2013-05-15T14:15:35-05:00 2012-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2011-07-01 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT 9898393181 2013-05-15 true LAURA M EBEL 9894975300 2013-05-15 2011 2016-02-24 21:20:13Z GREGORY ROGERS 4000 WELLNESS DRIVE MIDLAND MI 48670 387996013 false X WWW.MIDMICHIGAN.ORG X 1940 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 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. 20 14 2540 594 -329358 -777738 2619222 7342951 291657703 303791371 20846841 10881156 12459407 17689387 327583173 339704865 218850 237350 0 120546514 125252813 0 233231 177569897 205558736 298335261 331048899 29247912 8655966 578764276 566339285 224628373 206316069 354135903 360023216 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 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 242115151 303791371 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,710 PATIENT ADMISSIONS AND 286,884 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2012. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 237350 237350 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 242352501 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 190 0 true 2540 true true true false false false false false false false false false X 20 14 true false false 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 50.00 X 0 746845 317274 GREGORY ROGERS 50.00 X X 0 508008 182503 JAMES BICKNELL MD 50.00 X 0 338864 48736 J CHRISTOPHER HOUGH MD 50.00 X 0 326397 95241 KERRY PIERCE MD 50.00 X 0 265759 58134 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 VANESSA RICKETT 2.00 X 0 0 0 JEFF HERMAN MD 2.00 X 0 0 0 ROBERT LOFIEGO 2.00 X 0 0 0 JON LYNCH 2.00 X 0 0 0 WALLY MAYTON 2.00 X 0 0 0 MARGARET RIECKER 2.00 X 0 0 0 JIM SHEPICH MD 2.00 X 0 0 0 BILL WEIDEMAN 2.00 X 0 0 0 AMY WILSON 2.00 X 0 0 0 FRANCINE PADGETT 50.00 X 0 421124 122367 DONNA RAPP 50.00 X 0 382562 141503 WILLIAM DERY MD 50.00 X 284140 0 71172 ADELBERTO ADAN 50.00 X 258016 0 91846 DIANE NOLD 50.00 X 247690 0 75516 MICHELLE WOOD 50.00 X 222898 0 89996 JEFFERY HANOVER 50.00 X 272247 0 33773 LOIS ROBERTSON 50.00 X 261873 0 40323 ARTURAS KLUGAS MD 50.00 X 260513 0 15388 SASHA SAVAGE MD 50.00 X 254394 0 42129 KELLY HILL MD 50.00 X 250364 0 38786 2312135 2989559 1464687 92 false true false SKANSKA USA BUILDING INC 14776 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION 19669790 CERNER CORP PO BOX 412702 KANSAS CITY MO 641412702 SOFTWARESUPPORT 8203915 MIDLAND EMERGENCY RM CORP 2000 DILLOWAY DR MIDLAND MI 48640 ER PHYSICIANS 5274898 DELOITTE CONSULTING LLP PO BOX 7247 6447 PHILADELPHIA PA 191706447 CONSULTING 3571936 HBC CONTRACTING 2170 APOLLO DRIVE LANSING MI 48906 CONSTRUCTION 2347280 58 2249765 5093186 7342951 PATIENT REVENUE, NET 621990 154738955 154738955 CONTRACTED CLINICAL SERVICES 621990 148256668 148256668 REFERENCE LABORATORY 621500 433792 433792 MEDICARE/MEDICAID PAYMENTS 621990 280518 280518 FITNESS CENTER 624100 81438 81438 303791371 5758098 1397523 4360575 8082 8082 8082 8082 53405956 8250 47458595 832553 5947361 -824303 5123058 5123058 EXEMPT AFFILIATE REVENUE 900099 13685119 13685119 EXEMPT JOINT VENTURE REVENUE 900099 2082107 2082107 CAFETERIA/FOOD SERVICE 722210 1241383 1241383 672696 731155 -844588 786129 17681305 339704865 321172045 -329358 11519227 237350 237350 1173295 330608 842687 95972141 68262703 27599078 110360 7892308 5584390 2298922 8996 13278193 9405101 3857929 15163 6936876 4956766 1971939 8171 352863 352863 216109 216109 568250 568250 72559990 45875361 26611908 72721 414678 134664 279389 625 7639755 4514246 3109646 15863 626822 119705 506884 233 5141642 1126000 4015642 371105 92761 278288 56 273620 101027 172593 7229916 3808569 3421114 233 25118292 13231792 11885690 810 474236 474236 MEDICAL SUPPLIES 48193722 48193722 PHYSICIAN PRACTICE SUBSID 20719709 20719709 UNCOMPENSATED SERVICES 15657022 15657022 MISCELLANEOUS 1005 1005 331048899 242352501 88463167 233231 8169 8219 2813998 4752350 3750623 41447322 42280965 779045 941429 1876197 1956933 12695238 13251381 385297727 161540414 205794583 223757313 48310816 33463524 257581067 235447414 4666118 4056626 2791723 2672508 578764276 566339285 42525381 27795661 167686964 163646844 14416028 14873564 224628373 206316069 X 329823398 331059688 12222289 16566548 12090216 12396980 354135903 360023216 578764276 