2012-05-15T16:19:24-05:00 2011-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2010-07-01 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT 9898393181 2012-05-15 true LAURA M EBEL 9894975300 2012-05-15 2010 2016-02-24 21:20:13Z X GREGORY ROGERS 4000 WELLNESS DRIVE MIDLAND MI 48670 418251428 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. 18 12 2441 602 393594 -15035 3040165 2619222 281858760 291657703 13105864 20846841 12614495 12459407 310619284 327583173 199585 218850 0 124499936 120546514 0 204220 171357616 177569897 296057137 298335261 14562147 29247912 515224741 578764276 221659829 224628373 293564912 354135903 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 245856400 291657703 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 11,133 PATIENT ADMISSIONS AND 295,445 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2011. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 218850 218850 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 246075250 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 true true false false false false false false true true true true false true 174 0 true 2441 true true true false false false false false false false false false X 18 12 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 683552 282389 GREGORY ROGERS 50.00 X X 0 472605 163937 J CHRISTOPHER HOUGH MD 50.00 X 0 324119 98759 JAMES BICKNELL MD 50.00 X 234565 0 30168 BOBBIE ARNOLD 2.00 X 0 0 0 ERIC BLACKHURST 2.00 X 0 0 0 PAM BOUNDY 2.00 X 0 0 0 GARY SCHRAM 2.00 X 0 0 0 CARL ELLINGER 2.00 X 0 0 0 JIM FABIANO 2.00 X 0 0 0 MARK GOETHE MD 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 RANNY RIECKER 2.00 X 0 0 0 JIM SHEPICH MD 2.00 X 0 0 0 BILL WEIDEMAN 2.00 X 0 0 0 FRANCINE PADGETT 50.00 X 0 380411 101461 DONNA RAPP 50.00 X 0 376228 127147 WILLIAM DERY MD 50.00 X 273251 0 60165 ADELBERTO ADAN 50.00 X 257309 0 79104 DIANE NOLD 50.00 X 232315 0 77902 JONATHAN RICHARDSON 50.00 X 251673 0 28891 JEFFERY HANOVER 50.00 X 247801 0 33894 LOIS ROBERTSON 50.00 X 243715 0 38922 JACK PINNEY MD 50.00 X 235436 0 32447 KELLY HILL MD 50.00 X 235375 0 34382 KAREN CALKINS 50.00 X 196902 0 47573 2408342 2236915 1237141 88 true true false SKANSKA USA BUILDING INC 14776 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION 19718055 CERNER CORP PO BOX 412702 KANSAS CITY MO 641412702 SOFTWARESUPPORT 9748561 DELOITTE CONSULTING LLP PO BOX 7247 6447 PHILADELPHIA PA 191706447 CONSULTING 5042215 MIDLAND EMERGENCY RM CORP 2000 DILLOWAY DR MIDLAND MI 48640 ER PHYSICIANS 4922482 MIDLAND RADIOLOGY ASSOCIATES PO BOX 6398 SAGINAW MI 486086398 RADIOLOGY SVCS 1795092 58 2269288 349934 2619222 PATIENT REVENUE, NET 621990 152343232 152343232 MEDICARE/MEDICAID PAYMENTS 621990 138651906 138651906 REFERENCE LABORATORY 621500 393594 393594 CONTRACTED CLINICAL SERVICES 621990 268971 268971 291657703 5148900 1408659 3740241 58612 58612 8319 8319 8319 8319 106124234 183350 90382007 286248 15742227 -102898 15639329 15639329 EXEMPT AFFILIATE REVENUE 900099 8340186 8340186 EXEMPT JOINT VENTURE REVENUE 900099 2073576 2073576 CAFETERIA/FOOD SERVICE 722210 1155248 1155248 882078 406541 475537 12451088 327583173 303493071 393594 21077286 218850 218850 1132605 276172 856433 92890368 75176009 17605834 108525 8847115 7114390 1722483 10242 11151460 8990098 2148407 12955 6524966 5373886 1143117 7963 775643 775643 185061 185061 499699 499699 59276563 45484657 13731992 59914 653658 446040 207256 362 56168342 53209508 2956319 2515 678040 219987 458053 4856535 1171517 3685018 394669 267576 127080 13 462876 354735 108141 5103172 3885059 1217732 381 18079770 13764178 4314242 1350 313281 313281 PHYSICIAN PRACTICE SUBSID 15811762 15811762 UNCOMPENSATED SERVICES 14031261 14031261 MISCELLANEOUS 279565 279565 298335261 246075250 52055791 204220 7969 8169 1143255 2813998 504 35255930 41447322 845737 779045 1751624 1876197 10715594 12695238 344426209 138631626 161255763 205794583 74902551 48310816 223686544 257581067 2731724 4666118 2927546 2791723 515224741 578764276 37297475 