MYMICHIGAN HEALTH: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN HEALTH (EIN 38-2459948)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202101339349304380
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T15:06:29-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27400 NORTHWESTERN HIGHWAY | AddressLine1Txt |
| City | SOUTHFIELD | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382459948 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9898379039 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DR | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUDI GRAVES | PersonNm |
| Person Title | CORPORATE CONTROLLER | PersonTitleTxt |
| Phone | 9898393181 | PhoneNum |
| Signature | 2021-05-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 2483522500 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DIANE POSTLER-SLATTERY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DR | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,146,894 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDMICHIGAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | CREATING HEALTHY COMMUNITIES TOGETHER BY PROVIDING EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 414 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $299,380 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $205,172 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $864,651 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $62,193,487 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,688,482 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,686,021 | PYInvestmentIncomeAmt |
| CY Investment Income | -$1,344,741 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,624,895 | PYOtherRevenueAmt |
| CY Other Revenue | $699,138 | CYOtherRevenueAmt |
| PY Total Revenue | $127,504,403 | PYTotalRevenueAmt |
| CY Total Revenue | $69,907,530 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $72,610 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $120,450 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,892,129 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $43,704,906 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,810,288 | PYOtherExpensesAmt |
| CY Other Expenses | $43,804,820 | CYOtherExpensesAmt |
| PY Total Expenses | $83,775,027 | PYTotalExpensesAmt |
| CY Total Expenses | $87,630,176 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $43,729,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,722,646 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $950,268,726 | TotalAssetsBOYAmt |
| Total Assets EOY | $954,174,034 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $157,076,124 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $186,690,757 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $793,192,602 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $767,483,277 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CREATING HEALTHY COMMUNITIES - TOGETHER | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $63,333,438 | ExpenseAmt |
| Grant | $120,450 | GrantAmt |
| Revenue | $67,649,588 | RevenueAmt |
| Desc | THE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT AND RISK MANAGEMENT. | Desc |
| Total Program Service Expenses | $63,333,438 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 397 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 414 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUDI GRAVES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9898379039 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DR | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| POSTLER-SLATTERY DIANE | ||||||||||
| PRESIDENT | 50.00 | 8.00 | Yes (X) | Yes (X) | $1,245,143 | $0 | $255,539 | |||
| ROGERS GREGORY | ||||||||||
| EXEC VICE PRESIDENT | 50.00 | 16.00 | Yes (X) | $803,126 | $0 | $254,203 | ||||
| PADGETT FRANCINE | ||||||||||
| SR VP, SECRETARY & TREASURER | 50.00 | 20.00 | Yes (X) | $668,163 | $0 | $300,179 | ||||