566339285 X 8655966 -2768653 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 12090216 103806 202958 12396980 11892692 6020 191504 12090216 11708254 3425 181013 11892692 11531535 5164 171555 11708254 1.00000 false false false 1153467 1153467 180437887 60424245 120013642 21201556 3737827 17463729 177879234 97378342 80500892 4625583 4625583 223757313 OTHER FINANCIAL INVESTMENTS 235447414 F 235447414 SELF INSURANCE, DEF COMP, & ACC PEN 14873564 14873564 339704865 331048899 8655966 -4321348 1552695 -2768653 5887313 336075991 -4321348 436421 -3884927 339960918 568250 -824303 -256053 339704865 332633022 2153380 2153380 330479642 568250 1007 569257 331048899 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 HOSPITAL OPERATIONS SUPPORT 1,657,090 HOSPITAL CAPITAL SUPPORT 6,236,496 SCHOLARSHIP FUNDS 3,678,878 COMMUNITY SERVICE FUNDS 824,516 --------- 12,396,980 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTIONS 564,580 MEDWARE SALES - RECLASSIFIED -1,007 BOOK/TAX DIFFERENCE FROM K-1 -127,152 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 824,303 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -824,303 NET ASSETS RELEASED FROM RESTRICTIONS -1,329,077 MEDWARE SALES - RECLASSIFIED 1,007 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 564,580 MEDWARE SALES - RECLASSIFIED -1,007 BOOK/TAX DIFFERENCE FROM K-1 -127,152 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -824,303 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 824,303 NET ASSETS RELEASED FROM RESTRICTIONS 1,329,077 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B MEDWARE SALES - RECLASSIFIED 1,007 true true true X true X true true true false true true 1 1697004 1697004 0.00510 1 32768256 15180497 17587759 0.05310 2 34465260 15180497 19284763 0.05830 1650 107049 808532 150514 658018 0.00200 11 598 5445343 1537971 3907372 0.01180 1 54288 54288 0.00020 183 12321 266278 266278 0.00080 1845 119968 6574441 1688485 4885956 0.01480 1847 119968 41039701 16868982 24170719 0.07300 5 9200 9200 7 13489 13489 1 696 696 10 29667 29667 0.00010 20 51113 51113 0.00020 16 42485 42485 0.00010 6 15972 15972 65 162622 162622 0.00050 true 7114269 769309 90697343 88206156 2491187 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 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 13 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 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 HEALTH AND HUMAN SERVICES COUNCIL IN MIDLAND COLLABORATING AND COORDINATING SERVICES TO ALL CONSTITUENTS IN MIDLAND COUNTY AS WELL AS DEVELOPMENT AND SUPPORT OF THE 211 FIRST CALL FOR HELP PROGRAM EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS ANDOR COMMITTEES PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND THE HOMELESSNESS STUDY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION MIDLAND IS REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS THE COMMUNITY EDUCATION COORDINATOR IN MIDLAND IS A MEMBER OF THE TRIPLE AIM POPULATION HEALTH GROUP OF MIHIA THIS GROUP IS FOCUSING ON A BUILDING DEVELOPMENT ASSETS PROJECT DEVELOPED BY THE SEARCH INSTITUTE IN MINNEAPOLIS MN FOR STUDENTS IN GRADES 612 THE PROJECT STUDY IDENTIFIED CRITICAL DEVELOPMENTAL ASSETS SKILLS AND TECHNIQUES TO HELP YOUTH REDUCE THEIR HEALTH RISKS THEY FOUND THAT PARTICIPATION IN CREATIVE ORGANIZED YOUTH ANDOR FAITHBASED ACTIVITIES MITIGATE RISKTAKING BEHAVIORS ULTIMATELY IMPROVING HEALTH 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 25210839 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2012 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 COLLECTION POLICY STATES THAT THE PURPOSE OF THE POLICY IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE PER FINANCIAL AIDCHARITY CARE POLICY AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY NEEDS ASSESSMENT PART VI MIDMICHIGAN MEDICAL CENTER MIDLAND HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS WE SERVE THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS INCLUDING HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS DATA FROM A VARIETY OF LOCAL AND NATIONAL SOURCES IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS SOURCES FOR GENERAL HEALTH DATA FOLLOW CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM BRFSS 20062008 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 VACIINES 