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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL SORENSON MD</NamePerson>
        <BaseCompensationFilingOrg>180910</BaseCompensationFilingOrg>
        <BonusFilingOrg>33000</BonusFilingOrg>
        <DeferredCompFilingOrg>11859</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11961</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>237730</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY ROGERS</NamePerson>
        <BaseCompensationFilingOrg>335798</BaseCompensationFilingOrg>
        <BonusFilingOrg>148000</BonusFilingOrg>
        <OtherCompensationFilingOrg>29078</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>57737</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16915</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>587528</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRANCINE PADGETT</NamePerson>
        <BaseCompensationFilingOrg>261834</BaseCompensationFilingOrg>
        <BonusFilingOrg>110000</BonusFilingOrg>
        <OtherCompensationFilingOrg>31987</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>42007</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17134</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>462962</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DONNA RAPP</NamePerson>
        <BaseCompensationFilingOrg>259594</BaseCompensationFilingOrg>
        <BonusFilingOrg>100000</BonusFilingOrg>
        <OtherCompensationFilingOrg>24431</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>86066</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8137</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>478228</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN RODGERS</NamePerson>
        <BaseCompensationFilingOrg>259670</BaseCompensationFilingOrg>
        <BonusFilingOrg>110000</BonusFilingOrg>
        <OtherCompensationFilingOrg>8055</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>59965</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11486</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>449176</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LYNN BRUCHHOF</NamePerson>
        <BaseCompensationFilingOrg>221231</BaseCompensationFilingOrg>
        <BonusFilingOrg>70000</BonusFilingOrg>
        <OtherCompensationFilingOrg>10716</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10413</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4172</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>316532</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS LIND</NamePerson>
        <BaseCompensationFilingOrg>100441</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>21523</CompBasedOnRelatedOrgs>
        <OtherCompensationFilingOrg>164259</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>289</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20710</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>445</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7314</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>1527</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>292724</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>23784</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT CURRIE</NamePerson>
        <BaseCompensationFilingOrg>182021</BaseCompensationFilingOrg>
        <BonusFilingOrg>60000</BonusFilingOrg>
        <OtherCompensationFilingOrg>10737</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5878</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4125</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>262761</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HARLAN GOODRICH</NamePerson>
        <BaseCompensationFilingOrg>205726</BaseCompensationFilingOrg>
        <BonusFilingOrg>30000</BonusFilingOrg>
        <OtherCompensationFilingOrg>11412</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>32241</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7029</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>286408</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHANDRA MORSE</NamePerson>
        <BaseCompensationFilingOrg>163563</BaseCompensationFilingOrg>
        <BonusFilingOrg>45000</BonusFilingOrg>
        <OtherCompensationFilingOrg>1816</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19662</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3461</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>233502</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY WAGNER</NamePerson>
        <BaseCompensationFilingOrg>154301</BaseCompensationFilingOrg>
        <BonusFilingOrg>45000</BonusFilingOrg>
        <OtherCompensationFilingOrg>9111</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16785</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17292</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>242489</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERENCE MOORE</NamePerson>
        <BaseCompensationFilingOrg>100000</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>100000</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FRINGE OR EXPENSE EXPLANATION</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 1A</ReturnReference>
        <Explanation>THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. - LYNN BRUCHHOF, VP HUMAN RESOURCES - DONNA RAPP, SECRETARY - RICHARD REYNOLDS, PRESIDENT - GREGORY ROGERS, EXECUTIVE VICE PRESIDENT - BRIAN RODGERS, SENIOR VICE PRESIDENT</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>THOMAS LIND 150,000 0 0</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 7</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>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, PADGETT, RAPP, RODGERS AND BRUCHHOF 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES</Identifier>
        <ReturnReference>FORM 990, PART V, LINE 4B</ReturnReference>
        <Explanation>CAYMAN ISLANDS, OTHER COUNTRY</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>AT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>ONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT 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 A 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 PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>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 BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>ALL OFFICERS 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN FINANCIAL REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PAGE 11, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE MIDMICHIGAN HEALTH CONSOLIDATED FINANCIAL STATEMENTS ARE REVIEWED BY THE MIDMICHIGAN HEALTH AUDIT COMMITTEE PRIOR TO ISSUANCE OF THE AUDIT REPORT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE O</ReturnReference>
        <Explanation>FORM 990, PART 1, LINES 3 &amp; 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 VI, LINE 2 THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: JEFFERY ALLEN, MD AND DANIEL SORENSON, MD; ERIC BLACKHURST, RICHARD REYNOLDS, AND WILLIAM SCHMIDT; LORI GWIZDALA AND ROBERT STAFFORD. 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 ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>380833014</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GRATIOT MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 E WARWICK DR</AddressLine1>
          <City>ALMA</City>
          <State>MI</State>
          <ZIPCode>48801</ZIPCode>
        </AddressUS>
        <EIN>381437919</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>703 NORTH MCEWAN STREET</AddressLine1>
          <City>CLARE</City>
          <State>MI</State>
          <ZIPCode>48617</ZIPCode>
        </AddressUS>
        <EIN>381518643</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-GLADWIN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>515 QUARTER STREET</AddressLine1>
          <City>GLADWIN</City>
          <State>MI</State>
          <ZIPCode>48624</ZIPCode>
        </AddressUS>
        <EIN>386020434</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN STRATFORD VILLAGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2121 ROCKWELL DR</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </AddressUS>
        <EIN>382623324</EIN>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN GLADWIN PINES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>449 QUARTER STREET</AddressLine1>
          <City>GLADWIN</City>
          <State>MI</State>
          <ZIPCode>48624</ZIPCode>
        </AddressUS>
        <EIN>382754875</EIN>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMI VNA DBA MIDMICHIGAN HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3007 N SAGINAW RD</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EIN>381459397</EIN>
        <PrimaryActivities>CARE/EQUIP</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN PHYSICIANS GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>383317788</EIN>
        <PrimaryActivities>MED OFFICE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
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        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN REGIONAL IMAGING</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>2618 N SAGINAW</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>352182295</EIN>
        <PrimaryActivities>EQUIPMENT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN URGENT CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3009 N SAGINAW RD</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EIN>205064848</EIN>
        <PrimaryActivities>AMBULATORY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN HEALTH DEV ASSOC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>382459947</EIN>
        <PrimaryActivities>OPERATIONS</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>REGIONAL DIALYSIS SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 188</AddressLine1>
          <City>ALMA</City>
          <State>MI</State>
          <ZIPCode>48801</ZIPCode>
        </AddressUS>
        <EIN>383120704</EIN>
        <PrimaryActivities>DIALYSIS</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MIDMICHIGAN ASSURANCE GROUP LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 23 LIME TREE BAY AVE</AddressLine1>
          <AddressLine2>GOVERNORS SQUARE BLDG 4 2ND FLOOR</AddressLine2>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980585596</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>100</ShareOfTotalIncome>
        <ShareOfEOYAssets>100</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>255780</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>6818500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GRATIOT MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1824575</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>760956</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-GLADWIN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>466435</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMI VNA DBA MIDMICHIGAN HOME CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>172524</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN GLADWIN PINES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>62928</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN STRATFORD VILLAGE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>62928</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN REGIONAL IMAGING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>269916</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN PHYSICIANS GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>401135</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN HEALTH DEV ASSOC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>131016</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>REGIONAL DIALYSIS SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>166666</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN HEALTH DEV ASSOC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1400000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN REGIONAL IMAGING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>3200000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>