| WATSON PINNEY MD LYDIA | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $688,712 | $0 | $148,045 | Yes (X) | ||||
| RAPP DONNA | ||||||||||
| FORMER SR VP & SECRETARY | 0.00 | 0.00 | $635,694 | $0 | $7,091 | Yes (X) | ||||
| JANDWANI MD PANKAJ | ||||||||||
| CHIEF INNOVATION OFFICER | 50.00 | 2.00 | $574,912 | $0 | $15,482 | Yes (X) | ||||
| STOVER RAYMOND | ||||||||||
| PRESIDENT - EASTERN REGION | 50.00 | 8.00 | $423,197 | $0 | $126,117 | Yes (X) | ||||
| GHILARDI GREG | ||||||||||
| SR VP & CHIEF HR OFFICER | 50.00 | 0.00 | $427,087 | $0 | $103,578 | Yes (X) | ||||
| GENOVESE ROBERT | ||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | 50.00 | 0.00 | $480,867 | $0 | $46,069 | Yes (X) | ||||
| CAMPBELL THOMAS | ||||||||||
| SR VP & CHIEF STRATEGY OFFICER | 50.00 | 0.00 | $443,619 | $0 | $66,972 | Yes (X) | ||||
| WALTZ DANIEL | ||||||||||
| VP CIO | 50.00 | 0.00 | $450,035 | $0 | $52,936 | Yes (X) | ||||
| RODGERS BRIAN | ||||||||||
| FORMER SR VP - PRESIDENT MHN | 0.00 | 0.00 | $160,655 | $0 | $0 | Yes (X) | ||||
| DENOYER BOB | ||||||||||
| DIRECTOR (PART-YEAR) | 2.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| SHEETS DON | ||||||||||
| DIRECTOR (PART-YEAR) | 2.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| SMITH ERIC | ||||||||||
| DIRECTOR | 2.00 | 2.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| SMITH GLENN | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| WASSENAAR DDS SARA | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $3,000 | $0 | $0 | ||||
| WHEELER JIM | ||||||||||
| CHAIR | 2.00 | 4.00 | Yes (X) | Yes (X) | $3,000 | $0 | $0 | |||
| ELLIOTT KEVIN | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $2,900 | $0 | $0 | ||||
| MCGUIRE GARY | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $2,600 | $0 | $0 | ||||
| WEIDEMAN BILL | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $2,400 | $0 | $0 | ||||
| MARCOE GREG DO | ||||||||||
| DIRECTOR (PART-YEAR) | 2.00 | 0.00 | Yes (X) | $2,000 | $0 | $0 | ||||
| ARNOLD BOBBIE | ||||||||||
| DIRECTOR (PART-YEAR) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KICKLAND MD ERICH | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MILLER MD DAVID | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SPAHLINGER MD DAVID | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| VELASQUEZ JENNE | ||||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILSON AMY | ||||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,029,110 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,376,211 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 69 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THREE RIVERS CONSTRUCTION | |||||
| PO BOX 1467 | MIDLAND | MI | 48641 | CONSTRUCTION SERVICES | $22,968,847 |
| GREATER MIDLAND EMERGENCY PHYSICIAN PC | |||||
| PO BOX 2579 | MIDLAND | MI | 48641 | EMERGENCY ROOM PHYSICIANS | $12,309,776 |
| SODEXO INC & AFFILIATES | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | FOOD SERVICES | $9,263,512 |
| MIDLAND EMERGENCY ROOM CORP | |||||
| 2000 DILLOWAY DR | MIDLAND | MI | 48640 | EMERGENCY ROOM PHYSICIANS | $8,565,327 |
| MIDMICHIGAN ANESTHESIOLOGY GROUP | |||||
| PO BOX 67000 | DETROIT | MI | 48267 | ANESTHESIA PHYSICIANS | $6,428,822 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 137 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $864,651 | GovernmentGrantsAmt |
| Total Contributions | $864,651 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EXEMPT SUBSIDIARY REVENUE | 561000 | $65,892,280 | $65,892,280 |
| MCCO | 900099 | $2,669,675 | $2,669,675 |
| COLLABORATIVE QUALITY INTIATIVE | 900099 | $1,126,527 | $1,126,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,688,482 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$902,846 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$1,596,999 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $694,153 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $796,419 | SecuritiesAmt |
