2011-05-16T08:22:37-05:00 2010-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2009-07-01 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393301 4005 ORCHARD DRIVE MIDLAND MI 48670 ELIZABETH A MINBIOLE 9898393301 2011-05-12 true LAURA M EBEL 9894975300 2011-05-12 2009 2016-02-24 21:20:13Z GREGORY ROGERS 4005 ORCHARD DRIVE MIDLAND MI 48670 450886965 false X WWW.MIDMICHIGAN.ORG X 1940 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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. 19 14 2425 637 561641 -19650 3258306 3040165 282651947 281858760 8594283 13105864 13244584 12614495 307749120 310619284 191660 199585 0 121759737 124499936 0 186940 160270080 171357616 282221477 296057137 25527643 14562147 480296477 515224741 217641464 221659829 262655013 293564912 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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. false true 247128511 281858760 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 11,254 PATIENT ADMISSIONS AND 298,863 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2010. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 199585 199585 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 247328096 true true false false false false false false true true false true false false false false false false false false true false true true true false false false false false false false true true false false false false false false true true true false true 176 0 true 2425 true true true true CJ false false false false false false false 19 14 false false false false true true true true true false false true true true true true true true true true true X ELIZABETH A MINBIOLE CONTROLLER 9898393301 4005 ORCHARD DRIVE MIDLAND MI 48670 RICHARD REYNOLDS 2.00 X 0 716369 54802 GREGORY ROGERS 50.00 X X 0 512876 74652 J CHRISTOPHER HOUGH MD 2.00 X 0 332430 53948 LYDIA WATSON PINNEY MD 2.00 X 0 247038 29288 JAMES BICKNELL MD 2.00 X 155044 0 5369 BOBBIE ARNOLD 2.00 X 0 0 0 ERIC BLACKHURST 2.00 X 0 0 0 PAM BOUNDY 2.00 X 0 0 0 ROBERT COFFIELD 2.00 X 0 0 0 CARL ELLINGER 2.00 X 0 0 0 JIM FABIANO 2.00 X 0 0 0 MARK GOETHE MD 2.00 X 0 0 0 JEFF HERMAN MD 2.00 X 0 0 0 ROBERT LOFIEGO 2.00 X 0 0 0 JON LYNCH 2.00 X 0 0 0 WALLY MAYTON 2.00 X 0 0 0 RANNY RIECKER 2.00 X 0 0 0 BILL WEIDEMAN 2.00 X 0 0 0 LISA ZIETTLOW 2.00 X 0 0 0 FRANCINE PADGETT 50.00 X 0 403821 59141 DONNA RAPP 50.00 X 0 384025 94203 KAREN CALKINS 50.00 X 275983 0 71067 WILLIAM DERY MD 50.00 X 265760 0 23146 DIANE NOLD 50.00 X 262130 0 54805 ADELBERTO ADAN 50.00 X 258694 0 53420 LOIS ROBERTSON 50.00 X 272093 0 20664 JEFFERY HANOVER 50.00 X 256454 0 23883 JEFFREY VOIGT 50.00 X 230401 0 28483 KENDALL MORRIS 50.00 X 230025 0 25622 RICHARD DUDZIK 50.00 X 227791 0 44074 2434375 2596559 697505 91 false true false SKANSKA USA BUILDING INC 14776 COLLECTIONS CENTER DR CHICAGO IL 60693 CONSTRUCTION 28011164 CERNER CORP PO BOX 412702 KANSAS CITY MO 641412702 SOFTWARESUPPORT 5337601 MIDLAND EMERGENCY RM CORP 2000 DILLOWAY DR MIDLAND MI 48640 ER PHYSICIANS 4491654 DELOITTE CONSULTING LLP PO BOX 7247 6447 PHILADELPHIA PA 191706447 CONSULTING 2656194 THREE RIVERS CONSTRUCTION INC PO BOX 1467 MIDLAND MI 48641 CONSTRUCTION 2640672 56 2551659 488506 3040165 PATIENT REVENUE, NET 621990 149784390 149784390 MEDICARE/MEDICAID PAYMENTS 621990 131325023 131325023 LABORATORY OPERATIONS 621500 561641 561641 