FURP.ORG / PUBLIC DATA EXPLORER

MYMICHIGAN HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN HEALTH (EIN 38-2459948)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201311359349306861
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T14:15:35-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15300 GRATIOT RDAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code486386035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382459948EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDMNameControl
Phone9898393181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCINE M PADGETTName
TitleSR. VP & TREASURERTitle
Phone9898393181Phone
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANE POSTLER-SLATTERYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts54625890GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees140TotalNbrEmployees
Total Nbr Volunteers181TotalNbrVolunteers
Total Gross UBI344898TotalGrossUBI
Net Unrelated Business Txbl Income309408NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year26051ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11708132ProgramServiceRevenuePriorYear
Program Service Revenue CY17634451ProgramServiceRevenueCY
Investment Income Prior Year85491634InvestmentIncomePriorYear
Investment Income Current Year24272367InvestmentIncomeCurrentYear
Other Revenue Prior Year53630OtherRevenuePriorYear
Other Revenue Current Year277230OtherRevenueCurrentYear
Total Revenue Prior Year97253396TotalRevenuePriorYear
Total Revenue Current Year42210099TotalRevenueCurrentYear
Grants And Similar Amnts CY193425GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6343397SalariesEtcPriorYear
Salaries Etc Current Year10706554SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6642860OtherExpensePriorYear
Other Expenses Current Year10381479OtherExpensesCurrentYear
Total Expenses Prior Year12986257TotalExpensesPriorYear
Total Expenses Current Year21281458TotalExpensesCurrentYear
Revenues Less Expenses Prior Year84267139RevenuesLessExpensesPriorYear
Revenues Less Expenses CY20928641RevenuesLessExpensesCY
Total Assets BOY622630576TotalAssetsBOY
Total Assets EOY646422658TotalAssetsEOY
Total Liabilities BOY55669093TotalLiabilitiesBOY
Total Liabilities EOY111177382TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY566961483NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY535245276NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13673189Expense
Grants193425Grants
Revenue17506552Revenue
DescriptionTHE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT AND RISK MANAGEMENT.Description
Total Program Service Expense13673189TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees140NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFM PADGETT SR VP TREASURERNamePerson
Telephone Number9898393181TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD REYNOLDS
PRESIDENT50.00XX7468450317274
JEFFERY ALLEN MD
DIRECTOR2.00X000
ERIC BLACKHURST
CHAIR2.00X000
JOAN DAVID
DIRECTOR2.00X000
NANCY GALLAGHER
DIRECTOR2.00X000
BOBBIE ARNOLD
VICE CHAIR2.00X000
WILLIAM HEINZE
DIRECTOR2.00X000
WILLIAM HENDERSON
DIRECTOR2.00X000
GLENN SMITH
DIRECTOR2.00X000
BOB DENOOYER
DIRECTOR2.00X000
ED ROGERS
DIRECTOR2.00X000
MARGUERITTE KUHN MD
DIRECTOR2.00X000
CARL SCHWIND
DIRECTOR2.00X000
MARGARET REICKER
DIRECTOR2.00X000
RON VERCH
DIRECTOR2.00X000
DON SHEETS
DIRECTOR2.00X000
BILL WEIDEMAN
DIRECTOR2.00X000
GREGORY ROGERS
EXECUTIVE VP50.00X5080080182503
FRANCINE PADGETT
TREASURER50.00X4211240122367
DONNA RAPP
SECRETARY50.00X3825620141503
BRIAN RODGERS
SENIOR VP50.00X3683900117224
LYNN BRUCHHOF
VP HUMAN RES50.00292113043177X
RYAN WINN
VP50.00261015018724X
SCOTT CURRIE
VP50.00229386018701X
DANIEL SORENSON MD
MEDICAL DIRE50.00222001047150X
CHANDRA MORSE
VP50.00221136041338X
JEFFREY WAGNER
VP50.00220319052503X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3872899TotalReportableCompFromOrg
Total Other Compensation1102464TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE & TOUCHE LLP
4205 COLLECTION CENTER DRCHICAGOIL60693AUDIT373500
CURRIE KENDALL PLC
6024 EASTMAN AVEMIDLANDMI486402518LEGAL259833
TOWERS WATSON DELAWARE INC
1079 SOLUTIONS CENTERCHICAGOIL606771000ACTUARIAL213498
FOSTER SWIFT COLLINS SMITH PC
313 S WASHINGTON SQLANSINGMI48933LEGAL193625
HURON CONSULTING GROUP
550 W VAN BUREN STREETCHICAGOIL60607CONSULTING177267
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
All Other Contributions26051AllOtherContributions
Total Contributions26051TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
EXEMPT AFFILIATE REVENUE5610001750655217506552
512(B)(17) INCOME524126127899127899
FieldValueIRS element (for citing)
Total Program Service Revenue17634451TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column22716459TotalRevenueColumn
Related Or Exempt Function Income21401899RelatedOrExemptFunctionIncome
Exclusion$1,314,560ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13971699Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12415791Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1555908Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1555908TotalRevenueColumn
Exclusion$1,555,908ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MIDMICHIGAN HLTH NETWORK LLC900099250992250992