| Other | $1,050 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,235,136 | SecuritiesAmt |
| Other | $4,228 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$438,717 | SecuritiesAmt |
| Other | -$3,178 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$441,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$441,895 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MIDMICHIGAN HEALTH NETWORK LLC | 900099 | $251,868 | $251,868 | |
| COMMUNITY EDUCATION | 900099 | $55,269 | $55,269 | |
| ISOMM, LLC | 900099 | $47,512 | $47,512 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $344,489 | TotalRevenueColumnAmt |
| Exclusion | $344,489 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $699,138 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,907,530 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $67,649,588 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $299,380 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,093,911 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,450 | TotalAmt |
| Program Services | $120,450 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,878,798 | TotalAmt |
| Program Services | $2,939,399 | ProgramServicesAmt |
| Management And General | $2,939,399 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,643,838 | TotalAmt |
| Program Services | $22,941,676 | ProgramServicesAmt |
| Management And General | $5,702,162 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,536,398 | TotalAmt |
| Program Services | $2,652,299 | ProgramServicesAmt |
| Management And General | $884,099 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,457,274 | TotalAmt |
| Program Services | $2,613,594 | ProgramServicesAmt |
| Management And General | $843,680 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,188,598 | TotalAmt |
| Program Services | $1,641,449 | ProgramServicesAmt |
| Management And General | $547,149 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $962,555 | TotalAmt |
| Management And General | $962,555 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,000 | TotalAmt |
| Program Services | $410,250 | ProgramServicesAmt |
| Management And General | $136,750 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,628 | TotalAmt |
| Management And General | $102,628 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,435,558 | TotalAmt |
| Program Services | $27,765,111 | ProgramServicesAmt |
| Management And General | $5,670,447 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,072 | TotalAmt |
| Program Services | $7,257 | ProgramServicesAmt |
| Management And General | $1,815 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,348,808 | TotalAmt |
| Program Services | $1,011,606 | ProgramServicesAmt |
| Management And General | $337,202 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,322,709 | TotalAmt |
| Program Services | $992,071 | ProgramServicesAmt |
| Management And General | $330,638 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,839 | TotalAmt |
| Program Services | $22,379 | ProgramServicesAmt |
| Management And General | $7,460 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,795 | TotalAmt |
| Program Services | $215,897 | ProgramServicesAmt |
| Management And General | $215,898 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,416 | TotalAmt |
| Management And General | $195,416 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,419,440 | TotalAmt |
| Management And General | $5,419,440 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,630,176 | TotalAmt |
| Program Services | $63,333,438 | ProgramServicesAmt |
| Management And General | $24,296,738 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,192,972 | BOYAmt |
| EOY | $2,602,860 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20 | BOYAmt |
