MYMICHIGAN MEDICAL CENTER GLADWIN: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER GLADWIN (EIN 38-6020434)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201111369349301216
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

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	386020434	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GLADWIN	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	515 QUARTER STREET	AddressLine1
City	GLADWIN	City
State	MI	State
ZIP Code	48624	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	RAYMOND STOVER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	515 QUARTER STREET	AddressLine1
City	GLADWIN	City
State	MI	State
ZIP Code	48624	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	38242505	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.MIDMICHIGANHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	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 FIRST CHOICE FOR MEDICAL CARE IN OUR COMMUNITIES AND OFFER ACCESS TO MIDMICHIGAN'S RANGE OF SPECIALTY SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	219	TotalNbrEmployees
Total Nbr Volunteers	112	TotalNbrVolunteers
Total Gross UBI	29299	TotalGrossUBI
Net Unrelated Business Txbl Income	6407	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	26808	ContributionsGrantsPriorYear
Contributions Grants Current Year	53954	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	24139742	ProgramServiceRevenuePriorYear
Program Service Revenue CY	23063895	ProgramServiceRevenueCY
Investment Income Prior Year	683274	InvestmentIncomePriorYear
Investment Income Current Year	1144910	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1055476	OtherRevenuePriorYear
Other Revenue Current Year	1170972	OtherRevenueCurrentYear
Total Revenue Prior Year	25905300	TotalRevenuePriorYear
Total Revenue Current Year	25433731	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	10784643	SalariesEtcPriorYear
Salaries Etc Current Year	10781032	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	13379709	OtherExpensePriorYear
Other Expenses Current Year	13385555	OtherExpensesCurrentYear
Total Expenses Prior Year	24164352	TotalExpensesPriorYear
Total Expenses Current Year	24166587	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1740948	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1267144	RevenuesLessExpensesCY
Total Assets BOY	36500185	TotalAssetsBOY
Total Assets EOY	38912500	TotalAssetsEOY
Total Liabilities BOY	15952876	TotalLiabilitiesBOY
Total Liabilities EOY	15806570	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	20547309	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	23105930	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 FIRST CHOICE FOR MEDICAL CARE IN OUR COMMUNITIES AND OFFER ACCESS TO MIDMICHIGAN'S RANGE OF SPECIALTY SERVICES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	19625146	Expense
Revenue	23063895	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - GLADWIN PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GLADWIN AND ITS SURROUNDING COUNTIES. 718 PATIENT ADMISSIONS AND 58,622 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2010. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Description
Total Program Service Expense	19625146	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	20	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	219	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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	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 DR	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 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
MARCELINO BARRETO MD
DIRECTOR	2.00	X	0	242049	26430
RAYMOND STOVER
PRESIDENT/CF	50.00	X	0	182397	32512	X
TERENCE MOORE
DIRECTOR	2.00	X	0	100000	0
PHILLIP CAFFREY
VICE CHAIR	2.00	X	0	0	0
JOAN DAVID
DIRECTOR	2.00	X	0	0	0
ERIC KRECKMAN
DIRECTOR	2.00	X	0	0	0
KAREN LANGELAND
CHAIR	2.00	X	0	0	0
RICHARD LAUER
SEC/TREAS	2.00	X	0	0	0
GLENN SMITH
DIRECTOR	2.00	X	0	0	0
JAN STEWART
DIRECTOR	2.00	X	0	0	0
JOYCE ANN THOMPSON
DIRECTOR	2.00	X	0	0	0
JANET FOOR
VP OF NURSIN	50.00		111814	0	17511		X
CAL MCINTOSH
VP	50.00		102634	0	17086		X
RANDALL SCHLOFF
PHARMACY SUP	50.00		101221	0	15381		X
MARK BUSH
FORMER EXEC			0	277559	54342			X
SHERRY TAUNT
FORMER EXEC			0	167996	16389			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	315669	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1686370	TotalReportableCompFrmRltdOrgs
Total Other Compensation	226530	TotalOtherCompensation
Number Individuals GT100 K	3	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
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289	ATLANTA	GA	303682289	DIETARY SERVICE	820149
MICHIGAN EMERGENCY PHYS LLP
PO BOX 793	TRAVERSE CITY	MI	496850793	ER ADMIN	325655
KAWKAWLIN ROOFING CO INC
PO BOX 538	KAWKAWLIN	MI	486310538	CONSTRUCTION	179537
EMERG PHYSICIANS MEDICAL
2000 GREEN RD STE 300	ANN ARBOR	MI	48105	ER ADMIN	168000
HAYES INC
1630 HORSESHOE CIRCLE	SAGINAW	MI	48609	ANESTHESIA SVC	166339

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
All Other Contributions	53954	AllOtherContributions
Total Contributions	53954	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	13980297	13980297
PATIENT REVENUE	621990	9053859	9053859
LABORATORY INCOME	621500	29299		29299
CONTRACTED CLINICAL SERVICES	621990	440	440