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 ADDITIONALLY WE USE DISEASE SPECIFIC DATA FROM NATIONAL ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY THE AMERICAN DIABETES ASSOCIATION WHO COUNTRY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION HEART AND OBESITY PREVENTION INFORMATION NATIONAL CANCER INSTITUTE CANCER STUDIES AND CDC FUNDED STATISTICS ON HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS FOR HEALTH CARE COVERAGE AND FINANCE WE REFER TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS THE US CENSUS BUREAU AND THE 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 ADDITIONALLY THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT IMPROVEMENT COMMITTEE OUTLINES 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 555 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 659 MIDMICHIGAN MEDICAL CENTER MIDLANDS SECONDARY MARKET IS CLARE COUNTY WITH 96 OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 133 OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY COVENANT ALSO SERVES MIDLANDS PRIMARY SERVICE AREA RECEIVING 109 OF THE INPATIENT MARKET FOLLOWED BY MCLAREN BAY REGION WITH A 58 CAPTURE DEMOGRAPHICS 2012 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 101435 139 67941 52317 39870 397 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 940 17 04 22 19 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI OUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION VALUES AND VISION MIDLAND PARTNERS WITH SCHOOLS BUSINESSES AND HEALTH CARE AGENCIES IN OUR SERVICE AREA TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE THERE ARE ACTIVE COMMUNITY MEMBER BOARDS WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS WE PARTNER ON NEEDED HEALTH INITIATIVES WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS HHS TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES THROUGH THE LOOK GOOD FEEL BETTER PROGRAM COSPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY WE OFFER SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS MIDLAND PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNINGWALKING EVENTS MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUNWALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983 MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS FITNESS OR EXERCISE RELATED EVENTS FROM MIDLAND REACHED MORE THAN 1100 PEOPLE AT A COST OF OVER 8500 IN THE CURRENT YEAR AFFILIATED HEALTH CARE INFORMATION PART VI 59 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 HEALTH CARE INSURANCE HEALTH OUTCOMES INCLUDING HEART DISEASE CANCER AND DIABETES HEALTH CARE BEHAVIORS INCLUDING SMOKING CESSATION HEALTHY DIET PHYSICAL ACTIVITY AND HEALTHY WEIGHT MATERNAL AND INFANT HEALTH INCLUDING BIRTH WEIGHTS AND BREASTFEEDING WOMENS HEALTH CONFERENCES IN GLADWIN ALMA AND MIDLAND CHALLENGED ATTENDEES TO TAKE CHARGE OF THEIR HEALTH SET GOALS AND ESTABLISH ACTIONS FOR POSITIVE CHANGE THE MARCH CONFERENCES FEATURED ADVICE FROM MIDMICHIGAN HEALTH PROVIDERS AND THE WOMENS GUIDE TO LIVING WELL PARTICIPANTS RECEIVED FOLLOWUP CALLS A FEW MONTHS LATER TO SEE IF CHANGED BEHAVIORS HAD BECOME HEALTHY HABITS IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES ADDITIONAL BREASTFEEDING SUPPORT VIA BREASTFEEDING FACILITATORS AND SCHOLARSHIPS FOR THOSE WHO COULD NOT AFFORD BREASTFEEDING PREPARATION CLASS WERE PROVIDED HEALTH SCREENINGS PROVIDED A 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 EVENTS INCLUDED SCREENINGS FOR SKIN AND ORAL CANCER STROKE AND OSTEOPOROSIS AND KNOW YOUR NUMBERS TOTAL LIPID PROFILE BLOOD GLUCOSE BLOOD PRESSURE WEIGHT BODY MASS INDEX AND WAIST CIRCUMFERENCE MIDMICHIGAN SCREENED 13374 PEOPLE AT 428 EVENTS IN OUR SERVICE AREA THIS YEAR AT A COST OF 184588 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASING PHYSICAL ACTIVITY AMONG CHILDREN MIDMICHIGAN HEALTH AND THE GREAT LAKES LOONS CREATED LOU ES FIT CLUB AND THE FITNESS WATCH PROJECT THE GOAL IS TO INCREASE KIDS MODERATEINTENSITY ACTIVITY FOR BETTER PHYSICAL FITNESS AND LESS CHILDHOOD OBESITY CHILDREN 6 TO 12 JOIN FREE TO ENJOY EVENTS AND RECEIVE A MONTHLY EMAIL NEWSLETTER ABOUT BEING HEALTHY AND ACTIVE AT THE DOW DIAMOND FITNESS POSTERS AT LOU ES LOOKOUT DEMONSTRATE EIGHT EXERCISES THAT KIDS CAN DO ANYWHERE FOR EVERY 60 MINUTES OF MODERATEINTENSITY ACTIVITY THE FITNESS WATCH PROVIDES A REWARD CODE STUDENTS CAN EXCHANGE