| EOY | $20 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,044,002 | BOYAmt |
| EOY | $9,046,683 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $89,250,343 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,217,030 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,926,688 | BOYAmt |
| EOY | $46,033,313 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,416,385 | BOYAmt |
| EOY | $37,807,979 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,532,039 | BOYAmt |
| EOY | $16,053,717 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $842,148,131 | BOYAmt |
| EOY | $841,640,577 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,008,489 | BOYAmt |
| EOY | $988,885 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,268,726 | BOYAmt |
| EOY | $954,174,034 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,449,715 | BOYAmt |
| EOY | $65,770,862 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,626,409 | BOYAmt |
| EOY | $120,919,895 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,076,124 | BOYAmt |
| EOY | $186,690,757 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $793,192,602 | BOYAmt |
| EOY | $767,483,277 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $793,192,602 | BOYAmt |
| EOY | $767,483,277 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,268,726 | BOYAmt |
| EOY | $954,174,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$17,722,646 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $350,409 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,337,088 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 7 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (7 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||||
| 380833014 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||||
| 381437919 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||||
| 381518643 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | ||||
| 386020434 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | ||||
| 386000029 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | ||||
| 464088182 | 3 | 0 | $0 | $0 |
| MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE | ||||
| 381459397 | 10 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 7 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A - SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT OF SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATIONS IS EQUAL TO THE PROGRAM SERVICE EXPENSE REPORTED ON FORM 990, PART IX. MIDMICHIGAN HEALTH IS LISTED IN THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS AS THE SOLE MEMBER OF THE ORGANIZATION. THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,408,393 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,416,121 | DepreciationAmt |
| Book Value | $992,272 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $239,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $92,425 | DepreciationAmt |
| Book Value | $146,801 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $85,551,939 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,708,484 | DepreciationAmt |
| Book Value | $43,843,455 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,050,785 | OtherCostOrOtherBasisAmt |
| Book Value | $1,050,785 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,033,313 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (11 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | $568,679,769 | C |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | $53,761,785 | C |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | $49,848,999 | C |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | $52,570,856 | C |
| MIDMICHIGAN MEDICAL CENTER - CLARE | $38,531,192 | C |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | $18,810,235 | C |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATION | $57,889,449 | C |
| MIDMICHIGAN COLLABORATIVE CARE ORG | $1,169,671 | C |
