2014-05-15T13:07:51-05:00 2013-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2012-07-01 386020434 MIDMICHIGAN MEDICAL CENTER-GLADWIN MIDM 9898393181 515 QUARTER STREET GLADWIN MI 48624 FRANCINE M PADGETT 9898393181 2014-05-15 true LAURA M EBEL 9894975300 2014-05-15 2012 2015-11-30 17:44:51Z RAYMOND STOVER 515 QUARTER STREET GLADWIN MI 48624 30624877 false X WWW.MIDMICHIGANHEALTH.ORG X 1953 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION 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. 11 7 204 91 23111 -7000 64911 42630 26031101 23487279 1157718 1461627 1126064 2094002 28379794 27085538 0 0 9942926 9343366 0 0 17092534 15268916 27035460 24612282 1344334 2473256 43936192 47565910 13612695 13541127 30323497 34024783 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION 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. false false 19887634 23487279 MIDMICHIGAN MEDICAL CENTER - GLADWIN PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GLADWIN AND ITS SURROUNDING COUNTIES. 693 PATIENT ADMISSIONS AND 54,241 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2013. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY. 19887634 true true false false false false false false false false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true true false true 15 0 true 204 true true true false false false false false false false false false X 11 7 false false true false true true true true true false false true true true true true true true true false X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 X RICHARD REYNOLDS 2.00 50.00 X 0 1490788 335094 RAYMOND STOVER 2.00 50.00 X X 0 192247 61301 CHERYL LOUBERT MD 2.00 50.00 X 0 141368 31528 DIANE POSTLER-SLATTERY 2.00 50.00 X 0 48183 0 MARY GRIFFORE 2.00 20.00 X 9164 0 456 JOLENE COMPTON 2.00 X 0 0 0 JOYCE ANN THOMPSON 2.00 X 0 0 0 JOAN DAVID 2.00 X 0 0 0 RICHARD LAUER 2.00 X 0 0 0 GLENN SMITH 2.00 X 0 0 0 CAROL CHURCHILL 2.00 X 0 0 0 DAVID SPRANG 2.00 X 0 0 0 FRANCINE PADGETT 2.00 50.00 X 0 354655 108431 DONNA RAPP 2.00 50.00 X 0 317852 107258 KENNETH SPENCER 50.00 0.00 X 127838 0 15382 137002 2545093 659450 1 false true false MICHIGAN EMERGENCY PHYS LLP PO BOX 793 TRAVERSE CITY MI 496850793 ER ADMIN 1175978 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 DIETARY SERVICE 651049 THREE RIVERS CONSTRUCTION INC PO BOX 1467 MIDLAND MI 48641 CONSTRUCTION 145746 MAYO COLLABORATIVE SERVICE MAYO CLINIC MEDICAL LIBRARIES 201 1ST STREET SW ROCHESTER MN 55905 LABORATORY 104005 4 42630 42630 MEDICARE/MEDICAID PAYMENTS 621990 16589235 16589235 PATIENT REVENUE 621990 6802384 6802384 CONTRACTED CLINICAL SERVICES 621990 72549 72549 REFERENCE LABORATORY 621500 23111 23111 23487279 427460 427460 1 1 4496074 77431 3456961 82378 1039113 -4947 1034166 1034166 INCENTIVE PAYMENTS 900099 1053232 1053232 AFFILIATE RELATED INCOME 900099 714643 714643 CAFETERIA/FOOD SERVICE 722514 72456 72456 253671 16902 236769 2094002 27085538 24195713 23111 2824084 X 7465990 7034150 431840 289702 274430 15272 1053067 948851 104216 534607 500765 33842 2400 2400 20602 20602 74230 74230 4132323 2601592 1530731 36025 6888 29137 1220492 1052420 168072 1252083 1252083 8912 8416 496 1074675 1065508 9167 33340 29622 3718 14517 9103 5414 563713 563713 1036174 576961 459213 20734 232 20502 PHYSICIAN PRACTICE SUBSID 3465885 3465885 MEDICAL SUPPLIES 1753233 1753233 QAAP FEES 559578 559578 24612282 19887634 4724648 0 745 745 1200328 192948 4188738 4803648 4605 3989 365013 319904 19063866 12498001 6653574 6565865 3753459 5891756 27585419 29611886 184311 175169 43936192 47565910 1853668 2111354 10426649 10157880 1332378 1271893 13612695 