FOR FUN PRIZES SIXHUNDRED STUDENTS FROM FOUR MIDLAND ELEMENTARY SCHOOLS USED LOU ES ACTIVITY WATCH FOR SIX MONTHS AND AT LEAST 50 PERCENT IMPROVED THEIR FITNESS LEVELS 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 ON SOME OF THESE PROGRAMS MIDMICHIGAN MEDICAL CENTERGLADWIN LAUNCHED THE GLADWIN COUNTY ADOLESCENT HEALTH COUNCIL TO IMPROVE ADOLESCENT HEALTH BY PARTNERING WITH COMMUNITY STAKEHOLDERS ADOLESCENTS ARE MORE SUCCESSFUL IN MAKING HEALTHY CHOICES WHEN FAMILIES PARTICIPATE SO THIS YEARS PROGRAM EXPANDED THE HOSPITALS YOUTH HEALTH FAIRS TO INCLUDE FAMILY FITNESS FOLLOWUP NIGHTS FEATURING HEALTHY LIVING AND NUTRITION EDUCATION GOALSETTING AND PHYSICAL TRAINING CHALLENGES WITH PRIZES HEALTH PROFESSIONALS ALSO MET WITH PARENTS WHO HAD QUESTIONS ABOUT THEIR STUDENTS HEALTH FAIR SCREENING RESULTS 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 11H PART V LINE 11H PATIENT RELIGIOUS BELIEF PREVENT HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 13G PART V LINE 13G 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 21 PART V LINE 21 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 3200 SCHOLARSHIPS-MIDMI CC 8 5450 SCHOLARSHIPS-ANDREWS UNIV 1 2200 SCHOLARSHIPS-U OF DETROIT 1 2000 SCHOLARSHIPS-LINCOLN MEM 1 2900 SCHOLARSHIPS-CENTRAL MI U 26 53000 SCHOLARSHIPS-U OF QUEENSL 1 2900 SCHOLARSHIPS-KIRTLAND COM 2 1000 SCHOLARSHIPS-MARYMOUNT U. 1 1000 SCHOLARSHIPS-COLUMBIA UNI 1 2250 SCHOLARSHIPS-CONCORDIA U. 1 1250 SCHOLARSHIPS-DELTA COLLEG 3 2100 SCHOLARSHIPS-IN WESLEYAN 1 1700 SCHOLARSHIPS-INDIANA UNIV 1 2900 SCHOLARSHIPS-AT STILL UNI 1 2900 SCHOLARSHIPS-ALBANY MED C 1 2900 SCHOLARSHIPS-SPRING ARBOR 1 1700 SCHOLARSHIPS-U OF TEXAS 1 2900 SCHOLARSHIPS-DAVENPORT U. 3 3200 SCHOLARSHIPS-U OF PITTS 1 2000 SCHOLARSHIPS-MIDWESTERN U 1 2200 SCHOLARSHIPS-UNIV OF IN 1 2200 SCHOALRSHIPS-RUSH MED COL 1 2900 SCHOLARSHIPS-FERRIS STATE 9 16250 SCHOLARSHIPS-GRAND VALLEY 3 3950 SCHOLARSHIPS-MAYO CLINIC 3 6100 SCHOLARSHIPS-MSU 13 33800 SCHOLARSHIPS-OAKLAND UNIV 1 2900 SCHOLARSHIPS-OHIO STATE U 1 2900 SCHOLARSHIPS-UNIV OF IOWA 1 2500 SCHOLARSHIPS-SVSU 20 27050 SCHOLARSHIPS- U OF M 9 19150 SCHOLARSHIPS-WAYNE STATE 5 14500 SCHOLARSHIPS-WESTERN MI 1 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 526730 200000 20115 293201 24073 1064119 GREGORY ROGERS 335437 136000 36571 163202 19301 690511 JAMES BICKNELL MD 269987 67500 1377 32482 16254 387600 J CHRISTOPHER HOUGH MD 277190 35500 13707 78310 16931 421638 KERRY PIERCE MD 166474 98286 999 36357 21777 323893 FRANCINE PADGETT 287276 100000 33848 96626 25741 543491 DONNA RAPP 268448 87500 26614 126824 14679 524065 WILLIAM DERY MD 242740 32858 8542 52400 18772 355312 ADELBERTO ADAN 201565 41500 14951 70303 21543 349862 DIANE NOLD 187121 58000 2569 54119 21397 323206 MICHELLE WOOD 168887 51000 3011 79733 10263 312894 JEFFERY HANOVER 261143 3214 7890 18709 15064 306020 LOIS ROBERTSON 247428 3025 11420 20855 19468 302196 ARTURAS KLUGAS MD 208623 32858 19032 10 15378 275901 SASHA SAVAGE MD 208088 32858 13448 21518 20611 296523 KELLY HILL MD 213724 34858 1782 31139 7647 289150 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 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 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 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, BICKNELL, RAPP AND ADAN 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. MSHFA - 2006A MICHIGAN STATE HOSPITAL FINANCING A 382889417 59465HEB8 2006-11-07 40078400 CAPITAL PROJECTS false false false MSHFA - 2009A 382889417 59465HLF1 2009-06-17 77220000 CAPITAL PROJECTS false false false MICHIGAN FINANCE AUTH-SERIES D 800596186 2011-06-09 12763800 CAPITAL PROJECTS false false true 40883565 231439 40652126 2009 false false true true 77220000 7805078 1143877 67735440 2011 false false true true 12763800 9579299 26670 3157830 2011 true false true true false false false false false false 0.00010 0.00010 true false false false false false false 0.00020 0.00020 true false false false false false false 0.00010 0.00010 true false false false false false false false false false false false false false true false false false false 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 ADDITIONAL INFORMATION SCHEDULE K MSHFA 2006A MSHFA 2009A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUES IN COLUMNS A B 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 5400299 FEES FOR SERVICES false ROBIN NELSON FAMILY MEMBER 110217 EMPLOYMENT false PAUL NOLD FAMILY MEMBER 38946 EMPLOYMENT false ANDREW WOLFORD FAMILY MEMBER 56756 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. 