MYMICHIGAN MEDICAL CENTER CLARE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER CLARE (EIN 38-1518643)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201101369349300345
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T08:22:37-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 GRATIOT RD | AddressLine1 |
| City | SAGINAW | City |
| State | MI | State |
| ZIP Code | 486386035 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381518643 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER - CLARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MIDM | NameControl |
| Phone | 9898393301 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 703 NORTH MCEWAN STREET | AddressLine1 |
| City | CLARE | City |
| State | MI | State |
| ZIP Code | 48617 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELIZABETH A MINBIOLE | Name |
| Title | CORPORATE CONTROLLER | Title |
| Phone | 9898393301 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAURA M EBEL | Name |
| Phone | 9894975300 | Phone |
| Date Prepared | 2011-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LAWRENCE BARCO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 703 NORTH MCEWAN STREET | AddressLine1 |
| City | CLARE | City |
| State | MI | State |
| ZIP Code | 48617 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 55480356 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.MIDMICHIGAN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | OUR MISSION IS 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 407 | TotalNbrEmployees |
| Total Nbr Volunteers | 126 | TotalNbrVolunteers |
| Total Gross UBI | 25670 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 1279 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 51562 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 66093 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 44871426 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 42767444 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 529196 | InvestmentIncomePriorYear |
| Investment Income Current Year | 985830 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 321568 | OtherRevenuePriorYear |
| Other Revenue Current Year | 528625 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 45773752 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44347992 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18573466 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 17627924 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27420800 | OtherExpensePriorYear |
| Other Expenses Current Year | 25249919 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 45994266 | TotalExpensesPriorYear |
| Total Expenses Current Year | 42877843 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -220514 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1470149 | RevenuesLessExpensesCY |
| Total Assets BOY | 40006010 | TotalAssetsBOY |
| Total Assets EOY | 42225655 | TotalAssetsEOY |
| Total Liabilities BOY | 18828005 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18216278 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21178005 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24009377 | NetAssetsOrFundBalancesEOY |
| Mission Description | OUR MISSION IS 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 36240052 | Expense |
| Revenue | 42767444 | Revenue |
| Description | MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,925 PATIENT ADMISSIONS AND 98,287 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2010. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY. | Description |
| Total Program Service Expense | 36240052 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 34 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 407 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ELIZABETH A MINBIOLE CONTROLLER | NamePerson |
| Telephone Number | 9898393301 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4005 ORCHARD DRIVE | AddressLine1 |
| City | MIDLAND | City |
| State | MI | State |
| ZIP Code | 48670 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| RICHARD REYNOLDS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 716369 | 54802 | |||
| TOM CLARINGBOLD DO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 327169 | 23516 | |||
| SAMUEL CROSS II MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 278075 | 20706 | |||
| LAWRENCE BARCO | ||||||||
| PRESIDENT | 50.00 | X | 213948 | 0 | 20447 | X | ||
| ROBERT VANDERBROOK MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 195644 | 13786 | |||
| RAJANI MALLICK MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 156104 | 15141 | |||
| MICHAEL BEADLE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| POLLY COLLOM | ||||||||
