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        <Description>MEMORIAL MEDICAL CENTER (38-1359266) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.Realizing that reimbursement for services rendered is critical to the ongoing operation and stability of Memorial Medical, we still recognize that not all individuals possess the ability to purchase essential medical services and further recognize that our mission is to serve the community with respect to providing healthcare services and healthcare education. Therefore, in keeping with our commitment to serve all members of the community: a. Free care and/or subsidized care, b. Care provided to persons covered by government programs at below cost, c. Health activities and programs to support the community will be considered where the need and/or an individual's ability to pay co-exists. These activities include wellness programs, community education programs, special programs for the elderly, and a variety of broad community support activities.Memorial Medical Center served 3,011 inpatients with 12,411 days of care, and provided over 95,000 outpatient services during fiscal year 2010.Our hospital provides care to people covered by governmental programs at less than what we must generate in order to maintain stability of operations. The unreimbursed value of providing care to these patients is $89,546,068. In addition, for patients not covered by a governmental program and also unable to pay for services, we recognized $597,955 in charity care.Our scope of community care went beyond the aforementioned responsibilities. In addition to community benefit expenditures, many reduced price services and free programs are offered throughout the year, based upon activities and services which Memorial Medical believes will serve community health needs. These are detailed as follows: SCREENING PR0GRAMS:- Monthly Blood Pressure and Blood Sugar Testing at 3 Community Locations- Participation in Tissue/Organ Donation Program in conjunction with Gift of Life- Worksite Wellness Screening at area Manufacturing OrganizationCOMMUNITY EDUCATION ONGOING PROGRAMS:- Prenatal and Maternal Classes- Nutrition Programs, monthly programs taught by registered dietitians for various organizations in Ludington and Hart.- Outpatient Diabetic Self Management Program- Family Fair (Health Fair) with area schoolsCOMMUNITY EDUCATIONAL PROGRAMS ON VARIOUS DISEASES &amp; HEALTH TOPICS:- Done for various service organizations, schools, community groups Topics include: Stress Management, Healthy Eating, Understanding Cholesterol, Diabetes, Eye Diseases, Infection Control, Back Safety.- Annual Health Fair at Longfellow Towers, programs done by Home Care and Dietitians.- Teddy Bear Clinics for pre-school classes- Grade School tours and career focus day- High school health class tours with wellness focusSUPPORT GROUPS &amp; OTHER SPONSORSHIPS:- Type 1 Diabetes Group - Type 2 Diabetes Group CLINICAL EXPERIENCE FOR STUDENT PROGRAMS:- West Shore Community College = LPN &amp; RN Programs, Pre-Physician Therapy- West Shore Community College/Life EMS = EMS Programs- Mid Michigan College = Radiology Technician Students- Baker College, Muskegon = Surgical Scrub Technician Program, Medical Records Program, EMS, Phlebotomy Program, Pharmacy Program, Sterile Processing Program, Physical and Occupational Therapy Assistant- Baker College, Cadillac = Surgical Scrub Technician Program, EKG/Pulmonary Programs, Social Work, EMS- Muskegon Community College = Phlebotomy Program, Respiratory Therapy- Olympia Career Institute = Nursing Assistant Program- Central Michigan University = Physical Therapy Program, Food Services Administration, Physician Assistant Program- Grand Valley State University = Pre-physical Therapy/Physical Therapy, Occupational Therapy, Laboratory Technician, Nursing, Social Work- Ludington and Mason County Area Schools = Careers