OTHER90009936231$36,231
EXEMPT JOINT VENTURE REVENUE2400024000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-33993TotalRevenueColumn
Unrelated Business Revenue-33993UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue277230TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42210099TotalRevenueColumn
Related Or Exempt Function Income38932451RelatedOrExemptFunctionIncome
Unrelated Business Revenue344898UnrelatedBusinessRevenue
Exclusion$2,906,699ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total193425Total
Program Services193425ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2924975Total
Program Services1462487ProgramServices
Management And General1462488ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5247110Total
Program Services3970254ProgramServices
Management And General1276856ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1068060Total
Program Services801045ProgramServices
Management And General267015ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total951440Total
Program Services713580ProgramServices
Management And General237860ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total514969Total
Program Services386227ProgramServices
Management And General128742ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total306652Total
Management And General306652ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total123641Total
Program Services92731ProgramServices
Management And General30910ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total51200Total
Management And General51200ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total147936Total
Management And General147936ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7576268Total
Program Services5688230ProgramServices
Management And General1888038ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13884Total
Program Services11107ProgramServices
Management And General2777ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total326525Total
Program Services245416ProgramServices
Management And General81109ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total46561Total
Program Services34982ProgramServices
Management And General11579ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total42202Total
Program Services31652ProgramServices
Management And General10550ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total84106Total
Program Services42053ProgramServices
Management And General42053ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51602Total
Management And General51602ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total175524Total
Management And General175524ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1435378Total
Management And General1435378ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21281458Total
Program Services13673189ProgramServices
Management And General7608269ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9103562BOY
EOY1187795EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY1398EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6474187BOY
EOY11509287EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1446129LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec676747LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY191755BOY
EOY769382EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY14018508BOY
EOY22808870EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY64272033BOY
EOY74659498EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY527486347BOY
EOY534405968EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1084184BOY
EOY1080460EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY622630576BOY
EOY646422658EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8000536BOY
EOY14667567EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY47668557BOY
EOY96509815EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY55669093BOY
EOY111177382EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY566947124BOY
EOY535206178EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14359BOY
EOY39098EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY566961483BOY
EOY535245276EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY622630576BOY
EOY646422658EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses20928641ReconcilationRevenueExpenses
Reconcilation Other Changes-52644848ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER - MIDLANDBusinessNameLine1
FieldValueIRS element (for citing)
EIN380833014EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
General ExplanationTHE AMOUNT OF SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATIONS IS EQUAL TO THE PROGRAM SERVICE EXPENSE REPORTED ON FORM 990, PART IX. MIDMICHIGAN HEALTH IS LISTED IN THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS AS THE SOLE MEMBER OF THE ORGANIZATION. THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$51,200DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB51200TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationMIDMICHIGAN HEALTH CONTRACTS WITH THE FREDRICK GROUP TO MONITOR HEALTHCARE LEGISLATION AND EVALUATE THE POTENTIAL IMPACT OF THE LEGISLATION ON OUR HEALTH SYSTEM.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34942OtherCostOrOtherBasis