| VICE CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| MIKE JENKINS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JEFF PUNCHES | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID REECE | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DON RICHARDS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CARL SCHWIND | ||||||||
| CHAIR | 2.00 | X | 0 | 0 | 0 | |||
| DAN TIMMINS | ||||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | |||
| RON VERCH | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | |||
| VICTOR MORGAN | ||||||||
| CONTROLLER | 50.00 | 0 | 110999 | 14854 | X | |||
| RUSSELL RADER | ||||||||
| ANESTHESIOLO | 50.00 | 206214 | 0 | 18848 | X | |||
| WILLIAM GROVES | ||||||||
| CRNA | 50.00 | 198014 | 0 | 17556 | X | |||
| GLENN KING | ||||||||
| VP | 50.00 | 131248 | 0 | 18203 | X | |||
| JAMES HUNT | ||||||||
| NURSING SUPE | 50.00 | 101109 | 0 | 4405 | X | |||
| PENNY PARSONS | ||||||||
| ASST VP | 50.00 | 100643 | 0 | 5293 | X | |||
| RAYMOND STOVER | ||||||||
| FORMER CONTR | 0 | 182397 | 32512 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 951176 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1966757 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 244696 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOSPITALIST PHYS MED GROUP OF MI | |||||
| 2000 GREEN RD SUITE 300 | ANN ARBOR | MI | 48105 | PHYSICIAN SVCS | 1096491 |
| MAYO COLLABORATIVE SERVICE INC | |||||
| 201 1ST ST SW | ROCHESTER | MN | 55905 | REFERENCE LAB | 178142 |
| MUNOZ ANESTHESIA STAFFING INC | |||||
| 2313 PHILLIPS AVE | BERKLEY | MI | 48072 | LOCUM CRNAS | 173533 |
| SOURCECORP HEALTHSERVE RAD INC | |||||
| PO BOX 142589 DRAWER 9039 | IRVING | TX | 750142589 | TELERADIOLOGY | 148667 |
| EMERG PHYSICIANS MEDICAL | |||||
| 2000 GREEN RD SUITE 300 | ANN ARBOR | MI | 48105 | ER ADMIN | 120000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| All Other Contributions | 66093 | AllOtherContributions |
| Total Contributions | 66093 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 621990 | 24107851 | 24107851 | |
| NET PATIENT REVENUE | 621990 | 18629423 | 18629423 | |
| LABORATORY OPERATIONS | 621500 | 25670 | 25670 | |
| CONTRACTED CLINICAL SERVICES | 621990 | 4500 | 4500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 42767444 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 441848 | TotalRevenueColumn |
| Exclusion | $441,848 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28 | TotalRevenueColumn |
| Exclusion | $28 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11676318 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11119153 | Securities |
| Other | 13211 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 557165 | Securities |
| Other | -13211 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 543954 | TotalRevenueColumn |
| Exclusion | $543,954 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| AFFILIATE RELATED INCOME | 900099 | 342789 | 342789 | |
| CAFETERIA/FOOD SERVICE | 722210 | 81463 | $81,463 | |
| OUTSIDE INCOME | 900099 | 26180 | 26180 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 78193 | TotalRevenueColumn |
| Related Or Exempt Function Income | 78193 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 528625 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44347992 | TotalRevenueColumn |
| Related Or Exempt Function Income | 43188936 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 25670 | UnrelatedBusinessRevenue |
| Exclusion | $1,067,293 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220656 | Total |
| Program Services | 110328 | ProgramServices |
| Management And General | 110328 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13937345 | Total |
| Program Services | 12848805 | ProgramServices |
| Management And General | 1088540 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 537811 | Total |
| Program Services | 491458 | ProgramServices |
| Management And General | 46353 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1925642 | Total |
| Program Services | 1792216 | ProgramServices |
| Management And General | 133426 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1006470 | Total |
| Program Services | 917892 | ProgramServices |
| Management And General | 88578 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713 | Total |
| Management And General | 1713 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16570 | Total |
| Management And General | 16570 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39169 | Total |
| Management And General | 39169 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6596400 | Total |
| Program Services | 4425425 | ProgramServices |
| Management And General | 2170975 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20319 | Total |