CONTRACTED CLINICAL SERVICES 621990 187706 187706 281858760 6419083 742231 5676852 184767 184767 29816 29816 29816 29816 146708285 61410 139707728 559953 7000557 -498543 6502014 6502014 AFFILIATE RELATED INCOME 900099 8447067 8447067 JOINT VENTURE RELATED INCOME 900099 2063448 2063448 CAFETERIA/FOOD SERVICE 722210 1135971 1135971 938193 500316 437877 12584679 310619284 293050181 561641 13967297 199585 199585 1304514 299673 1004841 95559819 76295387 19156368 108064 7212127 5718687 1485363 8077 13541777 10742906 2783696 15175 6881699 5449029 1424470 8200 202944 2080 200864 170380 170380 531036 531036 59603600 51416382 8144672 42546 939199 580650 357861 688 55980454 52203762 3774060 2632 669072 216821 452251 4330334 1098744 3231590 261242 172542 88672 28 353333 279438 73895 5165163 3919615 1245175 373 16026474 12161786 3863531 1157 553376 553376 UNCOMPENSATED SERVICES 14020512 14020512 PHYSICIAN PRACTICE SUBSID 12550497 12550497 296057137 247328096 48542101 186940 7619 7969 8949513 1143255 282 504 28296894 35255930 864028 845737 1619391 1751624 9337930 10715594 293892456 132636693 124707664 161255763 159119504 74902551 141730744 223686544 2460932 2731724 3201976 2927546 480296477 515224741 27656432 37297475 160455106 157802042 11400000 10450000 18129926 16110312 217641464 221659829 X 239340587 269854539 11606172 11817681 11708254 11892692 262655013 293564912 480296477 515224741 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 11708254 3425 181013 11892692 11531535 5164 171555 11708254 1.00000 false false false 1153467 1153467 97754693 53392579 44362114 6240044 3973938 2266106 111199377 75270176 35929201 77544875 77544875 161255763 OTHER FINANCIAL INVESTMENTS 223686544 F 223686544 SELF INSURANCE, DEF COMP, & ACC PEN 16110312 16110312 310619284 296057137 14562147 16881091 -533339 16347752 30909899 328081548 16881091 613666 17494757 310586791 531036 -498543 32493 310619284 296938395 1412294 1412294 295526101 531036 531036 296057137 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 HOSPITAL OPERATIONS SUPPORT 1,644,346 HOSPITAL CAPITAL SUPPORT 5,792,933 SCHOLARSHIP FUNDS 3,678,778 COMMUNITY SERVICE FUNDS 776,635 ---------- TOTAL 11,892,692 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTIONS 913,751 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -300,085 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 498,543 NET ASSETS RELEASED FROM RESTRICTIONS -913,751 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -498,543 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 913,751 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -300,085 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -498,543 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 913,751 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 498,543 true true true X true X true true true false true true 1 1459641 1459641 0.00490 1 29568274 13842369 15725905 0.05310 2 31027915 13842369 17185546 0.05800 2665 229163 927580 131839 795741 0.00270 56 753 4631263 1659701 2971562 0.01000 8 27188 27188 0.00010 332 114017 311124 311124 0.00110 3061 343933 5897155 1791540 4105615 0.01390 3063 343933 36925070 15633909 21291161 0.07190 1 3582 3582 7 6505 3300 3205 1 2617 2617 8 43478 43478 0.00010 1 17 4205 4205 18 17 60387 3300 57087 0.00020 true 6521403 276408 89657980 95213175 -5555195 X true true MIDMICHIGAN MEDICAL CENTER-MIDLAND

