2013-05-15T14:04:49-05:00 2012-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2011-07-01 381437919 MIDMICHIGAN MEDICAL CENTER-GRATIOT MIDM 9898393181 300 E WARWICK DR ALMA MI 488011096 FRANCINE M PADGETT 9898393181 2013-05-15 true LAURA M EBEL 9894975300 2013-05-15 2011 2016-02-24 21:20:13Z MARK SANTAMARIA 300 E WARWICK DR ALMA MI 488011096 133090049 false X WWW.MIDMICHIGAN.ORG X 1953 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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE. 17 12 1077 277 200295 6838 78931 94448 112783862 108983536 2705513 15836256 4737290 3110548 120305596 128024788 0 0 54932116 52773528 0 7133 63152655 66731607 118084771 119505135 2220825 8519653 124029496 130957203 57572485 56535782 66457011 74421421 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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE. false false 100184514 108983536 MIDMICHIGAN MEDICAL CENTER - GRATIOT PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 5,358 PATIENT ADMISSIONS AND 141,075 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2012. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 100184514 true true false false false false false false true false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false true true false false false false false true true true true false true 99 0 true 1077 true true true false false false false false false false false false X 17 12 false false false false true true true true true false false true true true true true true true true false X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X RICHARD REYNOLDS 50.00 X 0 746845 317274 MARK BUSH 50.00 X X 297732 0 67175 RAYMOND BOROWICZ 2.00 X 0 0 0 KATHLEEN CRUMBAUGH 2.00 X 0 0 0 DENNIS DUNLAP 2.00 X 0 0 0 NANCY GALLAGHER 2.00 X 0 0 0 WILLIAM HEINZE 2.00 X 0 0 0 WILLIAM HENDERSON 2.00 X 0 0 0 ERIC HO MD 2.00 X 0 0 0 PATRICIA EAREGOOD 2.00 X 0 0 0 SUNIL RANGWANI MD 2.00 X 0 0 0 DAVID ROSLUND 2.00 X 0 0 0 SARAH WASSENAAR DDS 2.00 X 0 0 0 DALE WEBURG 2.00 X 0 0 0 LAURA BENITEZ 2.00 X 0 0 0 MARK SANTAMARIA 50.00 X X 0 0 0 WILLIAM SCHMIDT 2.00 X 0 0 0 PRAKASH SAVEPALLI MD 2.00 X 0 0 0 VICTOR MORGAN 50.00 X 0 162537 27338 DEBORAH MILLS 50.00 X 0 140898 38992 ROBIN WHITMORE 50.00 X 189804 0 13349 BRAD BINSFELD DO 50.00 X 632541 0 6499 MARK MASLOVICH MD 50.00 X 598017 0 14027 JAMES WARE DO 50.00 X 585948 0 2933 DIANE MACDONALD MD 50.00 X 431177 0 17330 GABRIEL ALMEIDA MD 50.00 X 306719 0 9551 3041938 1050280 514468 39 false true false SODEXHO FOOD & NUTRITION SERVICES 300 E WARWICK ALMA MI 48801 DIETARY MGMT 2158369 GRATIOT MANAGEMENT CO 401 S ST JOHNS ST ITHACA MI 48847 STAFFING AGENCY 2119755 ANESTHESIA ASSOC OF ALMA PO BOX 423 ALMA MI 48801 PHYSICIAN SVCS 1675078 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 REHAB MGMT 1373070 SIEMENS MEDICAL SOLUTIONS USA C/O MELLON BANK DEPT 14195 PALATINE IL 60055 EQUIPMAINT/LAB 896997 20 94448 94448 MEDICARE/MEDICAID PAYMENTS 621990 68201388 68201388 NET PATIENT REVENUE 621990 40263773 40263773 PHYSICIAN SUBSIDY 541900 215590 215590 REFERENCE