2012-05-15T15:47:28-05:00 2011-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2010-07-01 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898393181 703 NORTH MCEWAN STREET CLARE MI 48617 FRANCINE M PADGETT 9898393181 2012-05-15 true LAURA M EBEL 9894975300 2012-05-15 2010 2016-02-24 21:20:13Z LAWRENCE BARCO 703 NORTH MCEWAN STREET CLARE MI 48617 54516927 false X WWW.MIDMICHIGAN.ORG X 1951 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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. 15 10 400 111 18928 706 66093 33962 42767444 44482419 985830 1589922 528625 573177 44347992 46679480 0 0 17627924 18646194 0 0 25249919 28259855 42877843 46906049 1470149 -226569 42225655 43087648 18216278 16969081 24009377 26118567 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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. false false 40046106 44482419 MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,608 PATIENT ADMISSIONS AND 92,744 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2011. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. 40046106 true true false false false false false false false 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 false false false false false false false true true true true false true 31 0 true 400 true true true false false false false false false false false false X 15 10 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 683552 282389 TOM CLARINGBOLD DO 50.00 X 0 291392 40786 LAWRENCE BARCO 50.00 X X 286921 0 31635 DAVID BREMER MD 50.00 X 0 221252 48038 ROBERT VANDERBROOK MD 50.00 X 0 218709 14677 RAJANI MALLICK MD 50.00 X 0 150217 13751 CARRIE NICHOLSON MD 50.00 X 0 121943 19042 MICHAEL BEADLE 2.00 X 0 0 0 MIKE JENKINS 2.00 X 0 0 0 JEFF PUNCHES 2.00 X 0 0 0 DAVID REECE 2.00 X 0 0 0 DON RICHARDS 2.00 X 0 0 0 CARL SCHWIND 2.00 X 0 0 0 DAN TIMMINS 2.00 X 0 0 0 RON VERCH 2.00 X 0 0 0 LISA BENIC 2.00 X 0 0 0 AMY STARK 2.00 X 0 0 0 VICTOR MORGAN 50.00 X 0 141776 23723 JOSHUA WIGGINS 50.00 X 0 85246 23009 EDWARDO MUNOZ 50.00 X 246965 0 2330 WILLIAM GROVES 50.00 X 209745 0 25554 DUSTIN FORNEY 50.00 X 207057 0 24675 RUSSELL RADER 50.00 X 190389 0 21430 GLENN KING 50.00 X 151030 0 23852 RAYMOND STOVER 50.00 X 0 192074 50777 1292107 2106161 645668 7 true true false HOSPITALIST PHYS MED GROUP OF MI 2000 GREEN RD SUITE 300 ANN ARBOR MI 48105 PHYSICIAN SVCS 943857 MAYO COLLABORATIVE SERVICE INC 201 1ST ST SW ROCHESTER MN 55905 REFERENCE LAB 234318 SOURCECORP HEALTHSERVE RAD INC PO BOX 142589 DRAWER 9039 IRVING TX 750142589 TELERADIOLOGY 111584 EMERG PHYSICIANS MEDICAL 2000 GREEN RD SUITE 300 ANN ARBOR MI 48105 ER ADMIN 105278 4 33962 33962 MEDICARE/MEDICAID PAYMENTS 621990 26284664 26284664 NET PATIENT REVENUE 621990 17976043 17976043 CONTRACTED CLINICAL SERVICES 621990 202784 202784 REFERENCE LABORATORY 621500 18928 18928 44482419 308815 308815 21 21 9118533 7765911 71536 1352622 -71536 1281086 1281086 AFFILIATE RELATED INCOME 900099 389826 389826 CAFETERIA/FOOD SERVICE 722210 93803 93803 OUTSIDE INCOME 900099 53948 53948 35600 35600 573177 46679480 44942865 18928 1683725 319182 159591 159591 14791315 13555974 1235341 571031 512089 58942 1916755 1813120 103635 1047911 958051 89860 7988 7988 26100 26100 41114 41114 6405212 4113350 2291862 16305 1837 14468 4825745 4541226 284519 761927 12564 749363 41811 37931 3880 1592800 1130717 462083 60013 52273 7740 48200 46900 1300 560728 560728 1929430 1197743 731687 29742 29742 PHYSICIAN SUBSIDY 6322126 6322126 UNCOMPENSATED SERVICES 4376933 4376933 QAAP FEES 1213681 1213681 46906049 40046106 6859943 0 1495 1545 314414 479757 3655245 4345998 10669 8745 492492 398747 31072376 17082032 14412818 13990344 4825228 3503665 18308681 20166516 204613 192331 42225655 43087648 4309133 4576408 10825143 10880784 550000 2532002 1511889 18216278 16969081 X 24003712 26112382 5665 6185 24009377 26118567 42225655 43087648 X -226569 2335759 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 1826668 1826668 14315311 7355590 6959721 830706 503158 327548 13813519 9223284 4590235 286172 286172 13990344 OTHER FINANCIAL INVESTMENTS 20166516 F 20166516 SELF INSURANCE, OTHER 1254880 INTERCOMPANY LOANS 257009 1511889 46679480 46906049 -226569 2335759 2335759 2109190 49062426 2335759 16765 2352524 46709902 41114 -71536 -30422 46679480 46967462 30991 30991 46936471 41114 -71536 -30422 46906049 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -14,226 NET ASSETS RELEASED FROM RESTRICTIONS 30,991 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 71,536 NET ASSETS RELEASED FROM RESTRICTIONS -30,991 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -71,536 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -14,226 NET ASSETS RELEASED FROM RESTRICTIONS 30,991 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -71,536 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 30,991 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -71,536 true true true X true X true true true false true true 420388 420388 0.00900 8235510 5735934 2499576 0.05330 8655898 5735934 2919964 0.06230 144045 13705 130340 0.00280 40814 40814 0.00090 16189 16189 0.00030 201048 13705 187343 0.00400 8856946 5749639 3107307 0.06620 2480 2480 0.00010 326 326 23142 23142 0.00050 9918 9918 0.00020 51698 51698 0.00110 87564 87564 0.00190 true 1838675 181079 12901320 14764522 -1863202 X true true 1 1 MIDMICHIGAN MEDICAL CENTER - CLARE