4005 ORCHARD DR MIDLAND MI 48670

X X CENTER FOR WOMEN'S HEALTH

2600 MCCANDLESS DR MIDLAND MI 48640

MIDMI MED OFFICES-CAMPUS RIDGE I

4401 CAMPUS RIDGE DR MIDLAND MI 48640

MIDMI MED OFFICES-CAMPUS RIDGE II

4500 CAMPUS RIDGE DR MIDLAND MI 48640

RIECKER SURGERY CENTER

4400 WELLNESS DR MIDLAND MI 48640

MIDMICHIGAN MEDICAL OFFICES-MIDLAND

4009 ORCHARD DR MIDLAND MI 48640

MIDLAND PROFESSIONAL SUITES

555 W WACKERLY MIDLAND MI 48640

ORTHOPEDIC CLINIC BUILDING

7101 W WACKERLY MIDLAND MI 48642

WEST WACKERLY BUILDING

2524 W WACKERLY MIDLAND MI 48640

HANGTIME

1321 E WACKERLY MIDLAND MI 48640

MIDMICHIGAN HEALTH PARK-MT PLEASANT

4851 E PICKARD ST MT PLEASANT MI 48858

MIDMICHIGAN MED OFFICES-FREELAND

5694 MIDLAND RD FREELAND MI 48623

MIDMICHIGAN GRATIOT CANCER CENTER

315 WARWICK DR ALMA MI 48801

MIDMICHIGAN MEDICAL OFFICES-AUBURN

929 W MIDLAND RD AUBURN MI 48611

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 26,402,263 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-MIDLAND (MIDLAND) WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENTS 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 COUNTY 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, THROUGH MIDLAND COUNTY UNITED WAY A BRFS IS ACCOMPLISHED EVERY 6 YEARS. MIDMICHIGAN MEDICAL CENTER-MIDLAND PROVIDES 4,000 OF FUNDING FOR THIS NEEDS SURVEY. 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). ADDITIONALLY, THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT & IMPROVEMENT COMMITTEE OUTLINES HEALTH & HUMAN SERVICE NEEDS & PRIORITIES. (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-MIDLAND 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-MIDLAND'S PRIMARY SERVICE AREA IS COMPRISED OF 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY, PLUS FREELAND AND AUBURN. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS THE ONLY HOSPITAL IN MIDLAND COUNTY. DEMOGRAPHICS -------------------------------------------------------------------------- 2010 % OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE -------------------------------------------------------------------------- 98,251 14.1% 70,470 37,970 39.7 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 93.4% 1.8% 0.4% 2.1% 2.3% MIDMICHIGAN MEDICAL CENTER-MIDLAND (MIDLAND) EMPLOYEES CONTRIBUTED 923 HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. 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. 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 YOUTH MASTER PLAN IN MIDLAND, THE HOMELESSNESS STUDY, BEHAVIORAL RISK FACTOR SURVEY (FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED), ACCESS TO CARE, AND SUBSTANCE ABUSE PREVENTION. MIDLAND IS REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS. 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. OUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. MIDLAND 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. THROUGH THE LOOK GOOD FEEL BETTER PROGRAM, CO-SPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY, WE OFFER SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS. MIDLAND 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. MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS. FITNESS OR EXERCISE RELATED EVENTS FROM MIDLAND REACHED MORE THAN 100 PEOPLE AT A COST OF OVER 12,000 IN THE CURRENT YEAR. 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 OF GRATIOT MEDICAL CENTER SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE CHILDHOOD OBESITY PREVENTION INITIATIVE IN ALMA. GRATIOT MEDICAL CENTER HAS ALSO BEEN INVOLVED WITH THE MAPLE SYRUP RUN AND FESTIVAL SINCE 2000 AND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT 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 true SCHOLARSHIPS-U OF PHOENIX 4 4800 SCHOLARSHIPS-MIDMI CC 8 10000 SCHOLARSHIPS-WALDEN UNIV 1 1485 SCHOLARSHIPS-U OF TOLEDO 1 3300 SCHOLARSHIPS-LAKESUPERIOR 3 5400 SCHOLARSHIPS-CENTRAL MI U 6 16800 SCHOLARSHIPS-KIRTLAND COM 2 2500 SCHOLARSHIPS-ALBANY MED C 1 3300 SCHOLARSHIPS-NWEST MI COL 1 1300 SCHOLARSHIPS-U OF DETROIT 1 2800 SCHOLARSHIPS-DELTA COLLEG 2 2600 SCHOLARSHIPS-MI STATE UNI 1 3300 SCHOLARSHIPS-ROSS MED EDU 1 1200 SCHOLARSHIPS-LINCOLN MEM 1 3200 SCHOLARSHIPS-IN WESLEYAN 2 2900 SCHOLARSHIPS-INDIANA UNIV 1 3300 SCHOLARSHIPS-INDEPENDENCE 1 1200 SCHOLARSHIPS-UNIV OF NC 1 2700 SCHOLARSHIPS-GONZAGA UNIV 1 2800 SCHOLARSHIPS-FERRIS STATE 20 33500 SCHOLARSHIPS-GRAND VALLEY 2 5600 SCHOLARSHIPS-MSU 