| MIDMICHIGAN PHYSICIANS GROUP | -$12,621,188 | C |
| MIDMICHIGAN HEALTH NETWORK | $1,280,516 | C |
| MIDMICHIGAN VISITING NURSE ASSOC | $11,719,293 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $841,640,577 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION/RETIRMENT BENEFITS | $60,254,192 |
| DEFERRED COMP, OTHER | $37,926,342 |
| SELF INSURANCE | $22,739,361 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $120,919,895 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||||
| 1111 S HENRY SUITE A | BAY CITY | MI | 48706 | 131788491 | 501(C)(3) | $7,500 | N/A | N/A | DONATION |
| AMERICAN HEART ASSOCIATION | |||||||||
| PO BOX 841390 | DALLAS | TX | 75284 | 135613797 | 501(C)(3) | $17,000 | N/A | N/A | DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| POSTLER-SLATTERY DIANE | ||||||||||||||
| PRESIDENT | $812,550 | $0 | $425,170 | $0 | $7,423 | $0 | $230,632 | $0 | $24,907 | $0 | $1,500,682 | $0 | $0 | $0 |
| ROGERS GREGORY | ||||||||||||||
| EXEC VICE PRESIDENT | $532,654 | $0 | $240,823 | $0 | $29,649 | $0 | $235,215 | $0 | $18,988 | $0 | $1,057,329 | $0 | $0 | $0 |
| PADGETT FRANCINE | ||||||||||||||
| SR VP, SECRETARY & TREASURER | $463,388 | $0 | $173,698 | $0 | $31,077 | $0 | $283,909 | $0 | $16,270 | $0 | $968,342 | $0 | $0 | $0 |
| WATSON PINNEY MD LYDIA | ||||||||||||||
| CHIEF MEDICAL OFFICER | $493,430 | $0 | $187,504 | $0 | $7,778 | $0 | $121,848 | $0 | $26,197 | $0 | $836,757 | $0 | $0 | $0 |
| RAPP DONNA | ||||||||||||||
| FORMER SR VP & SECRETARY | $15,045 | $0 | $0 | $0 | $620,649 | $0 | $6,506 | $0 | $585 | $0 | $642,785 | $0 | $168,638 | $0 |
| JANDWANI MD PANKAJ | ||||||||||||||
| CHIEF INNOVATION OFFICER | $411,413 | $0 | $162,116 | $0 | $1,383 | $0 | $14,000 | $0 | $1,482 | $0 | $590,394 | $0 | $0 | $0 |
| STOVER RAYMOND | ||||||||||||||
| PRESIDENT - EASTERN REGION | $296,734 | $0 | $113,311 | $0 | $13,152 | $0 | $101,853 | $0 | $24,264 | $0 | $549,314 | $0 | $0 | $0 |
| GHILARDI GREG | ||||||||||||||
| SR VP & CHIEF HR OFFICER | $298,056 | $0 | $113,061 | $0 | $15,970 | $0 | $80,139 | $0 | $23,439 | $0 | $530,665 | $0 | $0 | $0 |
| GENOVESE ROBERT | ||||||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | $377,295 | $0 | $93,134 | $0 | $10,438 | $0 | $23,197 | $0 | $22,872 | $0 | $526,936 | $0 | $0 | $0 |
| CAMPBELL THOMAS | ||||||||||||||
| SR VP & CHIEF STRATEGY OFFICER | $320,313 | $0 | $118,747 | $0 | $4,559 | $0 | $63,399 | $0 | $3,573 | $0 | $510,591 | $0 | $0 | $0 |
| WALTZ DANIEL | ||||||||||||||
| VP CIO | $325,206 | $0 | $120,154 | $0 | $4,675 | $0 | $48,590 | $0 | $4,346 | $0 | $502,971 | $0 | $0 | $0 |
| RODGERS BRIAN | ||||||||||||||
| FORMER SR VP - PRESIDENT MHN | $0 | $0 | $0 | $0 | $160,655 | $0 | $0 | $0 | $0 | $0 | $160,655 | $0 | $160,655 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A: | THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT OF THE MONTHLY SOCIAL COUNTRY CLUB DUES WHICH APPROXIMATES $163 PER MONTH. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. AMOUNTS RELATED TO THE NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. POSTLER-SLATTERY, DIANE - PRESIDENT & CEO ROGERS, GREGORY - EXECUTIVE VICE PRESIDENT PADGETT, FRANCINE - SVP, CFO & TREASURER WATSON-PINNEY, MD, LYDIA - CHIEF MEDICAL OFFICER STOVER, RAYMOND - PRESIDENT EASTERN REGION GHILARDI, GREG - VP HUMAN RESOURCES CAMPBELL, THOMAS - CHIEF STRATEGY OFFICER WALTZ, DANIEL - VP & CHIEF INFORMATION OFFICER |
| PART I, LINE 4A: | THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED A SEVERENCE PAYMENT. DONNA RAPP RECEIVED SEVERANCE PAYMENTS BIWEEKLY, FOR 104 WEEKS, TOTALING $410,086 DURING THE TAX YEAR. |