13541127 X 30207590 33928216 115907 96567 30323497 34024783 43936192 47565910 2473256 1228030 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22860 22860 10170671 6332539 3838132 279177 264296 14881 8479038 5901166 2577872 112120 112120 6565865 OTHER FINANCIAL INVESTMENTS 29611886 F 29611886 SELF-INSURANCE, DEFERRED COMP, OTHER 1013368 INTERCOMPANY NOTES PAYABLE 258525 1271893 28265392 1228030 21107 1249137 27016255 74230 -4947 69283 27085538 24603758 60759 60759 24542999 74230 -4947 69283 24612282 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 60,759 RELEASED FROM RESTRICTIONS FOR CAPITAL -39,652 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -4,947 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 60,759 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -4,947 true true true X true X true true true false true true 1 162068 162068 0.00660 1 4050812 2321587 1729225 0.07030 2 4212880 2321587 1891293 0.07680 174 5957 182216 8991 173225 0.00700 15 18 29193 29193 0.00120 123 8643 41276 1490 39786 0.00160 312 14618 252685 10481 242204 0.00980 314 14618 4465565 2332068 2133497 0.08670 39 780 5372 5372 0.00020 16 364 3156 3156 0.00010 19 670 3046 3046 0.00010 3 75 1820 1820 0.00010 34 490 1572 1572 0.00010 40 700 1553 1553 0.00010 2 31929 31929 0.00130 153 3079 48448 48448 0.00200 true 1128998 315452 10336765 10390292 -53527 X true true 1 1 MIDMICHIGAN MEDICAL CENTER-GLADWIN

515 QUARTER STREET GLADWIN MI 48624

X X X X MIDMICHIGAN MEDICAL CENTER-GLADWIN 1 true X X X X X X X X X X 13 true false true X X X X X X X X X X true false true true 150.0 true 200.0 true X X X X X X X true true X true X X true X X X X true X false true 3 GLADWIN MEDICAL OFFICES - GLADWIN

609 QUARTER STREET GLADWIN MI 48624

RURAL HEALTH CLINIC GLADWIN MEDICAL OFFICES - BEAVERTON

439 S M-18 BEAVERTON MI 48612

PHYSICIAN OFFICE, LAB, RADIOLOGY MIDMICHIGAN HEALTH PARK-WEST BRANCH

640 COURT STREET WEST BRANCH MI 48661

PHYSICIAN OFFICE & LAB COMMUNITY BUILDING ACTIVITIES PART II MIDMICHIGAN MEDICAL CENTERGLADWIN EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERGLADWIN IS A KEY PARTNER WITH UNITED WAY OF CLARE AND GLADWIN COUNTY WHICH SUPPORTS MANY NONPROFIT AGENCIES IN THESE COUNTIES INCLUDING 211 FIRST CALL FOR HELP MIDMICHIGAN MEDICAL CENTERGLADWIN EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NONPROFIT BOARDS ANDOR COMMITTEES IMPACTING COMMUNITY HEALTH THROUGH CONTRIBUTIONS TO ORGANIZATIONS AND COMMITTEES THAT GATHER TO IMPROVE HEALTH SUCH AS THE GLADWIN COUNTY ADOLESCENT HEALTH COUNCIL GLADWIN IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 COSTTOCHARGE RATIO IS APPLIED TO THE CHARGE WRITEOFF 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 HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE MEDICARE EXPLANATION PART III LINE 8 THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NONBENEFICIARIES AND NONBENEFICIARIES 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 COSTTOCHARGE RATIO METHOD THE AUDIT CALCULATION REPORTS A MEDICARE SURPLUS OF 383456 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2013 HOWEVER WITHOUT MEANINGFUL USE PAYMENTS THIS ORGANIZATION WOULD HAVE SHOWN A MEDICARE SHORTFALL OF 223321 COLLECTION PRACTICES EXPLANATION PART III LINE 9B MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN HEALTHS 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 AIDCHARITY 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 00 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE MIDMICHIGAN HEALTH ASSUMES THE COST OF THE PROGRAM INTEREST AND GUARANTEES THE RECEIVABLES NEEDS ASSESSMENT PART VI MIDMICHIGAN MEDICAL CENTER GLADWIN OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS THE IMPLEMENTATION STRATEGY FOR FY 20132016 INCLUDES REGULAR MEASUREMENT OF SHORTTERM IMPACT ON PRIORITY ACTION ITEMS AND LONGTERM IMPACT ON COMMUNITY HEALTH STATUS DATA WITHIN THE CHNA COMES FROM A VARIETY OF LOCAL AND NATIONAL SOURCES THIS DATA IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS PARTIAL LIST OF SOURCES FOR GENERAL HEALTH DATA FOLLOW CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM BRFSS 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 AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION WHO COUNTRY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION HEART AND OBESITY PREVENTION INFORMATION NATIONAL CANCER INSTITUTE CANCER STUDIES CDC FUNDED STATISTICS ON HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS US CENSUS BUREAU 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 GLADWIN PARTICIPATES IN A STRONG COLLABORATIVE PARTNERSHIP HEADED BY CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CALLED TOGETHER WE CAN AND A SMALLER SUBSET OF THAT GROUP THE CLAREGLADWIN HEALTH IMPROVEMENT PLAN THESE GROUPS HAVE DEVELOPED A HEALTH IMPROVEMENT PLAN THAT IS BEING ENACTED TO IMPROVE COUNTY HEALTH AND CONSEQUENTLY THEIR RANKINGS AS DETERMINED BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI WE COMMUNICATE TO PATIENTS AND THE PUBLIC OF 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 LOWCOST 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 FOLLOWUP OR EXPEDITED APPLICATIONS THEY PROVIDE MEDICAID APPLICATIONS PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS COMMUNITY INFORMATION PART VI MIDMICHIGAN MEDICAL CENTERGLADWINS PRIMARY SERVICE AREA IS COMPRISED OF THE 2 ZIP CODES WHICH CAPTURE GLADWIN COUNTY 859 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 165 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 492 MARKET SHARE FOLLOWED BY MCLARENBAY REGION WITH 51 OF THE INPATIENT MARKET WEST BRANCH REGIONAL MEDICAL CENTER CAPTURING 45 AND COVENANT CAPTURING 42 OF THIS MARKET GLADWIN COUNTY IS A DESIGNATED LOW INCOME MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED SINGLE COUNTY HEALTHCARE PROFESSIONAL SHORTAGE AREA DEMOGRAPHICS 2013 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 25324 240 48922 38865 10585 479 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 977 03 04 13 03 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI MIDMICHIGAN HEALTHS FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION VALUES AND VISION WE PARTNER WITH SCHOOLS BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH AFFILIATE ADDITIONALLY STAFF PARTICIPATE IN COMMUNITY COLLABORATIVES FOR AREA NONPROFITS WITH A FOCUS ON HEALTH LIKE THE MIDLAND GLADWIN AREA CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NONPROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED ADDITIONALLY WE PARTNER ON NEEDED HEALTH INITIATIVES WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES THE COMMUNITY EDUCATION NURSE FOR MIDMICHIGAN MEDICAL CENTERGLADWIN IS AN ACTIVE MEMBER OF THE TOGETHER WE CAN HEALTH IMPROVEMENT TEAM FOR CLARE AND GLADWIN COUNTIES AND ALSO SERVES AS THE LEAD FOR THE MATERNALINFANT PRIORITY AREA OF THE HEALTH IMPROVEMENT PLAN AFFILIATED HEALTH CARE INFORMATION PART VI 63 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS SCREENINGS SPECIAL EVENTS AND HEALTH EXPERTISE INCLUDING INSURANCE UNDERREIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY AREAS OF FOCUS IN THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT PLANS ARE ACCESS TO CARE INCLUDING INITIATION AND COORDINATION OF CARE CONTINUITY OF SERVICES AND CARE FOR