MYMICHIGAN MEDICAL CENTER ALPENA: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER ALPENA (EIN 38-6000029)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349311808
- Schema version
- 2016v3.1
- 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 G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T16:41:24-04:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 GRATIOT RD | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 486386035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 386000029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER - ALPENA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9898393181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCINE M PADGETT | PersonNm |
| Person Title | SR. VP & TREASURER | PersonTitleTxt |
| Phone | 9899383181 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA M EBEL | PreparerPersonNm |
| PTIN | P00184232 | PTIN |
| Phone | 9894975300 | PhoneNum |
| Preparation | 2018-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARMON T BJELLA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $140,104,380 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDMICHIGAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1940 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or 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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1101 | TotalEmployeeCnt |
| Total Volunteers | 154 | TotalVolunteersCnt |
| Total Gross UBI | $2,542,247 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $15,667 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $82,779 | PYContributionsGrantsAmt |
| CY Contributions Grants | $574,882 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,723,775 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $134,565,839 | CYProgramServiceRevenueAmt |
| PY Investment Income | $123,687 | PYInvestmentIncomeAmt |
| CY Investment Income | $187,691 | CYInvestmentIncomeAmt |
| PY Other Revenue | $871,562 | PYOtherRevenueAmt |
| CY Other Revenue | $4,463,793 | CYOtherRevenueAmt |
| PY Total Revenue | $33,801,803 | PYTotalRevenueAmt |
| CY Total Revenue | $139,792,205 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,893,036 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $73,063,530 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $4,969 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $17,722 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $165,938 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,395,658 | PYOtherExpensesAmt |
| CY Other Expenses | $64,851,599 | CYOtherExpensesAmt |
| PY Total Expenses | $34,293,663 | PYTotalExpensesAmt |
| CY Total Expenses | $137,932,851 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$491,860 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,859,354 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $203,239,263 | TotalAssetsBOYAmt |
| Total Assets EOY | $143,091,003 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $192,534,285 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $77,940,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,704,978 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,150,806 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $82,770,068 | ExpenseAmt |
| Revenue | $119,476,425 | RevenueAmt |
| Desc | MIDMICHIGAN MEDICAL CENTER - ALPENA'S PRIMARY LINE OF BUSINESS IS AN ACUTE CARE HOSPITAL PROVIDING BOTH INPATIENT AND OUTPATIENT SERVICES. FOR THE REPORTING PERIOD, WE PROVIDED 4,961 TOTAL DISCHARGES INCLUDING 3,851 ACUTE CARE, 405 NEWBORNS, 571 PSYCHIATRIC AND 134 INPATIENT REHABILITATION PATIENTS. WE ALSO PROVIDED 19,010 VISITS IN OUR EMERGENCY ROOM, 6,236 OUTPATIENT SURGERY CASES AND 166,353 OTHER OUTPATIENT VISITS. CARE IS PROVIDED REGARDLESS OF THE PATIENT'S ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,832,963 | ExpenseAmt |
| Revenue | $7,617,194 | RevenueAmt |
| Desc | MIDMICHIGAN MEDICAL CENTER - ALPENA OPERATES A NUMBER OF PHYSICIAN CLINICS IN ORDER TO PROVIDE THE COMMUNITY WITH ACCESS TO BOTH PRIMARY CARE AND SPECIALIZED CARE THAT MAY NOT OTHERWISE BE AVAILABLE DUE TO THE SHORTAGE OF PHYSICIANS WILLING TO ESTABLISH AN INDEPENDENT PRACTICE IN OUR REGION. FOR THIS REPORTING PERIOD, TOTAL ENCOUNTERS FOR OUR CLINICS WERE 56,177. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,470,739 | ExpenseAmt |
| Revenue | $7,472,220 | RevenueAmt |
| Desc | MIDMICHIGAN MEDICAL CENTER - ALPENA ALSO PROVIDES CONTINUING CARE TO PATIENTS THROUGH THE PROVISION OF HOME CARE/PRIVATE DUTY SERVICES, HOME MEDICAL EQUIPMENT (DME) AND ACCESS TO COMMERCIAL PHARMACY SERVICES. THE VOLUME OF SERVICES PROVIDED INCLUDES 15,640 HOME CARE AND 5,466 PRIVATE DUTY VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $108,073,770 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1101 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FM PADGETT SR VP TREASURER | PersonNm |
| Phone | 9898393181 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DIANE POSTLER-SLATTERY | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $1,081,036 | $189,448 | ||
| GREGORY ROGERS | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $703,309 | $270,422 | ||
| KARMON T BJELLA | ||||||||
| PRESIDENT | 50.00 | Yes (X) | $342,978 | $0 | $32,614 | Yes (X) | ||