| PART I, LINE 4B: | POSTLER-SLATTERY, ROGERS, PADGETT, WATSON PINNEY, STOVER, GHILARDI, CAMPBELL, AND WALTZ ARE PARTICIPANTS IN A 457(F) PLAN. RAPP, A FORMER PARTICIPANT, RECEIVED A FINAL PAYMENT IN 2019. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THE MEMBERS OF THE SENIOR LEADERSHIP OR EXECUTIVE TEAM. EACH PARTICIPANT'S ANNUAL AWARD IS BASED ON THEIR POSITION LEVEL AND IS A PERCENTAGE OF BASE SALARY ON DECEMBER 31 OF THE PLAN YEAR. THE PLAN PROVIDES ADDITIONAL RETIREMENT INCOME WHICH OTHERWISE WOULD BE PROVIDED UNDER THE PENSION PLAN AND 403(B) PLAN, BUT FOR LIMITATIONS ON SUCH BENEFITS REQUIRED BY FEDERAL LAW. 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, ON THE THREE-YEAR ANNIVERSARY OF THEIR PARTICIPATION DATE. |
| 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 ITS COMPREHENSIVE ASSESSMENT IN MAY 2019. AN INDEPENDENT ASSESSMENT IS COMPLETED EVERY 3-5 YEARS. THE COMPENSATION COMMITTEE REVIEWED THE RESULTS IN MAY 2019 PRIOR TO AWARDING ANY ANNUAL COMPENSATION ADJUSTMENTS. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE MAY 2018 COMPENSATION COMMITTEE MEETING. |
| PART III: | MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE CHARTER IS APPROVED ANNUALLY BY THE COMMITTEE AND BOARD AS WERE THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| ROBIN NELSON | |||
| FAMILY MEMBER OF BOBBIE ARNOLD, BOARD MEMBER | $123,037 | EMPLOYMENT | 0 |
| MICHAEL ROGERS | |||
| FAMILY MEMBER OF GREGORY ROGERS, EXEC. VICE PRESIDENT | $99,473 | EMPLOYMENT | 0 |
| JERAMIE SODERBERG | |||
| FAMILY MEMBER OF BILL WEIDEMAN, BOARD MEMBER | $82,775 | EMPLOYMENT | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ADDITIONAL INFORMATION | THIS FORM 990 TAX RETURN INCLUDES DATA FROM MIDMICHIGAN COLLABORATIVE CARE ORGANIZATION. |
| FORM 990, PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 | ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS 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, SECTION A, LINE 6 | THE CORPORATION HAS TWO MEMBER CLASSES. ONE MEMBER CLASS CONSISTS SOLELY OF MICHIGAN HEALTH CORPORATION (MHC) AND HOLDS A TWELVE PERCENT (12%) MEMBERSHIP INTEREST IN MIDMICHIGAN HEALTH. THE OTHER MEMBER CLASS CONSISTS OF THE MEMBERS OF THE MIDMICHIGAN HEALTH DIRECTOR CLASS AND HOLDS A 88% MEMBERSHIP INTEREST. MHC EXISTS AS THE SOLE MEMBER OF THE MHC MEMBER CLASS. THE MIDMICHIGAN HEALTH MEMBER CLASS IS COMPOSED OF THE INDIVIDUALS WHO ARE MEMBERS OF THE MIDMICHIGAN HEALTH DIRECTOR CLASS. THE PROPERTY, BUSINESS, AND AFFAIRS OF MIDMICHIGAN HEALTH ARE MANAGED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAY EXERCISE ALL OF THE POWER AND AUTHORITY OF THE ORGANIZATION IN SUCH A MANNER AND TO SUCH EXTENT AS THE BOARD OF DIRECTORS SHALL DETERMINE AND DECIDE, EXCEPT AS SPECIFICALLY PROVIDED IN THE LAWS OF THE STATE OF MICHIGAN, THE ARTICLES OF INCORPORATION, AND/OR THE BYLAWS OF MIDMICHIGAN HEALTH. THE BOARD OF DIRECTORS SHALL HAVE TWO DIRECTOR CLASSES, THE FIRST CONSISTING OF THOSE DIRECTORS NOMINATED BY THE MHC MEMBER CLASS AND THE SECOND CONSISTING OF THE DIRECTORS NOMINATED BY THE MIDMICHIGAN HEALTH MEMBER CLASS. THE BOARD OF DIRECTORS ("BOARD") SHALL CONSIST OF NOT LESS THAN 11 PERSONS AND NOT MORE THAN 18 PERSONS, INCLUDING THE PRESIDENT/CEO WHO SHALL SERVE AS EX OFFICIO. THE BOARD CURRENTLY MEETS AT LEAST 5 TIMES A YEAR. ACTIONS BY WRITTEN CONSENT ARE PERMITTED BUT SUCH CONSENT MUST BE UNANIMOUS. ALL OTHER ACTIONS MAY BE TAKEN BY A MAJORITY OF THE TOTAL NUMBER OF DIRECTORS PRESENT ASSUMING A QUORUM. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MHC DIRECTORS HOLD OFFICE FOR SUCCESSIVE THREE-YEAR TERMS, WITHOUT TERM LIMITS, UNTIL A SUCCESSOR IS APPOINTED AND QUALIFIED. MIDMICHIGAN DIRECTORS HOLD OFFICE FOR A TERM OF ONE YEAR AND UNTIL HIS OR HER SUCCESSOR IS SELECTED AND QUALIFIED. NO MIDMICHIGAN DIRECTOR EXCEPT FOR THE CHIEF EXECUTIVE OFFICER SHALL SERVE MORE THAN NINE CONSECUTIVE ONE-YEAR TERMS. AT LEAST 30 DAYS PRIOR TO THE ANNUAL MEETING OF MEMBERS, THE CHAIR OF THE GOVERNANCE AND NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS OF THE MIDMICHIGAN MEMBER CLASS AT THE ANNUAL MEETING. ONLY MEMBERS OF THE MIDMICHIGAN MEMBER CLASS ARE VESTED WITH THE POWER TO ELECT MIDMICHIGAN DIRECTORS. ADDITIONAL CANDIDATES FOR MEMBERSHIP ON THE BOARD OF DIRECTORS MAY BE NOMINATED BY MEMBERS OF THE MIDMICHIGAN MEMBER CLASS, HOWEVER, ALL SUCH NOMINATIONS MUST BE FILED WITH THE SECRETARY AT LEAST FIFTEEN (15) DAYS IN ADVANCE OF THE ANNUAL MEETING AT WHICH THE ELECTION WILL BE HELD. IN NOMINATING AND ELECTING INDIVIDUALS TO SERVE AS MIDMICHIGAN DIRECTORS, CONSIDERATION SHALL BE GIVEN TO DRAWING CANDIDATES FROM REGIONS SERVED BY THE CORPORATION AND ITS SUBSIDIARIES, AND TO CANDIDATES WHO PROVIDE SKILLS OR EXPERTISE NEEDED BY THE BOARD OF DIRECTORS. