52822137 235447414 258158970 4056626 4292098 2672508 2550575 566339285 591435828 27795661 24057374 163646844 159500338 14873564 14575358 206316069 198133070 X 331059688 362135058 16566548 18502726 12396980 12664974 360023216 393302758 566339285 591435828 X 21349373 10692259 1237910 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12396980 51272 216722 12664974 12090216 103806 202958 12396980 11892692 6020 191504 12090216 11708254 3425 181013 11892692 11531535 5164 171555 11708254 1.00000 false false 1153467 1153467 182176072 68999669 113176403 21342185 5100715 16241470 186400240 113125290 73274950 3065617 3065617 206911907 OTHER FINANCIAL INVESTMENTS 258158970 F 258158970 SELF INSURANCE, DEF COMP, & ACC PEN 14575358 14575358 362361521 10692259 867925 11560184 350801337 641124 -41211 599913 351401250 330318953 908438 908438 329410515 641124 238 641362 330051877 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 true true true X true X true true true false true true 1 2139282 2139282 0.00650 1 34935780 19125110 15810670 0.04790 2 37075062 19125110 17949952 0.05440 777 289132 716462 78681 637781 0.00190 8 2081 5065432 5065432 0.01530 1 54288 54288 0.00020 87 12538 315208 315208 0.00100 873 303751 6151390 78681 6072709 0.01840 875 303751 43226452 19203791 24022661 0.07280 3 1552 1552 10 24578 24578 0.00010 16 38519 38519 0.00010 10 11404 11404 21 31349 31349 0.00010 11 400 21765 21765 0.00010 5 3654 3654 76 400 132821 132821 0.00040 true 7807262 1160650 106675301 106490987 184314 X true true NPS ASSOCIATES LLC AMBULATORY SURGERY CENTER 0.44000 0.56000 1 1 MIDMICHIGAN MEDICAL CENTER-MIDLAND

4000 WELLNESS DRIVE MIDLAND MI 48670

X X X X MIDMICHIGAN MEDICAL CENTER-MIDLAND 1 true X X X X X X X X X X 13 true false true X X X X X X X X X X true false true true 150.0 true 200.0 true X X X X X X X true true X true X X true X X X X true X false true 14 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 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 true 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 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 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. X true true X X X X X false true false false false false false true false RICHARD REYNOLDS 558629 50000 882159 312473 22621 1825882 425203 GREGORY ROGERS 368729 35748 143800 18045 566322 JAMES BICKNELL MD 280080 1511 30122 14603 326316 KERRY PIERCE MD 181679 83972 1071 28946 17280 312948 FRANCINE PADGETT 305957 15000 33698 84095 24336 463086 DONNA RAPP 277354 15000 25498 93285 13973 425110 WILLIAM DERY MD 258568 8153 67959 14502 349182 ADELBERTO ADAN 207878 5770 55859 19771 289278 DIANE NOLD 193290 10000 6434 42724 19029 271477 MARK ADAMS MD 270438 270438 BRANDON OSTAHOWSKI 249652 15000 391 10010 976 276029 EGLE KLUGIENE MD 236267 20861 10 758 257896 ERIC BECKER MD 236375 7275 20 6588 250258 ARTURAS KLUGAS MD 227711 15858 10 19797 263376 MICHELLE WOOD 174977 2942 70226 9636 257781 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. A MSHFA - 2006A MICHIGAN STATE HOSPITAL FINANCING A 382889417 59465HEB8 2006-11-07 40078400 CAPITAL PROJECTS false false false B MSHFA - 2009A 382889417 59465HLF1 2009-06-17 77220000 CAPITAL PROJECTS false false false C MICHIGAN FINANCE AUTH-SERIES D 800596186 2011-06-09 12763800 CAPITAL PROJECTS false false true A 40883565 231439 41457291 2009 false false true true B 77220000 7805078 1143877 67735440 2011 false false true true C 12763800 9579299 26670 3157830 2011 true false true true 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 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 A true 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 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 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 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 MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false false false false false false false false false true true false false false false true true true true 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