in Healthcare Program- Ross Medical Student Training Program = Medical Assistant Program- Mason-Lake ISD = Allied Health Programs- Western Michigan University = Physician Assistant Program- Shelby Public Schools = Michigan Works Program for Adults- Michigan State University = Social Work, Nurse Practitioner- Ferris State University = Healthcare Administration, Allied Health, Medical Transcription, Medical Coding, Nursing, Nuclear Medicine, Ultrasound, Pharmacy, Phlebotomy, Health Information- Michigan Tech = Pre-Laboratory- Davenport University = Allied Health/Health Information Management- Ingham Medical Education = Physician Residency Program- Numerous Job Shadowing Experiences = for High School through College Level Students Throughout the Hospital- Phlebotomy Education Inc. = Phlebotomy- Orchard View Business and Industry Workforce = Medical AssistantSPEAKERS BUREAU:- Topics and Speakers Listing available upon request- Lectures for area Agencies done on health related subjects on a request basis by Home Care, Education, Dietitian, Cardiac Rehab, Medical/Surgical, and E.R. staff.</Description>
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      <Form990PartVIISectionA>
        <NamePerson>JAMES WOOD</NamePerson>
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      <ContractorCompensation>
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      <ContractorCompensation>
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      <OtherExpenses>
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        <TotalCommunityBuildingExpense>431300</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>431300</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </Other>
      <Total>
        <NumberOfActivitiesOrPrograms>874</NumberOfActivitiesOrPrograms>
        <PersonsServed>31491</PersonsServed>
        <TotalCommunityBuildingExpense>431300</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>431300</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1319163</BadDebtExpenseAmount>
      <AmountAttributableTo>132000</AmountAttributableTo>
      <AmountReimbursedByMedicare>17456914</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>17303659</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>153255</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER OF WEST MICHIGAN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>ONE ATKINSON DRIVE</AddressLine1>
          <City>LUDINGTON</City>
          <State>MI</State>
          <ZIPCode>49431</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MEMORIAL FAMILY CARE CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2481 N 72 AVE</AddressLine1>
          <City>HART</City>
          <State>MI</State>
          <ZIPCode>49420</ZIPCode>
        </Address>
        <Other>PHYSICIAN OFFICE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>Part I, Line 3c: MEMORIAL MEDICAL CENTER DOES NOT CURRENTLY HAVE A SELF-PAY DISCOUNT.</IncomeBasedCriteria>
        <CostingMethodUsed>Part I, Line 7: A COST TO CHARGE RATIO, DERIVED FROM WORKSHEET 2, IS USED.</CostingMethodUsed>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25A - BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE COLUMN F PERCENTAGE EQUALS $3,773,653.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: ACCOUNTS RECEIVABLE FINANCIAL STATEMENT FOOTNOTE:AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE CENTER'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.BAD DEBT AT COST, $1,319,163, IS CALCULATED BASED ON A COST TO CHARGE RATIO.UNDER THE CURRENT POLICY, THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, $132,000, IS EQUAL TO APPROXIMATELY 10 PERCENT OF BAD DEBT EXPENSE AT COST. THE HOSPITAL IS IN THE PROCESS OF UPDATING ITS CURRENT CHARITY CARE POLICY TO BETTER TRACK ACCOUNTS THAT SHOULD BE CLASSIFIED AS CHARITY.