THE UNDERINSURED HEALTH OUTCOMES INCLUDING HEART DISEASE CANCER AND DIABETES HEALTH CARE BEHAVIORS INCLUDING HEALTHY DIET PHYSICAL ACTIVITY AND HEALTHY WEIGHT AND MATERNAL AND INFANT HEALTH INCLUDING IMPROVED BIRTH WEIGHTS AND BREASTFEEDING DURATION INVITATIONS TO WOMENS HEALTH CONFERENCES IN GLADWIN ALMA AND MIDLAND WERE SENT TO UNDERINSURED WOMEN AND THOSE REFERRED BY HEALTH CARE PROVIDERS THE PROGRAM CHALLENGED ATTENDEES TO TAKE CHARGE OF THEIR HEALTH AND THEY ESTABLISHED GOALS AND ACTIONS FOR POSITIVE CHANGE THE MARCH CONFERENCES FEATURED ADVICE FROM MIDMICHIGAN HEALTH PROVIDERS AND THE WOMENS GUIDE TO LIVING WELL PARTICIPANTS RECEIVED FOLLOWUP CALLS THREE MONTHS LATER TO SEE IF CHANGED BEHAVIORS HAD BECOME HEALTHY HABITS IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES ADDITIONAL BREASTFEEDING SUPPORT THROUGH BREASTFEEDING FACILITATORS AND SCHOLARSHIPS FOR THOSE WHO COULD NOT AFFORD BREASTFEEDING PREPARATION CLASS WERE PROVIDED ADDITIONALLY A BEST PRACTICE EDUCATIONAL AND NETWORKING CONFERENCE BUILDING BRIDGES FOR BREASTFEEDING DURATION WAS HELD FOR PRACTITIONERS INCLUDING DOCTORS NURSES LACTATION CONSULTANTS AND ANY OTHER SUPPORT STAFF WHO WORK WITH MOMS AND NEWBORNS FREE OR LOWCOST STROKE KNOW YOUR NUMBERS TOTAL LIPID PROFILE BLOOD GLUCOSE BLOOD PRESSURE WEIGHT BODY MASS INDEX AND WAIST CIRCUMFERENCE AND OSTEOPOROSIS SCREENINGS PROVIDED A CONVENIENT FREE OR LOWCOST MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES WHEN TREATMENT IS USUALLY MORE SUCCESSFUL RESULTING IN LOWER MORBIDITY OR MORTALITY MIDMICHIGAN HEALTH SCREENED 5266 PEOPLE IN OUR SERVICE AREA THIS YEAR AT A COST OF 96204 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASED PHYSICAL ACTIVITY AMONG CHILDREN MIDMICHIGAN HEALTH AND THE GREAT LAKES LOONS EXPANDED THE FITNESS WATCH PROJECT TO REACH 1000 CHILDREN IN THE REGION IN 4TH OR 5TH GRADE NOTING AN INCREASE IN AT LEAST ONE MEASURE OF PHYSICAL FITNESS IN 92 OF THE PARTICIPANTS ADDITIONALLY HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS WITH MANY OF THESE PROGRAMS LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MICHIGAN ADDITIONAL INFORMATION PART VI PART I LINES 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES THE PATIENTS AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE PATIENTS WHOSE FAMILY INCOME EXCEEDS 200 OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE MIDMICHIGAN MEDICAL CENTERGLADWIN LINE NUMBER 1 PART V LINE 3 PART V LINE 3 MIDMICHIGAN MEDICAL CENTERGLADWINS COMMUNITY OUTREACH NURSE IS INVOLVED IN A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT CALLED TOGETHER WE CAN HEALTH IMPROVEMENT PLANNING WORKING GROUP HIPFOR CLARE AND GLADWIN COUNTY SHE ADDITIONALLY IS THE MATERNALINFANT HEALTH PRIORITY AREA LEADER FOR THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL THE HIP WORKING GROUP IS A SUBCOMMITTEE OF THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL A COLLABORATIVE OF COMMUNITY MEMBERS AND AGENCIES FROM ACROSS THE REGION LED BY THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT IN AN EFFORT TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES SERVED INCLUSIVE OF THOSE SERVED BY MIDMICHIGAN MEDICAL CENTERGLADWIN OTHER MEMBERS INCLUDE THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CHIEF HEALTH OFFICER DIRECTOR OF PUBLIC HEALTH PROMOTION AND PREPAREDNESS AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT HEALTH PROMOTION AND PREPAREDNESS SUPERVISOR AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT AND DIRECTOR OF PERSONAL HEALTH SERVICES AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS ADDITIONALLY MIDMICHIGAN MEDICAL CENTERGLADWIN