| Program Services | 1845 | ProgramServices |
| Management And General | 18474 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5120793 | Total |
| Program Services | 4853989 | ProgramServices |
| Management And General | 266804 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 721025 | Total |
| Program Services | 12030 | ProgramServices |
| Management And General | 708995 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27289 | Total |
| Program Services | 24279 | ProgramServices |
| Management And General | 3010 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1476069 | Total |
| Program Services | 1032856 | ProgramServices |
| Management And General | 443213 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44636 | Total |
| Program Services | 39319 | ProgramServices |
| Management And General | 5317 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36817 | Total |
| Program Services | 33360 | ProgramServices |
| Management And General | 3457 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580286 | Total |
| Program Services | 25 | ProgramServices |
| Management And General | 580261 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2030635 | Total |
| Program Services | 1289927 | ProgramServices |
| Management And General | 740708 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53865 | Total |
| Management And General | 53865 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UNCOMPENSATED SERVICES | 4601861 | 4601861 | |
| PHYSICIAN SUBSIDY | 2824229 | 2706194 | 118035 |
| QAAP FEES | 1058243 | 1058243 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42877843 | Total |
| Program Services | 36240052 | ProgramServices |
| Management And General | 6637791 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 853 | BOY |
| EOY | 1495 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6865085 | BOY |
| EOY | 314414 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3402329 | BOY |
| EOY | 3655245 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20191 | BOY |
| EOY | 10669 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 554694 | BOY |
| EOY | 492492 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30119883 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15707065 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15972245 | BOY |
| EOY | 14412818 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3925532 | BOY |
| EOY | 4825228 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9039403 | BOY |
| EOY | 18308681 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225678 | BOY |
| EOY | 204613 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40006010 | BOY |
| EOY | 42225655 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3751505 | BOY |
| EOY | 4309133 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11204795 | BOY |
| EOY | 10825143 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 600000 | BOY |
| EOY | 550000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3271705 | BOY |
| EOY | 2532002 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18828005 | BOY |
| EOY | 18216278 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21170770 | BOY |
| EOY | 24003712 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7235 | BOY |
| EOY | 5665 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21178005 | BOY |
| EOY | 24009377 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40006010 | BOY |
| EOY | 42225655 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1826668 | OtherCostOrOtherBasis |
| Book Value | 1826668 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14259517 | OtherCostOrOtherBasis |
| Depreciation | 6854653 | Depreciation |
| Book Value | 7404864 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 771366 | OtherCostOrOtherBasis |
| Depreciation | 445799 | Depreciation |
| Book Value | 325567 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13250807 | OtherCostOrOtherBasis |
| Depreciation | 8406613 | Depreciation |
| Book Value | 4844194 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11525 | OtherCostOrOtherBasis |
| Book Value | 11525 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14412818 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER FINANCIAL INVESTMENTS | Description |
| Book Value | 18308681 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 18308681 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURANCE, OTHER | $2,238,703 |
| INTERCOMPANY LOANS | $293,299 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2532002 | TotalOfAmounts |
| Total Revenue | 44347992 | TotalRevenue |
| Total Expenses | 42877843 | TotalExpenses |