Depreciation11904Depreciation
Book Value23038BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis30548OtherCostOrOtherBasis
Depreciation29111Depreciation
Book Value1437BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis944071OtherCostOrOtherBasis
Depreciation635732Depreciation
Book Value308339BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis436568OtherCostOrOtherBasis
Book Value436568BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings769382TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value74659498BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities74659498TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (16 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MIDMICHIGAN MEDICAL CENTER-MIDLAND360023215C
MIDMICHIGAN MEDICAL CENTER-GRATIOT74421421C
MIDMICHIGAN MEDICAL CENTER-GLADWIN30323498C
MIDMICHIGAN MEDICAL CENTER-CLARE23187499C
MIDMICHIGAN HEALTH DEVELOPMENT ASSOC16841645C
MIDMICHIGAN VISITING NURSE ASSOC15011693C
MIDMICHIGAN REGIONAL IMAGING4245409C
MIDMICHIGAN GLADWIN PINES2779018C
MIDMICHIGAN STRATFORD VILLAGE2732925C
MIDMICHIGAN HEALTH NETWORK1541022C
REGIONAL DIALYSIS SERVICES1289086C
MIDMICHIGAN URGENT CARE1198895C
ISOMM296560C
MIDMICHIGAN PHYSICIANS GROUP253935C
THUMB AREA DIALYSIS140147C
MIDMICHIGAN ASSURANCE GROUP120000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related534405968TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION/RETIREMENT BENEFITS$75,481,738
DEFERRED COMP, SELF INS, OTHER$21,028,077
FieldValueIRS element (for citing)
Total Of Amounts96509815TotalOfAmounts
Total Revenue42210099TotalRevenue
Total Expenses21281458TotalExpenses
Excess Or Deficit For Year20928641ExcessOrDeficitForYear
Net Unrealized GL On Investments-442372NetUnrealizedGLOnInvestments
Other-$52,202,476OtherAmount
Total Adjustments-52644848TotalAdjustments
Excess Or Deficit Per FS-31716207ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19434534TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-442372NetUnrealizedGainsInvestments
Other Revenues1312OtherRevenues
Revenue Not Rptd F990-441060RevenueNotRptdF990
Revenue Subtotal19875594RevenueSubtotal
Investment Expenses Not Included147936InvestmentExpensesNotIncluded
Other Revenues Not Included22186569OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt22334505RevenueNotRptdOnFinStmt
Total Revenue Per Form99042210099TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19871680TotExpensesEtcAuditedFinclStmt
Other Expenses Included-1261842OtherExpensesIncluded
Expenses Not Rptd F990-1261842ExpensesNotRptdF990
Expenses Subtotal21133522ExpensesSubtotal
Investment Expenses Not Included2147936InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt147936ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021281458TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8NET ASSETS RELEASED FROM RESTRICTIONS 1,312 RECLASSED AFFILIATE EXPENSE -1,261,842 INCOME FROM CONSOLIDATED SUBSIDIARIES -20,796,828 512(B)(17) INCOME -127,899 RECLASSED AFFILIATE EXPENSE 1,261,842
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 1,312
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BRECLASSED AFFILIATE EXPENSE 1,261,842 INCOME FROM CONSOLIDATED SUBSIDIARIES 20,796,828 512(B)(17) INCOME 127,899
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DRECLASSED AFFILIATE EXPENSE -1,261,842

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantBusiness Name Line2RecipientNameBusiness/BusinessNameLine2
MIDLAND CENTER FOR THE ARTS
1801 W ST ANDREWS STMIDLANDMI4864038611402050135000GENERAL SUPPORT
AMERICAN CANCER SOCIETY - MIDMI
1111 S HENRY SUITE ABAY CITYMI4870613178849150126000GENERAL SUPPORTREGIONAL OFFICE
MIDLAND COMMUNITY TENNIS CENTER
900 EAST WACKERLY STMIDLANDMI4864238153440050116500GENERAL SUPPORT
MIDLAND COMMUNITY CENTER
2205 JEFFERSON STMIDLANDMI4864038153440050113650GENERAL SUPPORT
CANCER SERVICES
220 W MAIN ST SUITE 105MIDLANDMI486403860737855016667GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
16310 W 12 MILE RD BOX 160LATHRUP VILLAGEMI480761356137975016500GENERAL SUPPORTSE REGION OFFICE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants6TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationMIDMICHIGAN HEALTH PROVIDES CHARITABLE CONTRIBUTIONS TO THOSE ORGANIZATIONS THAT APPLY AND MEET THE REQUIRED CRITERIA FOR CHARITABLE GIVING. THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT COORDINATOR FOLLOWS UP WITH EACH REQUEST TO ASCERTAIN THAT EACH REQUEST MEETS THE COMMUNITY BENEFIT STANDARDS. NO FUNDS ARE PROVIDED DIRECTLY TO INDIVIDUALS AND IT IS EXPECTED THAT WRITTEN ACKNOWLEDGEMENT FROM THE DONEE IS RECEIVED IN A TIMELY FASHION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RICHARD REYNOLDS
52673020000020115293201240731064119
GREGORY ROGERS
3354371360003657116320219301690511
FRANCINE PADGETT
287276100000338489662625741543491
DONNA RAPP
268448875002661412682414679524065
BRIAN RODGERS
26605387500148379864618578485614
LYNN BRUCHHOF
2199606000012153349098268335290
RYAN WINN
1942275500011788490013824279739
SCOTT CURRIE
177383443777626137764925248087
DANIEL SORENSON MD
176895450001063433612814269151