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: THE HOSPITAL IS A LICENSED MEDICARE AND MEDICAID PROVIDER WITH APPROXIMATELY 67% OF ITS PATIENT BASE QUALIFYING FOR ONE OF THESE TWO PROGRAMS. AT PRESENT, THE REIMBURSEMENT RATES FOR BOTH PROGRAMS DO NOT FULLY COVER THE COST OF PROVIDER CARE TO THESE PATIENTS. THIS REPRESENTS THE ESTIMATED "SHORTFALL" CREATED WHEN A FACILITY RECEIVES PAYMENTS BELOW THE COSTS OF TREATING MEDICARE AND MEDICAID BENEFICIARIES. THE COST TO CHARGE RATIO METHOD IS USED.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: ALL PATIENTS/GUARANTORS WITH A BALANCE FOR CARE PROVIDED ARE SENT A LETTER REGARDING THE BALANCE. A STATEMENT IS THEN SENT AFTER 30 DAYS. A SECOND STATEMENT IS SENT IF THERE IS A REMAINING BALANCE. IF NO PAYMENT IS RECEIVED AFTER THE THIRD NOTIFICATION THE ACCOUNT IS SENT TO PRE-COLLECTION STATUS. A FINAL LETTER IS SENT TO THE PATIENT/GUARANTOR IF NOTHING HAS BEEN RECEIVED. IF THERE IS NO RESPONSE THEN THE ACCOUNT IS SENT TO COLLECTIONS. IF A PAYMENT IS RECEIVED AT ANY TIME DURING THIS PROCESS THE PROCESS IS REPEATED UNTIL THE ACCOUNT IS PAID IN FULL OR IT IS SENT TO A COLLECTION AGENCY.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>Part V:</NumberOfFacilityTypeExpln>
        <NeedsAssessment>Part VI, Line 2: THE MASON COUNTY HEALTH DEPARTMENT CONDUCTS A HEALTH NEEDS ASSESSMENT OF THE COMMUNITY. MEMORIAL MEDICAL CENTER THEN WORKS ALONG SIDE THE HEALTH DEPARTMENT TO ANALYZE THOSE NEEDS TO ENSURE THAT THOSE NEEDS ARE BEING MET.</NeedsAssessment>
        <PatientEducationAssistance>Part VI, Line 3: MEMORIAL MEDICAL CENTER PATIENTS HAVE A HOSPITAL FINANCIAL COUNSELOR THAT THEY MEET WITH. DURING THAT MEETING THE PATIENTS ARE INTERVIEWED TO ASSESS THEIR FINANCIAL ABILITY OR ASSISTANCE NEEDS. THEY ARE INFORMED AT THAT TIME IF THEY MAY BE POSSIBLE CANDIDATES FOR FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR THE HOPITAL'S CHARITY CARE PROGRAM.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: MEMORIAL MEDICAL CENTER SERVES A RURAL COMMUNITY THAT IS LOCATED ON THE COAST OF LAKE MICHIGAN. BECAUSE THE LOCATION IS A SEASONAL TOURIST ATTRACTION THE POPULATION OF THE COMMUNITY SIGNIFICANTLY CHANGES WITH THE SEASONS. ALSO SEASONALLY DRIVEN, BECAUSE OF THE AGRICULTURAL EMPLOYMENT OPPORTUNITIES, IS A MIGRANT POPULATION. A LARGE PART OF THE HOSPITAL PATIENTS ARE COVERED BY EITHER MEDICARE OR MEDICAID.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: MEMORIAL MEDICAL CENTER PARTICIPATES IN A MULTITUDE OF COMMUNITY BUILDING ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITY SUCH AS SEVERAL HEALTH FAIRS, BLOOD DRIVES, PRENATAL AND CHILDBIRTH EDUCATION, NUTRITION EDUCATION WITH LOCAL SCHOOLS AND SPORTS GROUPS, EDUCATIONAL PRESENTATIONS RELATED TO MEDICATIONS AND INTERACTIVE HEALTH LIBRARY FOR PUBLIC EDUCATION, DISTRIBUTES COMMUNITY HEALTH NEWSLETTERS, PROVIDES DIABETES TESTING AND COMMUNITY EVENTS, AND ASSIST WITH MANY DIFFERENT SUPPORT GROUPS.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: NONE</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: N/A</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>MI</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: WHEN GRANTS ARE GIVEN TO PUBLIC CHARITIES, THE HOSPITAL REVIEWS EACH ORGANIZATION TO ENSURE THAT THEY ARE EXEMPT.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanions>X</TravelForCompanions>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>MARK VIPPERMAN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>257498</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7270</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25601</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6736</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>297105</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>BRUNO BETTIN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>167456</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11748</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6338</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>185542</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>TIMOTHY