Field	Value	IRS element (for citing)
Total Program Service Revenue	23063895	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	504505	TotalRevenueColumn
Exclusion	$504,505	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	7196	TotalRevenueColumn
Exclusion	$7,196	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	13441983	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	12800565	Securities
Other	8209	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	641418	Securities
Other	-8209	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	633209	TotalRevenueColumn
Exclusion	$633,209	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
AFFILIATE RELATED INCOME	900099	994774	994774
CAFETERIA/FOOD SERVICE	722210	112239		$112,239
OUTSIDE INCOME	900099	20992	20992

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	42967	TotalRevenueColumn
Exclusion	$42,967	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1170972	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	25433731	TotalRevenueColumn
Related Or Exempt Function Income	24050362	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	29299	UnrelatedBusinessRevenue
Exclusion	$1,300,116	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8445763	Total
Program Services	7416254	ProgramServices
Management And General	1029509	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	326561	Total
Program Services	286987	ProgramServices
Management And General	39574	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1396348	Total
Program Services	1075024	ProgramServices
Management And General	321324	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	612360	Total
Program Services	540938	ProgramServices
Management And General	71422	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	24061	Total
Management And General	24061	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	16144	Total
Management And General	16144	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	45560	Total
Management And General	45560	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3658793	Total
Program Services	2502292	ProgramServices
Management And General	1156501	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	44649	Total
Program Services	10079	ProgramServices
Management And General	34570	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2606402	Total
Program Services	2373004	ProgramServices
Management And General	233398	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	409234	Total
Management And General	409234	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	13302	Total
Program Services	11631	ProgramServices
Management And General	1671	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	796320	Total
Program Services	795715	ProgramServices
Management And General	605	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	32645	Total
Program Services	23889	ProgramServices
Management And General	8756	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	17813	Total
Program Services	7393	ProgramServices
Management And General	10420	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	598180	Total
Management And General	598180	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1279679	Total
Program Services	838281	ProgramServices
Management And General	441398	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	99768	Total
Program Services	654	ProgramServices
Management And General	99114	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
UNCOMPENSATED SERVICES	2104464	2104464
QAAP FEES	902070	902070
PHYSICIAN PRACTICE SUBSID	736471	736471

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	24166587	Total
Program Services	19625146	ProgramServices
Management And General	4541441	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	460	BOY
EOY	920	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2298252	BOY
EOY	428277	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3181700	BOY
EOY	1347329	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10983	BOY
EOY	9760	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	411129	BOY
EOY	407389	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	17936330	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10590705	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7949528	BOY
EOY	7345625	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	10497879	BOY
EOY	6533570	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	11939494	BOY
EOY	22637354	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	210760	BOY
EOY	202276	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	36500185	BOY
EOY	38912500	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2280880	BOY
EOY	2430100	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	11194471	BOY
EOY	10944761	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2477525	BOY
EOY	2431709	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	15952876	BOY
EOY	15806570	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	20531089	BOY
EOY	23100637	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16220	BOY
EOY	5293	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	20547309	BOY
EOY	23105930	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	36500185	BOY
EOY	38912500	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	22859	OtherCostOrOtherBasis
Book Value	22859	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10173950	OtherCostOrOtherBasis
Depreciation	5431383	Depreciation
Book Value	4742567	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	281439	OtherCostOrOtherBasis
Depreciation	237851	Depreciation
Book Value	43588	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7458082	OtherCostOrOtherBasis
Depreciation	4921471	Depreciation
Book Value	2536611	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7345625	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	22637354	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	22637354	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
SELF-INSURANCE, DEFERRED COMP, OTHER	$2,053,923
INTERCOMPANY NOTES PAYABLE	$377,786

Field	Value	IRS element (for citing)
Total Of Amounts	2431709	TotalOfAmounts
Total Revenue	25433731	TotalRevenue
Total Expenses	24166587	TotalExpenses
Excess Or Deficit For Year	1267144	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1231034	NetUnrealizedGLOnInvestments
Other	$60,443	OtherAmount
Total Adjustments	1291477	TotalAdjustments
Excess Or Deficit Per FS	2558621	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	26649290	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1231034	NetUnrealizedGainsInvestments
Other Revenues	21876	OtherRevenues
Revenue Not Rptd F990	1252910	RevenueNotRptdF990
Revenue Subtotal	25396380	RevenueSubtotal
Investment Expenses Not Included	45560	InvestmentExpensesNotIncluded
Other Revenues Not Included	-8209	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	37351	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	25433731	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	24194118	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	73091	OtherExpensesIncluded
Expenses Not Rptd F990	73091	ExpensesNotRptdF990
Expenses Subtotal	24121027	ExpensesSubtotal
Investment Expenses Not Included2	45560	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	45560	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	24166587	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 RESTRICTED FOR CAPITAL -43,006 NET ASSETS RELEASED FROM RESTRICTIONS 64,882 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 8,209 NET ASSETS RELEASED FROM RESTRICTIONS -64,882 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -8,209
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTED FOR CAPITAL -43,006 NET ASSETS RELEASED FROM RESTRICTIONS 64,882
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -8,209
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 64,882 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 8,209