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. 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 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 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 IMPARTIAL. 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 CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS (4,321,348) FAS 158 LIABILITY ADJUSTMENT (450,209) TRANSFER OF NET ASSETS TO RELATED TAX EXEMPT ENTITY 2,130,056 BOOK/TAX DIFFERENCE FROM K-1 (127,152) ------------ TOTAL CHANGE IN NET ASSETS (2,768,653) 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 true true false true true false false false false true true false true MIDMICHIGAN HEALTH F 332059 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP G 1254884 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT G 75073 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77229 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 176695 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT J 51690 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 6975045 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1259420 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 228276 BOOKS RECORDS MIDMICHIGAN HEALTH O 10129846 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 20643763 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 240936 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 4667852 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 3691041 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 2026552 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 380183 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 87374 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 85126 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 78912 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1998847 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 251700 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 66195 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE R 218447 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN R 89579 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP R 1822030 BOOKS RECORDS MIDMICHIGAN HEALTH F 332059 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP G 1254884 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT G 75073 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77229 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 176695 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT J 51690 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 6975045 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1259420 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 228276 BOOKS RECORDS MIDMICHIGAN HEALTH O 10129846 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 20643763 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 240936 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 4667852 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 3691041 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 2026552 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 380183 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 87374 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 85126 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 78912 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1998847 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 251700 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 66195 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE R 218447 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN R 89579 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP R 1822030 BOOKS RECORDS MIDMICHIGAN HEALTH F 332059 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP G 1254884 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT G 75073 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77229 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 176695 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT J 51690 BOOKS RECORDS 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