42525381 157802042 167686964 10450000 16110312 14416028 221659829 224628373 X 269854539 329823398 11817681 12222289 11892692 12090216 293564912 354135903 515224741 578764276 X 29247912 31323079 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 11892692 6020 191504 12090216 11708254 3425 181013 11892692 11531535 5164 171555 11708254 1.00000 false false false 1153467 1153467 99509951 51259354 48250597 6416148 4255998 2160150 143224016 83116274 60107742 94122627 94122627 205794583 OTHER FINANCIAL INVESTMENTS 257581067 F 257581067 SELF INSURANCE, DEF COMP, & ACC PEN 14416028 14416028 327583173 298335261 29247912 29435385 1887694 31323079 60570991 356903895 29435385 282138 29717523 327186372 499699 -102898 396801 327583173 298257763 701765 701765 297555998 499699 279564 779263 298335261 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 HOSPITAL OPERATIONS SUPPORT 1,651,194 HOSPITAL CAPITAL SUPPORT 5,959,973 SCHOLARSHIP FUNDS 3,678,828 COMMUNITY SERVICE FUNDS 800,221 --------- 12,090,216 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTIONS 561,702 MEDWARE SALES - RECLASSIFIED -1,194 MASSAGE THERAPY SALES - RECLASSIFIED -475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED -277,895 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 102,898 NET ASSETS RELEASED FROM RESTRICTIONS -598,867 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -102,898 MEDWARE SALES - RECLASSIFIED 1,194 MASSAGE THERAPY SALES - RECLASSIFIED 475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED 277,895 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 561,702 MEDWARE SALES - RECLASSIFIED -1,194 MASSAGE THERAPY SALES - RECLASSIFIED -475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED -277,895 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -102,898 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 598,867 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 102,898 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B MEDWARE SALES - RECLASSIFIED 1,194 MASSAGE THERAPY SALES - RECLASSIFIED 475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED 277,895 true true true X true X true true true false true true 1415316 1415316 0.00470 30886893 14246029 16640864 0.05580 32302209 14246029 18056180 0.06050 747133 147672 599461 0.00200 4897017 1569104 3327913 0.01120 48585 3125 45460 0.00020 315352 5750 309602 0.00100 6008087 1725651 4282436 0.01440 38310296 15971680 22338616 0.07490 7344 7344 10178 10178 49133 49133 0.00020 652 652 51367 51367 0.00020 65463 65463 0.00020 80863 80863 0.00030 5235 5235 270235 270235 0.00090 true 6010164 806686 91299438 93884653 -2585215 X true true 1 1 MIDMICHIGAN MEDICAL CENTER-MIDLAND

4000 WELLNESS DRIVE MIDLAND MI 48670

X X X X MIDMICHIGAN MEDICAL CENTER-MIDLAND 1 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 THIS PROJECT IS CURRENTLY ACTIVE IN MIDLAND AND IS SET TO DEVELOP IN CLARE AND GLADWIN COUNTIES IN 2012 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 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 19704656 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2011 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 MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 000 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE NEEDS ASSESSMENT PART VI MIDMICHIGAN MEDICAL CENTERMIDLAND MIDLAND WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENTS TO ASSESS THE NEEDS OF THE COMMUNITY SERVED 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 SYSTEMBRFSS 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 VACCINES AND IMMUNIZATIONS MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MDCH VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS ADDITIONALLY WE USE DISEASE SPECIFIC DATA FROM NATIONAL ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY THE AMERICAN DIABETES ASSOCIATION WHO COUNTY 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 THROUGH MIDLAND COUNTY UNITED WAY A BRFS IS ACCOMPLISHED EVERY 6 YEARS MIDMICHIGAN MEDICAL CENTERMIDLAND