LABORATORY 621990 200295 200295 CONTRACTED CLINICAL SERVICES 621990 102490 102490 108983536 7219747 6815700 404047 214571 214571 214571 214571 4187130 9494640 3720846 1344415 466284 8150225 8616509 8616509 REIMBURSED EXPENSES 900099 898983 898983 CAFETERIA/FOOD SERVICE 900099 657564 657564 EXEMPT AFFILIATE REVENUE 722210 470502 470502 868928 868928 2895977 128024788 118494918 200295 9235127 568060 284030 284030 41545108 35509944 6033040 2124 1396897 1199850 197003 44 6367032 4480920 1885302 810 2896431 2413028 483258 145 197020 197020 69719 69719 59025 59025 21655461 16338982 5316479 109899 27601 82298 2631809 1667189 960610 4010 1673392 1673392 3362274 2654017 708257 141121 105007 36114 149333 89240 60093 2204760 2204760 7221137 6049697 1171440 235621 235621 MEDICAL SUPPLIES 16077188 16077188 PROVISION FOR UNCOMP SVCS 6341796 6341796 PHYSICIAN PRACTICE INVEST 2423170 2423170 QAAP FEES 2046612 2046612 132270 35862 96408 119505135 100184514 19313488 7133 5091 5491 3628732 1042432 24 17441059 19934273 29038 5030 1114795 975021 3103271 3285895 124663824 61145272 69008377 63518552 3888620 4825464 22657840 35500884 2798128 1531207 354545 332930 124029496 130957203 12243996 10401092 41743233 41329613 458205 3585256 4346872 57572485 56535782 X 66457011 74415981 5440 66457011 74421421 124029496 130957203 X 8519653 -555243 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false false false 1433689 1433689 56844854 23000301 33844553 3816595 2592574 1224021 62393399 35552397 26841002 175287 175287 63518552 OTHER FINANCIAL INVESTMENTS 35500884 F 35500884 LT 3RD PARTY PAY, ASSET RETIRE OBLG 4346872 4346872 128024788 119505135 8519653 -555243 -555243 7964410 113020632 -555243 -555243 113575875 59025 14389888 14448913 128024788 119483578 119483578 59025 -37468 21557 119505135 ESCROW LIABILITY ARRANGEMENT EXPLANATION SCHEDULE D, PAGE 2, PART IV, LINE 2B ON FEBRUARY 1, 2012 MIDMICHIGAN MEDICAL CENTER-GRATIOT SOLD 3 DIALYSIS UNITS TO TOTAL RENAL CARE, INC. AS A PART OF THE SALE, 5% OF THE TRANSACTION IS BEING HELD IN ESCROW FOR A PERIOD OF TWO YEARS, ENDING FEBRUARY 1, 2014. IN THE EVENT THAT ANY UNKNOWN ISSUES ARISE DURING THE TWO YEAR PERIOD, THE ESCROW ACCOUNT IS AVAILABLE TO RESOLVE THOSE UNKNOWN ISSUES. PROCEEDS OF THE ESCROW ACCOUNT REMAINING AT THE END OF THE TWO YEAR PERIOD WILL BE DISTRIBUTED TO MIDMICHIGAN MEDICAL CENTER-GRATIOT. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 37,468 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468 true true true X true X true true false true true 1 339308 339308 0.00280 1 15678277 10003124 5675153 0.04750 2 16017585 10003124 6014461 0.05030 145 8062 299847 7005 292842 0.00250 4 168 266075 266075 0.00220 27 3758 41663 41663 0.00030 176 11988 607585 7005 600580 0.00500 178 11988 16625170 10010129 6615041 0.05540 6 10542 10542 0.00010 13 147407 147407 0.00120 2 14326 14326 0.00010 13 4604 4604 9 11796 11796 0.00010 2 105638 105638 0.00090 45 294313 294313 0.00250 true 3037428 388365 35091056 34087943 1003113 X true false 1 1 MIDMICHIGAN MEDICAL CENTER-GRATIOT