5 14500 SCHOLARSHIPS-OHIO STATE U 1 2800 SCHOLARSHIPS-SVSU 16 31400 SCHOLARSHIPS- U OF M 9 20900 SCHOLARSHIPS-WAYNE STATE 3 9900 SCHOLARSHIPS-DAVENPORT U 2 3400 SCHOLARSHIPS-WESTERN MI 1 2700 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS. ALL OF THE SCHOLARSHIPS REPORTED IN PART III ARE FOR STUDENTS PURSUING HEALTH CARE CAREERS. X true true X X X X X false true false false false false false true false RICHARD REYNOLDS 482757 225000 8612 39526 15276 771171 GREGORY ROGERS 335798 148000 29078 57737 16915 587528 J CHRISTOPHER HOUGH MD 286030 35000 11400 40885 13063 386378 LYDIA WATSON PINNEY MD 207138 38674 1226 14289 14999 276326 JAMES BICKNELL MD 135202 15000 4842 3369 2000 160413 FRANCINE PADGETT 261834 110000 31987 42007 17134 462962 DONNA RAPP 259594 100000 24431 86066 8137 478228 KAREN CALKINS 196228 68336 11419 58748 12319 347050 WILLIAM DERY MD 223875 38667 3218 10789 12357 288906 DIANE NOLD 194782 65000 2348 37838 16967 316935 ADELBERTO ADAN 203335 50000 5359 38355 15065 312114 LOIS ROBERTSON 259866 825 11402 4930 15734 292757 JEFFERY HANOVER 246532 825 9097 10406 13477 280337 JEFFREY VOIGT 214726 825 14850 26680 1803 258884 KENDALL MORRIS 216417 5430 8178 11916 13706 255647 RICHARD DUDZIK 225032 825 1934 32527 11547 271865 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A NOLD, VICE PRESIDENT, RECEIVED PAYMENT FOR COUNTRY CLUB DUES WHICH ARE INCLUDED IN TAXABLE WAGES. 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, ROGERS, BICKNELL, PADGETT, RAPP, AND ADAN 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. MSHFA - 2006A MICHIGAN STATE HOSPITAL FINANCING AU 382889417 59465HEB8 2006-11-07 81240000 CAPITAL PROJECTS false false MSHFA - 2009A 382889417 59465HLF1 2009-06-17 85220000 CAPITAL PROJECTS false false 81240000 716330 80523670 2009 false false true true 63817195 21597077 1740105 62077089 false false false true false false false false false 0.00090 0.00090 true false false false false false 0.00090 0.00090 true false false false false false false false false false false false false KRISTEN CALKINS FAMILY MEMBER 45213 EMPLOYMENT false MICHAEL ROGERS FAMILY MEMBER 46886 EMPLOYMENT false MIDLAND EMERGENCY ROOM CORPORATION BUSINESS 4599287 FEES FOR SERVICES false 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 PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES FORM 990, PAGE 2, PART III, LINE 3 MIDMICHIGAN MEDICAL CENTER - MIDLAND CLOSED THE INPATIENT REHAB UNIT ON JANUARY 6, 2010 DUE TO DECLINING VOLUMES. INPATIENT REHABILITATION SERVICES ARE STILL OFFERED THROUGH GRATIOT MEDICAL CENTER. FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES FORM 990, PART V, LINE 4B CAYMAN ISLANDS 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 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 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. SCHEDULE K, PART IV, LINE 1 - ARBITRAGE CALCULATIONS WERE PERFORMED BY TAX COUNSEL AND FILED ON DAC. THE CALCULATIONS PROVED NO TAX WAS DUE AND THEREFORE RETURNS WERE NOT REQUIRED TO BE FILED. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. MIDMICHIGAN HEALTH 4005 ORCHARD DRIVE MIDLAND MI 48670 382459948 SUPPORT MI 501 11A NA 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 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 CARE 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-MIDLAND VOLUNTEERS 4005 ORCHARD DRIVE MIDLAND MI 48670 061723993 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 true true false false true true false true true false false false false true true false false MIDMICHIGAN HEALTH DEV ASSOC B 814785 MIDMICHIGAN PHYSICIANS GROUP B 1627792 GRATIOT MEDICAL CENTER B 333489 MIDMICHIGAN PHYSICIANS GROUP C 846206 MIDMICHIGAN REGIONAL IMAGING G 139377 GRATIOT MEDICAL CENTER I 72648 MIDMICHIGAN PHYSICIANS GROUP I 174175 MIDMICHIGAN REGIONAL IMAGING J 6724440 MIDMICHIGAN HEALTH DEV ASSOC J 1528324 MIDMICHIGAN MEDICAL CENTER-CLARE O 172247 MIDMICHIGAN HEALTH O 6818500 MIDMICHIGAN PHYSICIANS GROUP O 13046796 GRATIOT MEDICAL CENTER P 1465551 MIDMICHIGAN MEDICAL CENTER-CLARE P 2390023 MIDMICHIGAN MEDICAL CENTER-GLADWIN P 1320900 MIDMICHIGAN HEALTH P 255780 MIDMI VNA DBA MIDMICHIGAN HOME CARE P 427820 MIDMICHIGAN GLADWIN PINES P 112505 MIDMICHIGAN STRATFORD VILLAGE P 126838 MIDMICHIGAN REGIONAL IMAGING P 116899 MIDMICHIGAN PHYSICIANS GROUP P 1573124 MIDMICHIGAN HEALTH DEV ASSOC P 276851 MIDMICHIGAN URGENT CARE P 116337