| Excess Or Deficit For Year | 1470149 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1059008 | NetUnrealizedGLOnInvestments |
| Other | $302,215 | OtherAmount |
| Total Adjustments | 1361223 | TotalAdjustments |
| Excess Or Deficit Per FS | 2831372 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45426801 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1059008 | NetUnrealizedGainsInvestments |
| Other Revenues | 45757 | OtherRevenues |
| Revenue Not Rptd F990 | 1104765 | RevenueNotRptdF990 |
| Revenue Subtotal | 44322036 | RevenueSubtotal |
| Investment Expenses Not Included | 39167 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | -13211 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 25956 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 44347992 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 42919550 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 80874 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 80874 | ExpensesNotRptdF990 |
| Expenses Subtotal | 42838676 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 39167 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 39167 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 42877843 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -21,906 NET ASSETS RELEASED FROM RESTRICTIONS 67,663 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 13,211 NET ASSETS RELEASED FROM RESTRICTIONS -67,663 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -13,211 |
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -21,906 NET ASSETS RELEASED FROM RESTRICTIONS 67,663 |
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -13,211 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 2D | NET ASSETS RELEASED FROM RESTRICTIONS 67,663 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 13,211 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 407360 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 407360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 6910361 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4093740 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2816621 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06570 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 7317721 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4093740 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3223981 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07520 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 190 | NumberOfActivitiesOrPrograms |
| Persons Served | 45239 | PersonsServed |
| Total Community Benefit Expense | 219194 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 178874 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 135 | PersonsServed |
| Total Community Benefit Expense | 63587 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 63587 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 37 | NumberOfActivitiesOrPrograms |
| Persons Served | 311 | PersonsServed |
| Total Community Benefit Expense | 30321 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 30321 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 240 | NumberOfActivitiesOrPrograms |
| Persons Served | 45685 | PersonsServed |
| Total Community Benefit Expense | 313102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40320 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 272782 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 242 | NumberOfActivitiesOrPrograms |
| Persons Served | 45685 | PersonsServed |
| Total Community Benefit Expense | 7630823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4134060 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3496763 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08160 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 302 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 302 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 6199 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6199 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 18554 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 18554 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 25055 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 25055 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,853,745 | BadDebtExpenseAmount |
| Amount Attributable To | 90478 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 13205453 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14272774 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1067321 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||||
| 703 N MCEWAN ST | CLARE | MI | 486171440 | X |
| MIDMI MEDICAL CENTER-CLARE REHAB SV | ||||
| 231 SOUTH FIRST STREET | HARRISON | MI | 48625 | |
| MIDMI HEALTH PARK-HOUGHTON LAKE | ||||
| 9249 W LAKE CITY ROAD | HOUGHTON LAKE | MI | 48629 | |