300 E WARWICK DRIVE ALMA MI 48801

X X X MIDMICHIGAN MEDICAL CENTER-GRATIOT 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 28 GREAT LAKES RENAL NETWORK - ALMA

330 E WARWICK DRIVE ALMA MI 48801

DIALYSIS CENTER-CEASED OPERATIONS 2/1/12 GREAT LAKES RENAL NET-GREENVILLE

101 S GREENVILLE WEST DRIVE GREENVILLE MI 48838

DIALYSIS CENTER-CEASED OPERATIONS 2/1/12 GREAT LAKES RENAL NET-MT PLEASANT

404 S CRAPO MT PLEASANT MI 48858

DIALYSIS CENTER-CEASED OPERATIONS 2/1/12 URGENT CARE - ALMA

321 E WARWICK DRIVE ALMA MI 48801

REGIONAL HEALTH CLINIC BROADWAY HEALTH SERVICES

411 W BROADWAY STE A MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC CENTER FOR OBGYN - ALMA

315 E WARWICK DRIVE STE D ALMA MI 48801

REGIONAL HEALTH CLINIC FAMILY MEDICAL CARE-BRECKENRIDGE

302 W CHESTNUT BRECKENRIDGE MI 48615

REGIONAL HEALTH CLINIC FAMILY MEDICAL CARE - ST LOUIS

224 N MILL ST ST LOUIS MI 48880

REGIONAL HEALTH CLINIC FAMILY MEDICAL CARE - MT PLEASANT

1621 E BROOMFIELD STE B MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC FAMILY MEDICAL CARE - VESTABURG

8776 EAST HOWARD CITY-EDMORE ROAD VESTABURG MI 48891

REGIONAL HEALTH CLINIC GRATIOT HEALTH PARTNERS

1750 E BELLOWS STE B MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC GRATIOT NEUROLOGY AT MT PLEASANT

1750 E BELLOWS STE E MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC GRATIOT NEUROLOGY AT MT PLEASANT

315 E WARWICK DRIVE STE F ALMA MI 48801

REGIONAL HEALTH CLINIC ITHACA FAMILY PRACTICE

820 N PINE RIVER ITHACA MI 48847

REGIONAL HEALTH CLINIC MEDICAL HEMATOLOGYONCOLOGY UNIT

315 WARWICK DRIVE STE C ALMA MI 48801

REGIONAL HEALTH CLINIC DR ANNU MOHAN

211 S CRAPO STE A MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC MONTCALM HEALTH SERVICES

1021 E MAIN ST EDMORE MI 48829

REGIONAL HEALTH CLINIC BROOMFIELD VISITING PHYSICIANS

1621 E BROOMFIELD STE A MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC ITHACA OBGYN

121 NORTH PINE RIVER ITHACA MI 48847

REGIONAL HEALTH CLINIC MT PLEASANT VISITING PHYSICIANS

211 S CRAPO STE J MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC DR ELIE OBEID

411 W BROADWAY STE B MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC PEDIATRIC SPECIALTY CENTER

7320 N ALGER STE G ALMA MI 48801

REGIONAL HEALTH CLINIC PEDIATRIC SPECIALTY CENTER

1621 E BROOMFIELD STE C MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC PLEASANT WOMEN'S CARE

1970 ASHLAND DRIVE MT PLEASANT MI 48858

REGIONAL HEALTH CLINIC GRATIOT PHYSICAL REHABILITATION

328 E WARWICK ALMA MI 48801

REGIONAL HEALTH CLINIC GRATIOT WOUND TREATMENT CENTER

320 E WARWICK ALMA MI 48801

REGIONAL HEALTH CLINIC GRATIOT REHABILITATION SVS ITHACA

509 E CENTER ITHACA MI 48847

REGIONAL HEALTH CLINIC DR RAKESH SAXENA-INTERNAL MEDICINE

311 E WARWICK ALMA MI 48801

REGIONAL HEALTH CLINIC COMMUNITY BUILDING ACTIVITIES PART II MIDMICHIGAN MEDICAL CENTERGRATIOT EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS 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 HEALTHY CHILDRENS INITIATIVE OF GRATIOT COUNTY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION GRATIOT IS 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 2064861 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2012 COLLECTION PRACTICES EXPLANATION PART III LINE 9B MIDMICHIGAN MEDICAL CENTERGRATIOT DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN MEDICAL CENTERGRATIOTS COLLECTION POLICY STATES THAT COLLECTION ACTIONS WILL ONLY BEGIN IF THERE HAS BEEN NO PAYMENT OR NO PAYMENT ARRANGEMENTS HAVE BEEN MADE PAYMENT ARRANGEMENTS INCLUDE CHARITY CARE AND OTHER FORMS OF FINANCIAL ASSISTANCE SO NO COLLECTIONS WOULD TAKE PLACE IF THE PATIENT WAS KNOWN TO QUALIFY NEEDS ASSESSMENT PART VI MIDMICHIGAN MEDICAL CENTER GRATIOT 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI MIDMICHIGAN MEDICAL CENTERGRATIOT COMMUNICATES TO PATIENTS AND THE PUBLIC OF 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 CENTERGRATIOTS PRIMARY SERVICE AREA IS COMPRISED OF THE 15 ZIP CODES WHICH CAPTURE MOST OF ISABELLA AND GRATIOT COUNTIES COUNTY 762 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 374 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 84 MARKET SHARE MCLAREN CENTRAL MICHIGAN LOCATED IN ISABELLA COUNTY RECEIVES 250 INPATIENT MARKET SHARE THE LOW INCOME POPULATION GROUP IN ISABELLA COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA GRATIOT COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA AS WELL AS A LOW INCOME POPULATION GROUP DESIGNATED HEALTHCARE PROVIDER SHORTAGE AREA DEMOGRAPHICS 2012 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 113543 119 47233 37142 40692 311 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 894 12 24 41 37 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 GRATIOT 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 MIDMICHIGAN MEDICAL CENTERGRATIOT HAS ALSO BEEN INVOLVED WITH VARIOUS GRATIOT COUNTY FESTIVALS INCLUDING THE ITHACA HOMETOWN FESTIVAL MAPLE SYRUP FESTIVAL AND ALMA HIGHLAND FESTIVAL FOR SEVERAL YEARS AT EACH FESTIVAL THE HOSPITAL PROVIDES VARIOUS RESOURCES AND HEALTH PROMOTION ACTIVITIES ONE EXAMPLE INCLUDES A RACE PREPARATION SERIES IN CONJUNCTION WITH THE ALMA HIGHLAND FESTIVAL SERIES OF RACES IN PARTNERSHIP WITH THE HEALTHY CHILDRENS INITIATIVE OF GRATIOT COUNTY THE HOSPITAL PROVIDES SCHOOL HEALTH FAIRS WHICH PROVIDED STUDENTS BLOOD PRESSURE EYE AND BODY MASS INDEX SCREENINGS AS WELL AS TAUGHT THE BENEFITS OF PHYSICAL ACTIVITY HAND HYGIENE EAR HEALTH AND NUTRITION 959 STUDENTS FROM GRATIOT COUNTY SCHOOLS WERE SCREENED THESE COLLABORATIONS BETWEEN GRATIOT AND LOCAL SCHOOLS BENEFIT STUDENTS PARENTS AND TEACHERS RESULTING IN MEASURABLE IMPROVEMENT IN THE HEALTH STATUS OF OUR CHILDREN 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 MIDMICHIGAN MEDICAL CENTERGRATIOT HAS ALSO BEEN INVOLVED WITH VARIOUS GRATIOT COUNTY FESTIVALS INCLUDING THE ITHACA HOMETOWN FESTIVAL MAPLE SYRUP FESTIVAL AND ALMA HIGHLAND FESTIVAL FOR SEVERAL YEARS AT EACH FESTIVAL THE HOSPITAL PROVIDES VARIOUS RESOURCES AND HEALTH PROMOTION ACTIVITIES ONE EXAMPLE INCLUDES A RACE PREPARATION SERIES IN CONJUNCTION WITH THE ALMA HIGHLAND FESTIVAL SERIES OF RACES 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 CENTERGRATIOT 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 CENTERGRATIOT 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 CENTERGRATIOT 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 X X X X X true true false false false false false true false RICHARD REYNOLDS 526730 200000 20115 293201 24073 1064119 MARK BUSH 181208 116524 60141 7034 364907 VICTOR MORGAN 129901 23000 9636 25481 1857 189875 DEBORAH MILLS 115228 18500 7170 23038 15954 179890 ROBIN WHITMORE 157242 23000 9562 9516 3833 203153 BRAD BINSFELD DO 605560 6250 20731 6499 639040 MARK MASLOVICH MD 472500 109532 15985 25 14002 612044 JAMES WARE DO 563549 4167 18232 2933 588881 DIANE MACDONALD MD 415536 3333 12308 15 17315 448507 GABRIEL ALMEIDA MD 285949 20770 75 9476 316270 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 MARK BUSH 70,805 0 0 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 APPROVES COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICER AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEW 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 IS A PARTICIPANT 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. 