CHANDRA MORSE
168058480005078360695269262474
JEFFREY WAGNER
15035639000309633331519188272822

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. BRUCHHOF, LYNN - VP HUMAN RESOURCES ROGERS, GREGORY - EXEC VICE PRES PADGETT, FRANCINE - TREASURER RODGERS, BRIAN - SENIOR VICE PRES RAPP, DONNA - SECRETARY MORSE, CHANDRA - VICE PRESIDENT REYNOLDS, RICHARD - PRESIDENT WAGNER, JEFFREY - VICE PRESIDENT
NON-FIXED PAYMENTS PROVIDEDSCHEDULE J, PAGE 1, PART I, LINE 7MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICERS AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEWED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS PRIOR TO PAYMENT.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIION MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO UTILIZED 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 FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE, PRIMARILY IN THE MIDWEST AND REGIONALLY, BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS, ROGERS, PADGETT, RAPP, RODGERS AND BRUCHHOF ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2011. 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JERAMIE SODERBERG
FAMILY MEMBER88355EMPLOYMENTfalse
MICHAEL ROGERS
FAMILY MEMBER22719EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990PART 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.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIESFORM 990, PART V, LINE 4BCAYMAN ISLANDS, OTHER COUNTRY
ADDITIONAL INFORMATIONFORM 990, PART VILINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, RICHARD REYNOLDS, AND DON SHEETS.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AAT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION WILL BE REVIEWED BY THE COMPENSATION COMMITTEE. FORM 990, INCLUDING ALL SCHEDULES, WILL BE 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 PRIOR TO FILING. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE SVP AND TREASURER. THE RESULTS OF THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ("THE POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT IMPARTIAL.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL OFFICERS AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIINO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5CHANGES IN NET ASSETS: FAS 87 PENSION ADJUSTMENT (52,074,577) UNREALIZED LOSS ON INVESTMENTS (442,372) 512(B)(17) INCOME (127,899) -------------- TOTAL CHANGES IN NET ASSETS (52,644,848)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRMIDLANDMI48670380833014HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DRALMAMI48801381437919HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREETCLAREMI48617381518643HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREETGLADWINMI48624386020434HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DRMIDLANDMI48642382623324LT CAREMI501C39MIDMI HLTHtrue
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREETGLADWINMI48624382754875LT CAREMI501C39MIDMI HLTHtrue
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397CARE/EQUIPMI501C39MIDMI HLTHtrue
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RDMIDLANDMI48640383317788MED OFFICEMI501C311AMIDMI HLTHtrue
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRMIDLANDMI48670352182295EQUIPMENTMI501C311BMIDMI HLTHtrue
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI501C39MIDMI HLTHtrue
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRMIDLANDMI48670382459947OPERATIONSMI501C2MIDMI HLTHtrue
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI501C311AMIDMI HLTHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVEAddressLine1
Address Line2GOVERNORS SQUARE BLDG 4 2ND FLOORAddressLine2
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN980585596EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income100ShareOfTotalIncome
Share Of EOY Assets100ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-MIDLAND
G332059BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P10129846BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P2412893BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P1069546BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P758816BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P551266BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P213277BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P199038BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P349690BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P619035BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P114929BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
G332059BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P10129846BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P2412893BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P1069546BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P758816BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P551266BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P213277BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P199038BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P349690BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P619035BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P114929BOOKS RECORDS