2011-05-16T08:22:37-05:00 2010-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2009-07-01 381518643 MIDMICHIGAN MEDICAL CENTER - CLARE MIDM 9898393301 703 NORTH MCEWAN STREET CLARE MI 48617 ELIZABETH A MINBIOLE 9898393301 2011-05-09 true LAURA M EBEL 9894975300 2011-05-09 2009 2016-02-24 21:20:13Z LAWRENCE BARCO 703 NORTH MCEWAN STREET CLARE MI 48617 55480356 false X WWW.MIDMICHIGAN.ORG X 1951 MI 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. 14 8 407 126 25670 1279 51562 66093 44871426 42767444 529196 985830 321568 528625 45773752 44347992 0 0 18573466 17627924 0 0 27420800 25249919 45994266 42877843 -220514 1470149 40006010 42225655 18828005 18216278 21178005 24009377 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. false false 36240052 42767444 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. 36240052 true true false false false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false true true true false true 34 0 true 407 true true true false false false false false false false false 14 8 false false false false true true true true true false false true true true true true true true true false X ELIZABETH A MINBIOLE CONTROLLER 9898393301 4005 ORCHARD DRIVE MIDLAND MI 48670 RICHARD REYNOLDS 2.00 X 0 716369 54802 TOM CLARINGBOLD DO 2.00 X 0 327169 23516 SAMUEL CROSS II MD 2.00 X 0 278075 20706 LAWRENCE BARCO 50.00 X X 213948 0 20447 ROBERT VANDERBROOK MD 2.00 X 0 195644 13786 RAJANI MALLICK MD 2.00 X 0 156104 15141 MICHAEL BEADLE 2.00 X 0 0 0 POLLY COLLOM 2.00 X 0 0 0 MIKE JENKINS 2.00 X 0 0 0 JEFF PUNCHES 2.00 X 0 0 0 DAVID REECE 2.00 X 0 0 0 DON RICHARDS 2.00 X 0 0 0 CARL SCHWIND 2.00 X 0 0 0 DAN TIMMINS 2.00 X 0 0 0 RON VERCH 2.00 X 0 0 0 VICTOR MORGAN 50.00 X 0 110999 14854 RUSSELL RADER 50.00 X 206214 0 18848 WILLIAM GROVES 50.00 X 198014 0 17556 GLENN KING 50.00 X 131248 0 18203 JAMES HUNT 50.00 X 101109 0 4405 PENNY PARSONS 50.00 X 100643 0 5293 RAYMOND STOVER X 0 182397 32512 951176 1966757 244696 6 true true false 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 6 66093 66093 MEDICARE/MEDICAID PAYMENTS 621990 24107851 24107851 NET PATIENT REVENUE 621990 18629423 18629423 LABORATORY OPERATIONS 621500 25670 25670 CONTRACTED CLINICAL SERVICES 621990 4500 4500 42767444 441848 441848 28 28 11676318 11119153 13211 557165 -13211 543954 543954 AFFILIATE RELATED INCOME 900099 342789 342789 CAFETERIA/FOOD SERVICE 722210 81463 81463 OUTSIDE INCOME 900099 26180 26180 78193 78193 528625 44347992 43188936 25670 1067293 220656 110328 110328 13937345 12848805 1088540 537811 491458 46353 1925642 1792216 133426 1006470 917892 88578 1713 1713 16570 16570 39169 39169 6596400 4425425 2170975 20319 1845 18474 5120793 4853989 266804 721025 12030 708995 27289 24279 3010 1476069 1032856 443213 44636 39319 5317 36817 33360 3457 580286 25 580261 2030635 1289927 740708 53865 53865 UNCOMPENSATED SERVICES 4601861 4601861 PHYSICIAN SUBSIDY 2824229 2706194 118035 QAAP FEES 1058243 1058243 42877843 36240052 6637791 0 853 1495 6865085 314414 3402329 3655245 20191 10669 554694 492492 30119883 15707065 15972245 14412818 3925532 4825228 9039403 18308681 225678 204613 40006010 42225655 3751505 4309133 11204795 10825143 600000 550000 3271705 2532002 18828005 18216278 X 21170770 24003712 7235 5665 21178005 24009377 40006010 42225655 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false 1826668 1826668 14259517 6854653 7404864 771366 445799 325567 13250807 8406613 4844194 11525 11525 14412818 OTHER FINANCIAL INVESTMENTS 18308681 F 18308681 SELF INSURANCE, OTHER 2238703 INTERCOMPANY LOANS 293299 2532002 44347992 42877843 1470149 1059008 302215 1361223 2831372 45426801 1059008 45757 1104765 44322036 39167 -13211 25956 44347992 42919550 80874 80874 42838676 39167 39167 42877843 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 true true true X true X true true true false true true 1 407360 407360 0.00950 1 6910361 4093740 2816621 0.06570 2 7317721 4093740 3223981 0.07520 190 45239 219194 40320 178874 0.00420 13 135 63587 63587 0.00150 37 311 30321 30321 0.00070 240 45685 313102 40320 272782 0.00640 242 45685 7630823 4134060 3496763 0.08160 1 302 302 1 6199 6199 0.00010 1 18554 18554 0.00040 3 25055 25055 0.00060 true 1853745 90478 13205453 14272774 -1067321 X true true 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

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. 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. 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. 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). 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. 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% 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. 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. 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. MI X X X X X true true false false false false false true false 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 15000 12191 4428 14420 225062 WILLIAM GROVES 176670 10920 10424 3659 13897 215570 RAYMOND STOVER 130698 38000 13699 17337 15175 214909 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. 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. 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 MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false true false true false true false true true false false false false true true false false 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