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED IN THESE BYLAWS, FOR THE PERIOD BEGINNING APRIL 1, 2016 AND ENDING MARCH 31, 2018, TWO (2) SEATS ON THE BOARD OF DIRECTORS SHALL BE HELD BY MEMBERS OF MIDMICHIGAN MEDICAL CENTER-ALPENA'S BOARD OF DIRECTORS. IF, PRIOR TO MARCH 31, 2018, EITHER OF THOSE MEMBERS RESIGNS OR IS REMOVED, THEIR REPLACEMENT MEMBERS WILL BE APPOINTED FROM AMONG INDIVIDUALS NOMINATED BY THE MIDMICHIGAN MEDICAL CENTER-ALPENA BOARD. ADDITIONALLY, NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED IN THESE BYLAWS, FOR THE PERIOD BEGINNING APRIL 1, 2018 AND ENDING MARCH 31, 2027, ONE (1) SEAT ON THE BOARD OF DIRECTORS SHALL BE HELD BY A MEMBER OF MIDMICHIGAN MEDICAL CENTER-WEST BRANCH'S BOARD OF DIRECTORS. IF, PRIOR TO MARCH 31, 2027, SUCH MEMBER RESIGNS OR IS REMOVED, A REPLACEMENT MEMBER WILL BE APPOINTED FROM AMONG INDIVIDUALS NOMINATED BY THE MIDMICHIGAN MEDICAL CENTER-WEST BRANCH BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | EACH MEMBER CLASS HAS CERTAIN RESERVE POWERS. THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE MHC MEMBER CLASS AND THE MIDMICHIGAN HEALTH MEMBER CLASS: - TERMINATION OF THE AFFILIATION OTHER THAN AS EXPRESSLY PROVIDED IN THE AFFILIATION AGREEMENT; - DISSOLUTION OF THE CORPORATION; - CHANGES TO THE ARTICLES OF INCORPORATION, BYLAWS, OR OTHER DOCUMENTS OF MIDMICHIGAN HEALTH OR ITS SUBSIDIARIES THAT WOULD AFFECT MHC'S (AND/OR UMHS') RIGHTS OR INTERESTS UNDER THE AFFILIATION AGREEMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE STAFF AT EACH SUBSIDIARY UPLOADS INFORMATION INTO THE SOFTWARE WHICH IS THEN REVIEWED BY A THE CORPORATE CONTROLLER AT MIDMICHIGAN HEALTH. THE CORPORATE CONTROLLER REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. A FINAL REVIEW IS THEN DONE BY THE SVP AND TREASURER. IN ADDITION, ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO 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 INDENTIFIED. |
| FORM 990, PART VI, SECTION B, 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. A LISTING OF ANY CONFLICTS ARE PROVIDED TO THE BOARD CHAIR, VICE CHAIR, AND PRESIDENT OF THE ORGANIZATION. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND AT A MINIMUM ARE REQUIRED TO ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII | MEMBERS OF THE MIDMICHIGAN HEALTH CORPORATE BOARD RECEIVE AN ANNUAL RETAINER PAID IN JULY OF $1,800 AND $200 FOR EACH MEETING ATTENDED EITHER IN PERSON OR REMOTELY. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL OTHER INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK. |
| FORM 990, PART IX, LINE 11G | PURCHASED/CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 23,328,835. MANAGEMENT AND GENERAL EXPENSES 1,234,171. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,563,006. ASSOCIATION DUES & OTHER FEES: PROGRAM SERVICE EXPENSES 4,436,276. MANAGEMENT AND GENERAL EXPENSES 4,436,276. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,872,552. |
| FORM 990, PART XI, LINE 9: | PENSION -26,937,708. BOOK TAX DIFFERENCE FROM MHN K-1 -251,868. BOOK TAX DIFFERENCE FROM ISOMM K-1 -47,512. CAPITAL CONTRIBUTIONS FROM SUBSIDIARIES 18,900,000. THE AUDIT PROCESS HAS NOT CHANGED IN THE CURRENT YEAR. |