IS A PARTNER WITH MIHIA THE MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA IS A FORMAL MULTISTAKEHOLDER COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY OF HEALTH EXCELLENCE FOR THE 14COUNTY REGION IT SERVES WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION MIDMICHIGAN MEDICAL CENTERGLADWIN LINE NUMBER 1 PART V LINE 12H PART V LINE 12H PATIENTS RELIGIOUS BELIEFS PREVENT HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY MIDMICHIGAN MEDICAL CENTERGLADWIN LINE NUMBER 1 PART V LINE 14G PART V LINE 14G THE COMPLETE POLICY IS NOT PUBLISHED HOWEVER NOTICES OF THE EXISTENCE OF A FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN REGISTRATION AREAS INCLUDING EMERGENCY ROOM PATIENT BILLING INVOICES AND THE HOSPITAL WEBSITE INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE MIDMICHIGAN MEDICAL CENTERGLADWIN LINE NUMBER 1 PART V LINE 22 PART V LINE 22 PATIENTS WHO DID NOT FOLLOW THEIR INSURANCE POLICY RULES SUCH AS ACCESSING PARTICIPATING PROVIDERS OBTAINING REFERRALS ETC GUARANTORS REFUSING TO ASSIGN BENEFITS TO THE HOSPITAL IF THEY ARE AVAILABLE PATIENTS WHO ARE UNCOOPERATIVE WITH THE MEDICAID APPLICATION PROCESS X X X X X false true false false false false false true false RICHARD REYNOLDS 558629 50000 882159 312473 22621 1825882 425203 RAYMOND STOVER 176069 16178 45083 16218 253548 CHERYL LOUBERT MD 108031 32904 433 12873 18655 172896 FRANCINE PADGETT 305957 15000 33698 84095 24336 463086 DONNA RAPP 277354 15000 25498 93285 13973 425110 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 INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING. 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 CONTINUES TO UTILIZE 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 NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS, PADGETT, RAPP, AND POSTLER-SLATTERY ARE PARTICIPANTS IN A 457(F) PLAN. THE ONLY PAYMENT MADE IN 2012 WAS TO REYNOLDS WHO HAD VESTED AS OF 1/1/2012 AND RECEIVED THE AMOUNT REQUIRED TO BE PAID OUT ACCORDING TO THE PLAN. 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. A MICHIGAN STATE HOSPITAL FINANCE 382889417 59465HEB8 2006-11-07 4332800 CAPITAL PROJECTS false false false B MICHIGAN STATE HOSPITAL FINANCE 382889417 59465HLF1 2009-06-17 3000000 CAPITAL PROJECTS false false false A 4332800 25020 4394824 2009 false false true true B 3000000 44440 2934752 2011 false false true true A false false false false 0.00940 0.00940 false false false true B false false false false false false false true A false false false true false false false false true B false true false false false false false false true A true DATE REBATE COMPUTATION PERFORMED SCHEDULE K MICHIGAN STATE HOSPITAL FINANCE 050110 ADDITIONAL INFORMATION SCHEDULE K MICHIGAN STATE HOSPITAL FINANCE IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THESE BOND ISSUES COLUMNS A AND B THEREFORE FORM 8038T IS NOT REQUIRED ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION 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. ADDITIONAL INFORMATION FORM 990 ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. 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. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 THE ARTICLES OF INCORPORATION OF THE ORGANIZATION WERE AMENDED IN JUNE OF 2013 TO INCLUDE THE FOLLOWING LANGUAGE: THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING A BENEFIT TO ITS MEMBER, AND THE CORPORATION MAY PAY DIVIDENDS OR DISTRIBUTE ITS INCOME OR PROFIT TO MIDMICHIGAN HEALTH, ITS SOLE MEMBER AND A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, PROVIDED ANY SUCH PAYMENTS OR DISTRIBUTIONS ARE OTHERWISE CONSISTENT WITH THE CORPORATION'S PURPOSES AND ARE OTHERWISE PERMITTED UNDER THE MICHIGAN NONPROFIT CORPORATION ACT, AS AMENDED. THE CORPORATION SHALL NOT TAKE ANY ACTION WHICH, IF TAKEN DIRECTLY BY MIDMICHIGAN HEALTH, WOULD REQUIRE APPROVAL OF ALL MEMBER CLASSES OF MIDMICHIGAN HEALTH, UNLESS SUCH ACTION IS APPROVED BY MIDMICHIGAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION. 