| MIDMICHIGAN URGENT CARE-CLARE | ||||
| 700 WEST FIFTH ST | CLARE | MI | 48617 | |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Footnote | 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 COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. 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: OUR COLLECTIONS AGENTS INACTIVATE ACCOUNTS WHEN THEY FIND THERE ARE NO ASSETS AND/OR NO EMPLOYMENT. THIS CRITERIA WAS USED TO ESTIMATE HOW MANY ACCOUNTS IN BAD DEBT MIGHT HAVE QUALIFIED FOR CHARITY CARE. OUR ORGANIZATION PROVIDES MEDICAL CARE TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THIS INCLUDES THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT CHOOSE NOT TO PARTICIPATE IN THE PROGRAM, AND THOSE WHO CHOOSE FOR ANY NUMBER OF OTHER REASONS NOT TO PAY. THESE PERSONS CAN BE SERVED REPEATEDLY WITHIN OUR SYSTEM AND ARE NEVER TURNED AWAY EVEN IF IT IS REASONABLY ASSURED THAT PAYMENT WILL NEVER BE RECEIVED. | BadDebtFootnote |
| Shortfall As Community Benefit | THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES 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 COST-TO-CHARGE RATIO METHOD. THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 2,530,029 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2010. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S 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 AID/CHARITY 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 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. ALL INTEREST FEES CHARGED DURING THIS TIME PERIOD ARE PAID BY MIDMICHIGAN HEALTH. | DebtCollectionPolicy |
| Needs Assessment | MIDMICHIGAN MEDICAL CENTER-CLARE 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) 2006-2008 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 HIV/AIDS; LUNG CANCER; SEXUALLY TRANSMITTED DISEASES; NATIONAL CENTER FOR HEALTH STATISTICS-MENTAL 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 U.S. 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). (ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED: BASED UPON HIGHER THAN AVERAGE STROKE RATES, WE PROVIDE LOW-COST 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). | NeedsAssessment |
| Patient Education Assistance | MIDMICHIGAN MEDICAL CENTER-CLARE 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 LOW-COST 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 FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. | PatientEducationAssistance |
| Community Information | MIDMICHIGAN MEDICAL CENTER-CLARE'S PRIMARY SERVICE AREA IS COMPRISED OF 4 ZIP CODES WHICH CAPTURE ALL OF CLARE COUNTY. MIDMICHIGAN MEDICAL CENTER-CLARE IS THE ONLY HOSPITAL IN CLARE COUNTY. CLARE COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2010 % OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE --------------------------------------------------------------------------- 32,469 19.1% 45,960 13,420 41.0 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 96.4% 0.3% 0.9% 1.6% 0.6% | CommunityInformation |
| Community Building Activities | MIDMICHIGAN MEDICAL CENTER - CLARE (CLARE) EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE BEHAVIORAL RISK FACTOR SURVEY (FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED), ACCESS TO CARE, AND SUBSTANCE ABUSE PREVENTION. CLARE IS REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS. EMPLOYEES ALSO PARTICIPATE IN COMMITTEES ENGAGED IN IMPROVING THE HEALTH OF THE COMMUNITY LIKE THE "TOGETHER WE CAN" ADVISORY COMMITTEE WHICH INVOLVES CLARE, ISABELLA AND GLADWIN COUNTY. 18,554 WAS SPENT FOR RECRUITMENT OF PHYSICIANS FOR CLARE, WHICH HAS BEEN IDENTIFIED BY THE GOVERNMENT AS A MEDICALLY UNDERSERVED AREA. | CommunityBuildingActivities |
| Other Information | OUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. CLARE 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. | OtherInformation |
| Affiliated Health Care System | 6.1 MILLION WAS PROVIDED BY MIDMICHIGAN HEALTH FOR COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES IN FISCAL 2010 THROUGH COMMUNITY EDUCATION PROGRAMS, FREE OR LOW COST HEALTH CARE SCREENINGS, HEALTH FAIRS AND PHYSICIAN/PROVIDER EXPERTISE. LOW-COST HEALTH FAIRS CLOSE TO HOME ARE MORE IMPORTANT THAN EVER WHEN TIMES GET TOUGH. THESE POPULAR EVENTS OFFER SCREENING FOR DIABETES, HIGH BLOOD PRESSURE, CHOLESTEROL, OSTEOPOROSIS AND OTHER HEALTH CONCERNS, ENABLING PHYSICIANS AND OTHER HEALTH PROVIDERS TO REACH CITIZENS BEFORE THEY BECOME PATIENTS. 