703 N MCEWAN ST CLARE MI 486171440

X X X MIDMICHIGAN MEDICAL CENTER - CLARE 1 6 MIDMI MEDICAL CENTER-CLARE REHAB SV

231 SOURTH FIRST STREET HARRISON MI 48625

REHABILITATION SERVICES ONLY MIDMICHIGAN HEALTH PARK-HOUGHTON LK

9249 W LAKE CITY ROAD HOUGHTON LAKE MI 48629

REHABILITATION, LAB, & MAMMOGRAPHY MIDMICHIGAN URGENT CARE - CLARE

700 WEST FIFTH ST CLARE MI 48617

URGENT CARE, OCCUPATIONAL MEDICINE CLARE MMO RHC

602 BEECH STREET CLARE MI 48617

RURAL HEALTH CLINIC HARRISON RHC

815 NORTH CLARE AVENUE HARRISON MI 48625

RURAL HEALTH CLINIC FARWELL RHC

2812 WEST CADILLAC DRIVE FARWELL MI 48622

RURAL HEALTH CLINIC COMMUNITY BUILDING ACTIVITIES PART II MIDMICHIGAN MEDICAL CENTERCLARE STAFF CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS THERE ARE MEMBERS OF THE CHAMBER OF COMMERCE IN ALL AFFILIATES WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS MIDMICHIGAN MEDICAL CENTERCLARE ALSO SPENT OVER 47000 IN PHYSICIAN RECRUITMENT FOR THE FISCAL YEAR OF 2011 STAFF MEMBERS SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND OR COMMITTEES FOR ALL COUNTIES PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND AND THE CHILDHOOD OBESITY PREVENTION INITIATIVE IN ALMA AND PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE HOMELESSNESS STUDY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION STAFF ALSO PARTICIPATES IN COMMITTEES ENGAGED IN IMPROVING THE HEALTH OF THE COMMUNITY LIKE THE TOGETHER WE CAN ADVISORY COMMITTEE WHICH INVOLVES CLARE ISABELLA AND GLADWIN COUNTY PROVIDERS ALSO DONATE THEIR TIME TO ATTEND EVENTS OR YOUTH CAMPS WITH IN THE COUNTY SUCH AS CAMP NEYTI THE 4H CAMP PROVIDING HEALTH SERVICES TO CAMPERS 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 3194084 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 CENTERCLARE WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENT 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 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 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 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 WE ALSO SIT ON A COLLABORATIVE PARTNERSHIP HEADED BY THE HEALTH DEPARTMENT CALLED TOGETHER WE CAN AND A SMALLER SUBSET OF THAT GROUP THE CLAREGLADWIN HEALTH IMPROVEMENT PLAN IN WHICH ADDRESSES WAYS COMMUNITY ORGANIZATIONS CAN IMPLEMENT PROGRAMS TO BETTER OVERALL COUNTY HEALTH AND THEIR RANKINGS AS DETERMINED BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS 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 ANOTHER DETERMINATION OF PROGRAM OFFERINGS IS PROGRAM EVALUATIONS THAT ARE GIVEN OUT AFTER EVERY OUTREACH EVENT THESE EVALUATIONS ASK A VARIETY OF QUESTIONS TO RATE THE PROGRAM AS WELL AS SUGGEST OTHER COMMUNITY PROGRAM OFFERINGS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI MIDMICHIGAN MEDICAL CENTERCLARE 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 CENTERCLARES PRIMARY SERVICE AREA IS COMPRISED OF 4 ZIP CODES WHICH CAPTURES ALL OF CLARE COUNTY 847 OF THEIR DISCHARGES ORIGINATED IN CLARE COUNTY AND THEIR INPATIENT MARKET SHARE IS 306 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 235 MARKET SHARE FOLLOWED BY MCLAREN CENTRAL MICHIGAN WITH A 140 MARKET CAPTURE CLARE COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA DEMOGRAPHICS 2011 OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE 32150 191 44174 13307 445 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 964 03 09 17 07 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 ADDITIONALLY THERE ARE ACTIVE COMMUNITY MEMBER BOARDS AT ALL AFFILIATES WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS WE PARTNER ON NEEDED HEALTH INITIATIVES WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HHS TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES MIDMICHIGAN MEDICAL CENTERCLARE ADMINISTRATORS SIT ON VARIOUS COMMUNITY BOARDS OF DIRECTORS BOD SUCH AS THE MID MICHIGAN COMMUNITY COLLEGE