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	112476	TotalCommunityBenefitExpense
Net Community Benefit Expense	112476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	4039325	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2451735	DirectOffsettingRevenue
Net Community Benefit Expense	1587590	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	4151801	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2451735	DirectOffsettingRevenue
Net Community Benefit Expense	1700066	NetCommunityBenefitExpense
Percent Of Total Expense	0.07030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	212	NumberOfActivitiesOrPrograms
Persons Served	17855	PersonsServed
Total Community Benefit Expense	279601	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22328	DirectOffsettingRevenue
Net Community Benefit Expense	257273	NetCommunityBenefitExpense
Percent Of Total Expense	0.01060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	7	PersonsServed
Total Community Benefit Expense	25607	TotalCommunityBenefitExpense
Net Community Benefit Expense	25607	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	115	NumberOfActivitiesOrPrograms
Persons Served	499	PersonsServed
Total Community Benefit Expense	31788	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1380	DirectOffsettingRevenue
Net Community Benefit Expense	30408	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	331	NumberOfActivitiesOrPrograms
Persons Served	18361	PersonsServed
Total Community Benefit Expense	336996	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23708	DirectOffsettingRevenue
Net Community Benefit Expense	313288	NetCommunityBenefitExpense
Percent Of Total Expense	0.01300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	333	NumberOfActivitiesOrPrograms
Persons Served	18361	PersonsServed
Total Community Benefit Expense	4488797	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2475443	DirectOffsettingRevenue
Net Community Benefit Expense	2013354	NetCommunityBenefitExpense
Percent Of Total Expense	0.08330	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Persons Served	422	PersonsServed
Total Community Building Expense	24	TotalCommunityBuildingExpense
Net Community Building Expense	24	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	65	NumberOfActivitiesOrPrograms
Persons Served	1180	PersonsServed
Total Community Building Expense	13338	TotalCommunityBuildingExpense
Net Community Building Expense	13338	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	14	NumberOfActivitiesOrPrograms
Persons Served	254	PersonsServed
Total Community Building Expense	1044	TotalCommunityBuildingExpense
Net Community Building Expense	1044	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	6769	TotalCommunityBuildingExpense
Net Community Building Expense	6769	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	115	NumberOfActivitiesOrPrograms
Persons Served	1856	PersonsServed
Total Community Building Expense	21175	TotalCommunityBuildingExpense
Net Community Building Expense	21175	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,037,311	BadDebtExpenseAmount
Amount Attributable To	92240	AmountAttributableTo
Amount Reimbursed By Medicare	9708995	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9621987	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	87008	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

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GLADWIN	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	515 QUARTER STREET	AddressLine1
City	GLADWIN	City
State	MI	State
ZIP Code	48624	ZIPCode

Field	Value	IRS element (for citing)
Childrens Hospital	X	ChildrensHospital
Critical Access Hospital	X	CriticalAccessHospital

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 814,269 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-GLADWIN 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-GLADWIN 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-GLADWIN'S PRIMARY SERVICE AREA IS COMPRISED OF 2 ZIP CODES WHICH CAPTURE ALL OF GLADWIN COUNTY. MIDMICHIGAN MEDICAL CENTER-GLADWIN IS A CRITICAL ACCESS HOSPITAL, AND IS THE ONLY HOSPITAL IN GLADWIN COUNTY. GLADWIN COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2010 % OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE --------------------------------------------------------------------------- 24,803 21.3% 47,095 10,380 43.1 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 97.0% 0.3% 0.6% 1.2% 0.5%	CommunityInformation
Community Building Activities	MIDMICHIGAN MEDICAL CENTER - GLADWIN (GLADWIN) 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. GLADWIN 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. 6,769 WAS SPENT FOR RECRUITMENT OF PHYSICIANS FOR GLADWIN, 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. GLADWIN 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	false	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 (5 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
RICHARD REYNOLDS
482757	225000	8612	39526	15276	771171
MARCELINO BARRETO MD
152854	86279	2916	14223	12207	268479
RAYMOND STOVER
130698	38000	13699	17337	15175	214909
MARK BUSH
263690		13869	47745	6597	331901
SHERRY TAUNT
131113	35000	1883	6527	9862	184385

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 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 AND BUSH ARE PARTICIPANTS 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 FIRST CHOICE FOR MEDICAL CARE IN OUR COMMUNITIES AND OFFER ACCESS TO MIDMICHIGAN'S RANGE OF SPECIALTY SERVICES.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 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 ISSUES 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-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	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	CARE/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 188	ALMA	MI	48801	383120704	DIALYSIS	MI	501	11A	MIDMI HLTH
MIDMI MEDICAL CENTER-GLADWIN AUX
515 QUARTER STREET	GLADWIN	MI	48624	382316532	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	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	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 (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MIDMICHIGAN PHYSICIANS GROUP
C	60443
MIDMICHIGAN REGIONAL IMAGING
J	404352
MIDMICHIGAN HEALTH DEV ASSOC
J	71498
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O	1320900
MIDMICHIGAN HEALTH
O	466435
MIDMICHIGAN PHYSICIANS GROUP
O	743471
MIDMICHIGAN GLADWIN PINES
P	802327
MIDMICHIGAN HEALTH DEV ASSOC
P	56059