PROVIDES 4000 OF FUNDING FOR THIS NEEDS SURVEY 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 PRIORITIES ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED BASED UPON HIGHER THAN AVERAGE STROKE RATES WE PROVIDE LOWCOST STROKE SCREENINGS TARGETED AT THOSE WHO ARE AT HIGHEST RISK FOR DEVELOPING A STROKE AND PEOPLE WHO ARE LESS LIKELY TO BE GETTING REGULAR CARE FROM A DOCTOR 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 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY PLUS FREELAND AND AUBURN 579 OF THEIR DISCHARGES ORIGINATED IN THESE AREAS AND THEIR INPATIENT MARKET SHARE IS 645 MIDMICHIGAN MEDICAL CENTERMIDLANDS SECONDARY MARKET IS CLARE COUNTY WITH 93 OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 134 OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY COVENANT ALSO SERVES THIS AREA RECEIVING 120 OF THE INPATIENT MARKET FOLLOWED BY MCLAREN BAY REGION WITH A 63 CAPTURE DEMOGRAPHICS 2011 OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE 98117 141 68212 38057 398 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 931 19 05 22 23 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 100 PEOPLE AT A COST OF OVER 12000 IN THE CURRENT YEAR AFFILIATED HEALTH CARE INFORMATION PART VI 59 MILLION IN COMMUNITY BENEFITS WERE 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 AS HEALTH INDICATORS SHOW INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASING PHYSICAL ACTIVITY AMONG CHILDREN HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH THEM ABOUT REGULAR EXERCISE GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS ON SOME OF THESE PROGRAMS ONE OF THE MANY PROGRAMS OFFERED BY MIDMICHIGAN MEDICAL CENTERGLADWIN FITTED KIDS FOR NEW BIKE HELMETS 3107 CHILDREN AGES NEWBORN THROUGH MIDDLE SCHOOL LEARNED HEALTHY OPTIONS DURING HEALTH FAIRS THROUGHOUT THE REGION PROGRAMS FOCUSED ON PERIPHERAL VASCULAR DISEASE STROKE AND BLOOD PRESSURE HELPED PEOPLE IN OUR AREA IDENTIFY AND TREAT CONDITIONS RELATED TO HEART DISEASE THEY LEARNED HOW TO EAT BETTER EXERCISE MORE AND MODIFY LIFESTYLE CHOICES TO LOWER THEIR RISK 1300 PEOPLE PARTICIPATED IN ACTIVITIES RELATED TO HEART DISEASE PREVENTION AT A COST OF 66000 AT COMMUNITY RUNS AND OTHER ACTIVITIES WHICH OFTEN INCLUDE KIDS TRIATHLON OR RUNWALK EVENTS MIDMICHIGAN EXPERTS HELP PEOPLE REACH FOR A MORE ACTIVE LIFESTYLE AT ASSOCIATED HEALTH FAIRS FOR MIDLAND COMMUNITY CENTERS 2011 DOW RUNWALK MIDMICHIGAN HELD PRERACE CLASSES TO TEACH HEALTHY EXERCISE AND EMPLOYEES AND FAMILIES CONTINUED THE RUN OR WALK WITH YOUR DOC TRADITION MORE THAN 25 FITNESS OR EXERCISE RELATED EVENTS FROM MIDMICHIGAN REACHED MORE THAN 6000 PEOPLE LAST YEAR AT A COST TO MIDMICHIGAN OF 57000 THE 8TH ANNUAL FUN DAY IN THE PARK IN CLARE IS ONE OF DOZENS OF EVENTS WHERE PEOPLE GET TO KNOW THE COMMUNITY AND LEARN SAFETY ADVICE AND INFORMATION ABOUT DEVELOPING HEALTHY HABITS 3854 COMMUNITY OUTREACH EVENTS SUCH AS EDUCATIONAL PROGRAMS AND SCREENINGS WERE PROVIDED TO 101853 PEOPLE BY PHYSICIANS AND OTHER HEALTH CARE EXPERTS FROM MIDMICHIGAN HEALTH LAST YEAR A VARIETY OF CLINICALLY PROVEN WEIGHT LOSS AND WEIGHT MANAGEMENT APPROACHES ARE OFFERED BY MIDMICHIGAN HEALTH THESE INCLUDE THE WOW PROGRAM THE AM I HUNGRY PROGRAM AND HEALTH COACHING PROGRAMS AT MIDMICHIGAN MEDICAL CENTERS IN MIDLAND AND ALMA 2 SHAMROCK SHRINKDOWN INDIVIDUAL WEIGHTLOSS COMPETITIONS HELPED CLOSE TO 100 PEOPLE FROM THE CLARE AREA IMPROVE THEIR HEALTH THE THREEMONTH PROGRAMS WERE COMMUNITY COLLABORATIONS WITH THE CITY OF CLARE PARKS AND RECREATION DEPARTMENT 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 true SCHOLARSHIPS-U OF PHOENIX 4 3450 SCHOLARSHIPS-MIDMI CC 7 5650 SCHOLARSHIPS-MONTCALM CC 1 500 SCHOLARSHIPS-U OF TOLEDO 1 3300 SCHOLARSHIPS-LAKESUPERIOR 1 1800 SCHOLARSHIPS-CENTRAL MI U 14 30300 SCHOLARSHIPS-ROSALIND FRA 1 1800 SCHOLARSHIPS-KIRTLAND COM 2 1950 SCHOLARSHIPS-WVIRGINIA 1 3200 SCHOLARSHIPS-COLUMBIA UNI 1 1000 SCHOLARSHIPS-U OF DETROIT 1 1800 SCHOLARSHIPS-DELTA COLLEG 1 500 SCHOLARSHIPS-IN WESLEYAN 1 1800 