| FORM 990, PART XII, LINE 3B | SINGLE AUDIT DUE DATE WAS EXTENDED PER THE OFFICE OF MANAGEMENT AND BUDGET |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN COLLABORATIVE CARE ORG | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DR | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460548987 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Total Income | $99,603 | TotalIncomeAmt |
| End Of Year Assets | $1,972,336 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||||||||||
| 703 N MCEWAN ST | CLARE | MI | 48617 | 381518643 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | ||||||||||
| 515 QUARTER ST | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | ||||||||||
| 1501 W CHISHOLM ST | ALPENA | MI | 49707 | 386000029 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN VNA DBA MIDMICHIGAN HOME CARE | ||||||||||
| 3007 N SAGINAW RD | MIDLAND | MI | 48640 | 381459397 | HOME CARE | MI | 501(C)(3) | LINE 10 | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN PHYSICIANS GROUP | ||||||||||
| 2620 W SUGNET RD | MIDLAND | MI | 48640 | 383317788 | MEDICAL OFFICE | MI | 501(C)(3) | LINE 12A, I | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501(C)(2) | MIDMICHIGAN HEALTH | Yes (1) | |
| MIDMICHIGAN HEALTH FOUNDATION | ||||||||||
| 4000 WELLNESS DR | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501(C)(3) | LINE 12A, I | MIDMICHIGAN HEALTH | Yes (1) |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | ||||||||||
| 2463 S M-30 | WEST BRANCH | MI | 48661 | 464088182 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MIDMICHIGAN HEALTH | Yes (1) |
| TOLFREE FOUNDATION | ||||||||||
| 335 E HOUGHTON AVE | WEST BRANCH | MI | 48661 | 383067917 | FUNDRAISING | MI | 501(C)(3) | LINE 12A, I | MIDMICHIGAN HEALTH | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIDMICHIGAN HEALTH PAIN MANAGEMENT | |||||||||||||||
| 2463 SOUTH M-30 | WEST BRANCH | MI | 48661 | 834186622 | HEALTHCARE PAIN MANAGEMENT | MI | N/A | ||||||||
| ISOMM | |||||||||||||||
| 211 S CRAPO ST STE H | MT PLEASANT | MI | 48858 | 270867311 | MRI SERVICES | MI | MIDMICHIGAN HEALTH | UNRELATED | $47,512 | $458,204 | 0 | $47,512 | 0 | 0.51000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (24 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||
| C | $13,000,000 | COST |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||
| C | $1,800,000 | COST |
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||
| C | $850,000 | COST |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | ||
| C | $2,500,000 | COST |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | ||
| C | $550,000 | COST |
| MIDMICHIGAN VISITING NURSE ASSOCIATION DBA MIDMICHIGAN HOME CARE | ||
| C | $200,000 | COST |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||
| C | $2,600,000 | COST |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | ||
| B | $4,900,000 | COST |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||
| K | $71,893 | COST |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | ||
| P | $1,049,302 | COST |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | ||
| P | $2,103,995 | COST |
| MIDMICHIGAN PHYSICIANS GROUP | ||
| P | $1,241,927 | COST |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||
| P | $215,162 | COST |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||
| P | $84,751 | COST |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||
| Q | $35,079,382 | COST |
| MIDMICHIGAN MEDICAL CENTER - GRATIOT | ||
| Q | $7,650,785 | COST |
| MIDMICHIGAN MEDICAL CENTER - ALPENA | ||
| Q | $7,926,221 | COST |
| MIDMICHIGAN MEDICAL CENTER - CLARE | ||
| Q | $3,125,894 | COST |
| MIDMICHIGAN MEDICAL CENTER - GLADWIN | ||
| Q | $2,784,347 | COST |
| MIDMICHIGAN VISITING NURSE ASSOCIATION DBA MIDMICHIGAN HOME CARE | ||
| Q | $1,017,474 | COST |
| MIDMICHIGAN PHYSICIANS GROUP | ||
| Q | $6,828,754 | COST |
| MIDMICHIGAN HEALTH DEVELOPMENT ASSOCIATES | ||
| Q | $774,816 | COST |
| MIDMICHIGAN HEALTH FOUNDATION | ||
| C | $97,156 | COST |
| MIDMICHIGAN MEDICAL CENTER - MIDLAND | ||
| S | $125,512 | COST |