NURSING BOD SAGINAW VALLEY STATE UNIVERSITY NURSING ADVISORY BOD CLARE INDUSTRIAL DEVELOPMENT CORPORATION BOD MIDDLE MICHIGAN DEVELOPMENT CORPORATION BOD MID MICHIGAN COMMUNITY HEALTH SERVICES BOD AND THE CENTRAL HEALTH PLAN BOD 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 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 LINE 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 X true false X X X X X false true false false false false false true false RICHARD REYNOLDS 497676 175000 10876 257887 24502 965941 TOM CLARINGBOLD DO 237571 52962 859 25803 14983 332178 LAWRENCE BARCO 187425 84000 15496 14625 17010 318556 DAVID BREMER MD 155950 63323 1979 35424 12614 269290 ROBERT VANDERBROOK MD 155853 62385 471 10 14667 233386 RAJANI MALLICK MD 126480 23380 357 10 13741 163968 VICTOR MORGAN 103657 25000 13119 17380 6343 165499 EDWARDO MUNOZ 203284 40000 3681 1782 548 249295 WILLIAM GROVES 199266 10479 10615 14939 235299 DUSTIN FORNEY 183845 17500 5712 8641 16034 231732 RUSSELL RADER 181205 9184 9684 11746 211819 GLENN KING 117603 25000 8427 7997 15855 174882 RAYMOND STOVER 141395 39400 11279 32939 17838 242851 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 AND 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 AND BARCO 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. 2006A MI STATE HOSPITAL FINANCE 382889417 59465HEB8 2006-11-07 4332800 CAPITAL PROJECTS false false false MICHIGAN FINANCE AUTHORITY SER D 800596186 2011-06-09 455850 CAPITAL PROJECTS false false true 4332800 25050 4394794 2009 false false true true 455850 454788 1062 2011 true false true true false false false false false 0.00380 0.00380 true false false false false false true false true false false false false false true false false false false ADDITIONAL INFORMATION SCHEDULE K 2006A MI STATE HOSPITAL FINANCE IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THIS BOND ISSUE THEREFORE FORM 8038T IS NOT REQUIRED MICHIGAN FINANCE AUTHORITY SER D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS THEREFORE NO ARBITRAGE REBATE CALCULATION IS REQUIRED 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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE. ADDITIONAL INFORMATION FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS 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. 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 AN 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 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 REALIZED GAINS (OTTI AND ALTERNATIVE INVESTMENTS) 109,242 UNREALIZED GAINS 2,226,517 ------------ 2,335,759 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-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 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 EQUIP 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-CLARE VOLUNTEERS 703 NORTH MCEWAN STREET CLARE MI 48617 382944967 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 true false false false true true false false false false true true false false MIDMICHIGAN REGIONAL IMAGING J 781258 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 117547 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 190375 BOOKS RECORDS MIDMICHIGAN HEALTH O 645804 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 6264851 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 209653 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 103956 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING J 781258 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC J 117547 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 2523472 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT O 190375 BOOKS RECORDS MIDMICHIGAN HEALTH O 645804 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP O 6264851 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 209653 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 103956 BOOKS RECORDS