HEINRICH</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>197834</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38500</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6538</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>242872</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>MICHAEL GUNBERG</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>163766</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8291</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6270</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>178327</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>JOHN COONEY DO</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>153143</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10793</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6302</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170238</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>TRAVEL FOR COMPANIONS: MARK VIPPERMAN, ALLOWED FOR IN HIS EMPLOYEMENT CONTRACT. TREATED AS TAXABLE COMPENSATION. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES: MARK VIPPERMAN AND BOB JOHNSON, LINCOLN HILLS DUES. BOB JOHNSON, ROTARY CLUB DUES. MARK VIPPERMAN, TIM HEINRICH, HELEN JOHNSON, BOB JOHNSON, ECONOMIC CLUB OF WEST MICHIGAN DUES. SOCIAL CLUB DUES ARE NOT TREATED AS TAXABLE COMPENSATION. THE ONLY REASON THE STAFF MEMBERS OBTAIN A MEMBERSHIP TO THE LOCAL SOCIAL CLUBS, IS SO MEMORIAL MEDICAL CENTER CAN USE THE SOCIAL CLUB FACILITIES FOR HOSPITAL SPONSORED EVENTS SUCH AS THE BENEFIT BALL, EMPLOYEE SERVICE AWARDS DINNER, ETC. THE MEMBERSHIP WAS NOT UTILIZED FOR PERSONAL BENEFIT. MEMORIAL MEDICAL CENTER DOES NOT PAY FOR HEALTH CLUB DUES.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE 990 IS PLACED ON THE AGENDA FOR THE BOARD MEETING AND EACH BOARD MEMBER HAS A CHANCE TO REVIEW THE 990 AND THEN ASK QUESTIONS REGARDING DATA WITHIN THE FORM BEFORE IT IS FILED. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE HOSPITAL HAS THE OFFICERS AND TRUSTEES OF THE BOARD SIGN A DOCUMENT DISCLOSING THEIR CONFLICTS OF INTEREST. THE DOCUMENTS ARE REVIEWED ONCE A YEAR BY THE BOARD MEMBERS AND THEY WOULD DETERMINE WHETHER A CONFLICT EXISTS. ANY PERSON WHO IS DEEMED TO HAVE A CONFLICT OF INTEREST WOULD BE PROHIBITED FROM PARTICIPATING IN ANY DELIBERATION AND DECISIONS REGARDING THE RELATED TRANSACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15a</Identifier>
        <Explanation>ONCE A YEAR THE BOARD EXECUTIVE COMMITTEE REVIEWS THE CEO'S EMPLOYMENT AND PERFORMANCE AND RECOMMENDS TO THE FULL BOARD A CONTINUATION OF EMPLOYMENT AND ANY COMPENSATION INCREASES OR CHANGES. MEMORIAL MEDICAL CENTER'S HUMAN RESOURCES DIRECTOR COMPILES COMPARABILITY DATA FROM A NUMBER OF DIFFERENT COMPENSATION SURVEYS, THE BOARD COMPLETES AN EVALUATION FORM ON THE CEO'S PERFORMANCE, HUMAN RESOURCES COMPILES ALL OF THE DATA FROM THE SURVEYS AND PROVIDES THAT DATA - ALONG WITH THE COMPENSATION COMPARABILITY DATA TO THE BOARD. THIS WAS LAST PERFORMED IN NOVEMBER 2009. THE REVIEW FOR THE CEO'S 10/01/09 - 09/30/10 PERFORMANCE AND THE REVIEW OF COMPENSATION COMPARABILITIY DATA TO DETERMINE THE NEXT FISCAL YEARS OFFICER COMPENSATION WAS PERFORMED AT THE 12/14/2010 BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI, LINE 2C</Identifier>
        <Explanation>NO CHANGES FROM PRIOR YEAR</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART X:</Identifier>
        <Explanation>FOR TAX RETURN PURPOSES, PREPAID PENSION HAS BEEN CLASSIFIED AS AN ASSET VERSUS NETTING AGAINST THE PENSION LIABILITY. DUE TO THIS, BALANCE SHEET ASSETS AND LIABILITIES ON THE 990 ARE HIGHER THAN THE AUDITED FINANCIAL STATEMENTS BY $7,887,156 AND $6,596,573 AS OF SEPTEMBER 30, 2010 AND 2009, RESPECTIVELY.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>