SCHOLARSHIPS-INDIANA UNIV 1 3300 SCHOLARSHIPS-DEBUSK COLLE 1 3200 SCHOLARSHIPS-ALBANY MED C 1 3300 SCHOLARSHIPS-AUGUSTANA CO 1 2800 SCHOLARSHIPS-GRCC 1 500 SCHOLARSHIPS-MI TECHNOLOG 1 2300 SCHOLARSHIPS-LOYOLA UNIV 1 2800 SCHOLARSHIPS-MIDWESTERN U 1 2700 SCHOLARSHIPS-U OF DENVER 1 700 SCHOLARSHIPS-UNIV OF IN 1 2700 SCHOALRSHIPS-RUSH MED COL 1 2300 SCHOLARSHIPS-FERRIS STATE 9 17500 SCHOLARSHIPS-GRAND VALLEY 5 11800 SCHOLARSHIPS-MAYO CLINIC 1 2700 SCHOLARSHIPS-MSU 14 34550 SCHOLARSHIPS-OAKLAND UNIV 1 2800 SCHOLARSHIPS-OHIO STATE U 2 5100 SCHOLARSHIPS-UNIV OF IOWA 1 1800 SCHOLARSHIPS-SVSU 16 23500 SCHOLARSHIPS- U OF M 8 19600 SCHOLARSHIPS-WAYNE STATE 5 12250 SCHOLARSHIPS-WESTERN MI 2 3600 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 true true false false false false false true false RICHARD REYNOLDS 497676 175000 10876 257887 24502 965941 GREGORY ROGERS 325466 115000 32139 146011 17926 636542 J CHRISTOPHER HOUGH MD 276019 33000 15100 83589 15170 422878 JAMES BICKNELL MD 201795 29358 3412 23057 7111 264733 FRANCINE PADGETT 266743 80000 33668 78093 23368 481872 DONNA RAPP 260251 90000 25977 114694 12453 503375 WILLIAM DERY MD 229393 40933 2925 46886 13279 333416 ADELBERTO ADAN 195766 55000 6543 59399 19705 336413 DIANE NOLD 185092 43838 3385 57045 20857 310217 JONATHAN RICHARDSON 238394 3612 9667 14717 14174 280564 JEFFERY HANOVER 238093 3664 6044 17095 16799 281695 LOIS ROBERTSON 228960 3420 11335 20855 18067 282637 JACK PINNEY MD 191339 40933 3164 30748 1699 267883 KELLY HILL MD 193450 40933 992 27654 6728 269757 KAREN CALKINS 96612 4838 95452 40357 7216 244475 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. NOLD, DIANE VP SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 KAREN CALKINS 65,000 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 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 2010. 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 40078400 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 0.00010 0.00010 true false false false false false 0.00020 0.00020 true false false false false false true false true false false false false false false false false false false false true false false false false ADDITIONAL INFORMATION SCHEDULE K MSHFA 2006A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUES IN COLUMNS A AND 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 MICHAEL ROGERS FAMILY MEMBER 53866 EMPLOYMENT false MIDLAND EMERGENCY ROOM CORPORATION BUSINESS 5203354 FEES FOR SERVICES false ROBIN NELSON FAMILY MEMBER 101121 EMPLOYMENT false JEFF HERMAN MD BUSINESS 1900729 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 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 SENIOR MANAGER, 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 UNREALIZED GAINS ON INVESTMENTS 29,435,385 ADJUSTMENT TO RECORD FAS 158 LIABILITY 1,887,694 ----------- 31,323,079 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 ROAD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN REGIONAL IMAGING 2618 N SAGINAW 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 false false true true false false false false true true false false MIDMICHIGAN URGENT CARE F 103830 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT F 160271 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77677 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 174175 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 7101675 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1511002 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 53867 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 209653 BOOKS RECORDS MIDMICHIGAN HEALTH O 6777324 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 16358619 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 109328 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1381356 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 1301151 BOOKS RECORDS MIDMICHIGAN HEALTH P 228041 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 373725 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 