125 HEALTH FAIRS HELD THROUGHOUT THE REGION DREW 11,444 PEOPLE LAST YEAR. MIDMICHIGAN HEALTH HAS A UNIQUE PARTNERSHIP WITH THE GREAT LAKES LOONS, A MINOR LEAGUE BASEBALL TEAM LOCATED IN MIDLAND, MI. PARTNERS SINCE THE TEAM BEGAN IN 2007, MIDMICHIGAN HEALTH SPONSORS A NUMBER OF HEALTH AND WELLNESS RELATED EVENTS AND ACTIVITIES THROUGHOUT THE SEASON INCLUDING OFFERING HEALTHY STADIUM MENU OPTIONS, GOOD FOR YOU LIFESTYLE EDUCATION AND HEALTH SCREENINGS AT SEVERAL LOONS GAMES LAST YEAR. THE TRAINING ROOM, A WEEKLY LOONS RADIO SHOW, WAS LAUNCHED IN 2008. THE SHOW FOCUSES ON THE LATEST ADVANCES IN MEDICAL SCIENCE AND SPORTS MEDICINE, TIPS TO IMPROVE HEALTH AND ATHLETIC PERFORMANCE, AND FEATURES INTERVIEWS WITH MEDICAL EXPERTS FROM MIDMICHIGAN. MORE THAN 110 MEN'S HEALTH TOPICS WERE EXPLORED BY AS MANY MIDMICHIGAN SPECIALISTS. EMPLOYEES ACROSS MIDMICHIGAN HEALTH SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND, THE CHILDHOOD OBESITY PREVENTION INITIATIVE IN ALMA AND THE HOMELESSNESS STUDY. MIDMICHIGAN MEDICAL CENTER - MIDLAND 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. THE COMMUNITY EDUCATION COORDINATOR FOR MIDLAND IS CO-CHAIR OF THE "HEALTHY CITIES" GROUP OF MIHIA. THE HEALTHY CITIES GROUP IS A COLLABORATION OF BUSINESS, COMMUNITY RECREATION, CITY GOVERNMENT, PUBLIC HEALTH AND PUBLIC SCHOOLS IN MIDLAND WHOSE GOAL IS TO PROVIDE ACCESSIBLE, AFFORDABLE EQUITY IN HEALTH AND EFFECTIVE PROGRAMS, SERVICES AND ENVIRONMENTAL SUPPORT TO IMPROVE INDIVIDUAL HEALTH STATUS, RESULTING IN OPTIMAL HEALTH OUTCOMES FOR ALL RESIDENTS. THROUGH THE LOOK GOOD FEEL BETTER PROGRAM, CO-SPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY, MIDMICHIGAN MEDICAL CENTER - MIDLAND OFFERS SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS. MIDMICHIGAN HEALTH PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNING/WALKING EVENTS. MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUN/WALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983. GRATIOT MEDICAL CENTER HAS ALSO BEEN INVOLVED WITH THE MAPLE SYRUP RUN AND FESTIVAL SINCE 2000. BOTH MIDLAND AND GRATIOT HAVE PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THESE EVENTS FOR THE PAST THREE YEARS. IN PARTNERSHIP WITH THE ALMA SCHOOLS INITIATIVE, GRATIOT MEDICAL CENTER PROVIDED INDOOR FITNESS TRAILS TO INCREASE ACTIVITY LEVELS OF STUDENTS AND ULTIMATELY PREVENT CHILDHOOD OBESITY. ADDITIONALLY, SCHOOL HEALTH FAIRS PROVIDED STUDENTS BLOOD SUGAR, CHOLESTEROL, BLOOD PRESSURE AND BODY MASS INDEX CHECKS, AND TAUGHT THE BENEFITS OF EXERCISE TO BUILD CARDIOVASCULAR AND MUSCLE STRENGTH. THESE COLLABORATIONS BETWEEN GRATIOT MEDICAL CENTER AND LOCAL SCHOOLS BENEFIT STUDENTS, PARENTS AND TEACHERS, RESULTING IN MEASURABLE IMPROVEMENT IN THE HEALTH STATUS OF OUR CHILDREN. 705 STUDENTS ATTENDED HEALTH FAIRS IN ALMA, ASHLEY, BRECKENRIDGE, SHEPHERD AND ST. LOUIS PARTNERING ALSO ALLOWS US TO OFFER SPECIALIZED PROGRAMS TO TRADITIONALLY UNDER-SERVED GROUPS, E.G. CHILDREN'S MENTAL HEALTH. CAMP WARM HEARTS, A JOINT VENTURE BETWEEN MIDMICHIGAN HOME CARE AND HOSPICE OF HELPING HANDS, PROVIDES A WEEKEND WINTER CAMP FOR CHILDREN, 5 TO 15, WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. THE CAMP HAS HOSTED 214 CHILDREN ACROSS 12 COUNTIES THROUGHOUT THE MIDDLE OF MICHIGAN THROUGHOUT THE PAST FIVE YEARS. | AffiliatedHealthCareSystem |
| Reports Filed With States | MI | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD REYNOLDS | |||||||||||
| 482757 | 225000 | 8612 | 39526 | 15276 | 771171 | ||||||
| TOM CLARINGBOLD DO | |||||||||||
| 261871 | 64758 | 540 | 9527 | 13989 | 350685 | ||||||
| SAMUEL CROSS II MD | |||||||||||
| 272441 | 5099 | 535 | 6999 | 13707 | 298781 | ||||||
| LAWRENCE BARCO | |||||||||||
| 191356 | 22592 | 5304 | 15143 | 234395 | |||||||
| ROBERT VANDERBROOK MD | |||||||||||
| 154739 | 40446 | 459 | 10 | 13776 | 209430 | ||||||
| RAJANI MALLICK MD | |||||||||||
| 141170 | 14624 | 310 | 10 | 15131 | 171245 | ||||||
| RUSSELL RADER | |||||||||||
| 179023 | 12191 | 4428 | 14420 | 225062 | 15000 | ||||||
| WILLIAM GROVES | |||||||||||
| 176670 | 10424 | 3659 | 13897 | 215570 | 10920 | ||||||
| RAYMOND STOVER | |||||||||||
| 130698 | 38000 | 13699 | 17337 | 15175 | 214909 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | PENNY PARSONS 71,312 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. THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO AND ALL OPERATING OFFICERS AND REVIEWED COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS APPROVED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS. BEGINNING IN FISCAL 2011 ALL COMPENSATION WILL BE APPROVED BY THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS. |
| 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. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS IS A PARTICIPANT IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2009. 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. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | OUR MISSION IS 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. |