2003-CNTY OF GRATIOT HOSP FIN AUTH 386004853 2003-05-01 5000000 CAPITAL PROJECTS false false false 2006-MI STATE HOSP FIN AUTH 382889417 59465HEB8 2006-11-07 32496000 CAPITAL PROJECTS false false false 2009-MI STATE HOSP FIN AUTH 382889417 59465HLF1 2009-06-17 5000000 CAPITAL PROJECTS false false false 5000000 18866 4981134 2004 false false true true 33148835 1577036 187653 31384146 2009 false false true true 5000000 74066 4891253 2011 false false true true false false false false false false true false false false false false false 0.00150 0.00150 true false false false false false false true false false false false false false false false false false false false false false false false false false DIFFERENCES IN ISSUE PRICE EXPLANATION SCHEDULE K 2006MI STATE HOSP FIN AUTH DUE TO BOND PREMIUMS PART 1 LINE B COLUMEN E DOES NOT MATCH PART II LINE 3 COLUMN B ADDITIONAL INFORMATION SCHEDULE K 2003CNTY OF GRATIOT HOSP FIN AUTH IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THESE BOND ISSUES COLUMNS A B AND C THEREFORE FORM 8038T IS NOT REQUIRED ANESTESIA ASSOCIATES OF ALMA PC BUSINESS 1553648 FEES FOR SERVICES false ALISON DUNLAP FAMILY 56560 EMPLOYMENT false DENNIS DUNLAP SON FAMILY 31350 EMPLOYMENT false FAMILY HEALTH PSYCH COUNS CEN PC BUSINESS 791581 FEES FOR SERVICES 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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE. 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 WHILE NOT A SIGNIFICANT PORTION OF MIDMICHIGAN MEDICAL CENTER - GRATIOT'S PROGRAM SERVICES, THE ORGANIZATION SOLD ITS DIALYSIS UNIT OPERATIONS LOCATED IN ALMA, MT. PLEASANT AND GREENVILLE TO TOTAL RENAL CARE, INC. ON FEBRUARY 1, 2012. 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. 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 SURVEYS 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 REVIEWED 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 (555,243) MIDMICHIGAN HEALTH 4000 WELLNESS DRIVE MIDLAND MI 48670 382459948 SUPPORT MI 501C3 11A NA false MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 380833014 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 MIDMICHIGAN VNA DBA MIDMI 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 DEVELOPMENT ASSO 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 FACILITIES MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 188 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true AUXILIARY-MIDMICHIGAN MED CTR-GRAT 300 E WARWICK DRIVE ALMA MI 48801 382312831 AUXILIARY MI 501C3 11D NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVE GOVERNORS SQUARE BUILDING 4 2ND FL GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 980585596 INSURANCE CJ MIDMI HLTH C CORP false false false false false true true false true true false false false false true true false false MIDMICHIGAN MEDICAL CENTER-MIDLAND F 75073 BOOKS RECORDS MIDMICHIGAN HLTH DEVELOPMENT ASSOC F 84772 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND I 51690 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND J 77229 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 4667852 BOOKS RECORDS MIDMICHIGAN HEALTH O 2412893 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 2428604 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 216385 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 62240 BOOKS RECORDS REGIONAL DIALYSIS SERVICES P 318317 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND F 75073 BOOKS RECORDS MIDMICHIGAN HLTH DEVELOPMENT ASSOC F 84772 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND I 51690 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND J 77229 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 4667852 BOOKS RECORDS MIDMICHIGAN HEALTH O 2412893 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 2428604 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 216385 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 62240 BOOKS RECORDS REGIONAL DIALYSIS SERVICES P 318317 BOOKS RECORDS