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 11B 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 A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE 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 INDEPENDENT. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH AND THE COMPENSATION IS THEN REVIEWED 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. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII 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. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR 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. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G ASSOCIATION DUES & OTHER FEES 1,035,425 166,545 0 PURCHASED/CONTRACT SERVICES 1,566,167 1,364,186 0 MIDMICHIGAN HEALTH 4000 WELLNESS DRIVE MIDLAND MI 48670 382459948 SUPPORT MI 501C3 11A NA false MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 380833014 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-CLARE 703 NORTH MCEWAN STREET CLARE MI 48617 381518643 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 CARE/EQUIP MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET ROAD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN REGIONAL IMAGING 4000 WELLNESS DRIVE MIDLAND MI 48670 352182295 EQUIPMENT MI 501C3 11B MIDMI HLTH true MIDMICHIGAN URGENT CARE 3009 N SAGINAW RD MIDLAND MI 48640 205064848 AMBULATORY MI 501C3 9 MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 188 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true MIDMI MEDICAL CENTER-GLADWIN AUX 515 QUARTER STREET GLADWIN MI 48624 382316532 SUPPORT MI 501C3 11A NA false MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false false false false true false false false false true true false false false false true true true true MIDMICHIGAN MEDICAL CENTER-MIDLAND R 130281 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES R 115636 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP S 74275 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING K 607133 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 71064 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 2048333 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 67500 BOOKS RECORDS MIDMICHIGAN HEALTH P 720815 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 383302 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 3311256 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND Q 432021 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES Q 169405 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND R 130281 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES R 115636 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP S 74275 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING K 607133 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 71064 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 2048333 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 67500 BOOKS RECORDS MIDMICHIGAN HEALTH P 720815 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 383302 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 3311256 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND Q 432021 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES Q 169405 BOOKS RECORDS