89377 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 105551 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 89243 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1590606 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 302592 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 81354 BOOKS RECORDS MIDMICHIGAN URGENT CARE F 103830 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT F 160271 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77677 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 174175 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 7101675 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1511002 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 53867 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 209653 BOOKS RECORDS MIDMICHIGAN HEALTH O 6777324 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 16358619 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 109328 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1381356 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 1301151 BOOKS RECORDS MIDMICHIGAN HEALTH P 228041 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 373725 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 89377 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 105551 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 89243 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1590606 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 302592 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 81354 BOOKS RECORDS MIDMICHIGAN URGENT CARE F 103830 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT F 160271 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77677 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 174175 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 7101675 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1511002 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 53867 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 209653 BOOKS RECORDS MIDMICHIGAN HEALTH O 6777324 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 16358619 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 109328 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1381356 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 1301151 BOOKS RECORDS MIDMICHIGAN HEALTH P 228041 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 373725 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 89377 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 105551 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 89243 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1590606 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 302592 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 81354 BOOKS RECORDS MIDMICHIGAN URGENT CARE F 103830 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT F 160271 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT I 77677 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP I 174175 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 7101675 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 1511002 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 53867 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE O 209653 BOOKS RECORDS MIDMICHIGAN HEALTH O 6777324 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 16358619 BOOKS RECORDS MIDMICHIGAN URGENT CARE O 109328 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1381356 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 1301151 BOOKS RECORDS MIDMICHIGAN HEALTH P 228041 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 373725 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 89377 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 105551 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 89243 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 1590606 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 302592 BOOKS RECORDS MIDMICHIGAN URGENT CARE P 81354 BOOKS RECORDS