| 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 11 | 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 SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE CORPORATE CONTROLLER AND THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 WILL BE REVIEWED BY THE AUDIT AND COMPENSATION COMMITTEES. FORMS WILL BE MADE AVAILABLE ON A SECURE WEBSITE WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE CORPORATE CONTROLLER OR SVP AND TREASURER. THE RESULTS OF ALL THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER 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. BEGINNING IN FISCAL 2011, THE SIGNED FORMS WILL BE REVIEWED BY THE NEWLY ESTABLISHED GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | ALL CEO AND OPERATING OFFICER COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN TAKEN FOR APPROVAL AND IS ACCEPTED OR LOWERED 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. |
| CHANGE IN FINANCIAL REVIEW PROCESS | FORM 990, PAGE 11, PART XI, LINE 2C | THE MIDMICHIGAN HEALTH CONSOLIDATED FINANCIAL STATEMENTS ARE REVIEWED BY THE MIDMICHIGAN HEALTH AUDIT COMMITTEE PRIOR TO ISSUANCE OF THE AUDIT REPORT. |
| ADDITIONAL INFORMATION | SCHEDULE O | FORM 990, 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. FORM 990, PART IV, LINE 24A - ALTHOUGH THIS ORGANIZATION HAS REPORTED A TAX EXEMPT BOND LIABILITY ON ITS BALANCE SHEET, SCHEDULE K HAS NOT BEEN COMPLETED AS THE MAJORITY OF THE BOND ISSUE IS THE LIABILITY OF MIDMICHIGAN MEDICAL CENTER - MIDLAND, A RELATED TAX-EXEMPT ORGANIZATION. THEREFORE, THE ENTIRE BOND ISSUE HAS BEEN REPORTED ON SCHEDULE K OF THE RELATED ORGANIZATION. FORM 990, PART VII, SECTION A - 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. 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. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| MIDMICHIGAN HEALTH | |||||||||
| 4005 ORCHARD DRIVE | MIDLAND | MI | 48670 | 382459948 | SUPPORT | MI | 501 | 11A | NA |
| MIDMICHIGAN MEDICAL CENTER-MIDLAND | |||||||||
| 4005 ORCHARD DRIVE | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501 | 3 | MIDMI HLTH |
| GRATIOT MEDICAL CENTER | |||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501 | 3 | MIDMI HLTH |
| MIDMICHIGAN MEDICAL CENTER-GLADWIN | |||||||||
| 515 QUARTER STREET | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501 | 3 | MIDMI HLTH |
| MIDMICHIGAN STRATFORD VILLAGE | |||||||||
| 2121 ROCKWELL DR | MIDLAND | MI | 48642 | 382623324 | LT CARE | MI | 501 | 9 | MIDMI HLTH |
| MIDMICHIGAN GLADWIN PINES | |||||||||
| 449 QUARTER STREET | GLADWIN | MI | 48624 | 382754875 | LT CARE | MI | 501 | 9 | MIDMI HLTH |
| MIDMI VNA DBA MIDMICHIGAN HOME CARE | |||||||||
| 3007 N SAGINAW RD | MIDLAND | MI | 48640 | 381459397 | HOME EQUIP | MI | 501 | 9 | MIDMI HLTH |
| MIDMICHIGAN PHYSICIANS GROUP | |||||||||
| 4005 ORCHARD DRIVE | MIDLAND | MI | 48670 | 383317788 | MED OFFICE | MI | 501 | 11A | MIDMI HLTH |
| MIDMICHIGAN REGIONAL IMAGING | |||||||||
| 2618 N SAGINAW | MIDLAND | MI | 48670 | 352182295 | EQUIPMENT | MI | 501 | 9 | MIDMI HLTH |
| MIDMICHIGAN URGENT CARE | |||||||||
| 3009 N SAGINAW RD | MIDLAND | MI | 48640 | 205064848 | AMBULATORY | MI | 501 | 9 | MIDMI HLTH |
| MIDMICHIGAN HEALTH DEV ASSOC | |||||||||
| 4005 ORCHARD DRIVE | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501 | MIDMI HLTH | |
| REGIONAL DIALYSIS SERVICES | |||||||||
| PO BOX 608 | ALMA | MI | 48801 | 383120704 | DIALYSIS | MI | 501 | 11A | MIDMI HLTH |
| MIDMI MED CENTER-CLARE VOLUNTEERS | |||||||||
| 703 NORTH MCEWAN STREET | CLARE | MI | 48617 | 382944967 | SUPPORT | MI | 501 | 11A | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN ASSURANCE GROUP LTD | BusinessNameLine1 |
Address Foreign AddressForeign
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1051 23 LIME TREE BAY AVENUE | AddressLine1 |
| Address Line2 | GOVERNORS SQUARE BLDG 4 2ND FLOOR | AddressLine2 |
| Province Or State | GRAND CAYMAN | ProvinceOrState |
| Country | CJ | Country |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980585596 | EIN |
| Primary Activity | INSURANCE | PrimaryActivity |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountry |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMI HLTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | true | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MIDMICHIGAN PHYSICIANS GROUP | |
| C | 302216 |
| MIDMICHIGAN REGIONAL IMAGING | |
| J | 667980 |
| MIDMICHIGAN HEALTH DEV ASSOC | |
| J | 117547 |
| MIDMICHIGAN MEDICAL CENTER-MIDLAND | |
| O | 2390023 |
| GRATIOT MEDICAL CENTER | |
| O | 119619 |
| MIDMICHIGAN HEALTH | |
| O | 760956 |
| MIDMICHIGAN PHYSICIANS GROUP | |
| O | 2785694 |
| MIDMICHIGAN MEDICAL CENTER-MIDLAND | |
| P | 172247 |
| MIDMICHIGAN PHYSICIANS GROUP | |
| P | 75057 |
Comments