| JAMES ARBUCKLE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES DECKER MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES FLORIP | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BEACH HALL | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE HILDEBRAND | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID MEINHARDT MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC SMITH | ||||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIE WILLIAMS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD WILLIS MD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY DOMBROSKI | ||||||||
| PHYSICIAN | 50.00 | $791,382 | $0 | $1,037 | Yes (X) | |||
| ABRAHAM SALACATA | ||||||||
| PHYSICIAN | 50.00 | $686,256 | $0 | $11,190 | Yes (X) | |||
| DANIEL VOGEL | ||||||||
| PHYSICIAN | 50.00 | $627,669 | $0 | $11,190 | Yes (X) | |||
| SANJEEV ARORA | ||||||||
| PHYSICIAN | 50.00 | $605,180 | $0 | $11,190 | Yes (X) | |||
| DANIEL MAXWELL | ||||||||
| PHYSICIAN | 50.00 | $590,197 | $0 | $9,311 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,643,662 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,784,345 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $536,402 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUND PHYSICIANS | |||||
| PO BOX 742936 | LOS ANGELES | CA | 900742936 | PHYSICIAN | $4,433,007 |
| OAKCITY CONTRACTING LLC | |||||
| 181 N INDUSTRIAL DR | ALPENA | MI | 49707 | CONSTRUCTION | $2,906,062 |
| AHSA LLC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | STAFFING | $1,387,649 |
| OXFORD INTEGRATED HEALTH SOLUTIONS | |||||
| 14674 W MOUNTAIN VIEW BLVD | SURPRISE | AZ | 85374 | PHYSICIAN | $815,396 |
| THUNDER BAY ER PHYSICIANS PC | |||||
| PO BOX 2347 | GRAND RAPIDS | MI | 49501 | ER PHYSICIANS | $737,539 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $574,882 | AllOtherContributionsAmt |
| Total Contributions | $574,882 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 621990 | $75,683,970 | $75,683,970 | |
| PATIENT REVENUE, NET | 621990 | $43,704,087 | $43,704,087 | |
| PHYSICIAN CLINICS | 621990 | $7,617,194 | $7,617,194 | |
| HOME CARE, OTHER | 621990 | $5,073,671 | $5,073,671 | |
| O/P PHARMACY | 446110 | $1,325,862 | $1,325,862 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,161,055 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,161,055 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $134,565,839 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $409,677 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $248,085 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $161,592 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,759 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,759 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,759 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $44,279 | UnrelatedBusinessRevenueAmt |
| Exclusion | $63,480 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $90,189 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,623 | SecuritiesAmt |
| Other | $235,552 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,566 | SecuritiesAmt |
| Other | -$235,552 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$221,986 | TotalRevenueColumnAmt |
| Exclusion | -$221,986 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| JOINT VENTURE RELATED INCOME | 900099 | $1,767,507 | $1,767,507 | |
| BILLING SERVICES | 900099 | $571,770 | $571,770 | |
| CAFETERIA INCOME | 722514 | $571,301 | $571,301 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,445,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,434,405 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $11,051 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,356,034 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,792,205 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $136,100,689 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,542,247 | UnrelatedBusinessRevenueAmt |
| Exclusion | $574,387 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,430 | TotalAmt |
| Management And General | $427,430 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,043,753 | TotalAmt |
| Program Services | $43,760,182 | ProgramServicesAmt |
| Management And General | $10,203,910 | ManagementAndGeneralAmt |
| Fundraising | $79,661 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,116,004 | TotalAmt |
| Program Services | $4,061,725 | ProgramServicesAmt |
| Management And General | $4,048,095 | ManagementAndGeneralAmt |
| Fundraising | $6,184 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,914,674 | TotalAmt |
| Program Services | $3,460,509 | ProgramServicesAmt |
| Management And General | $3,448,897 | ManagementAndGeneralAmt |
| Fundraising | $5,268 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,561,669 | TotalAmt |
| Program Services | $1,782,468 | ProgramServicesAmt |
| Management And General | $1,776,487 | ManagementAndGeneralAmt |
| Fundraising | $2,714 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,803 | TotalAmt |
| Management And General | $9,803 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,000 | TotalAmt |
| Management And General | $35,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,722 | TotalAmt |
| Fundraising | $17,722 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,741 | TotalAmt |
| Management And General | $145,741 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,909,209 | TotalAmt |
| Program Services | $12,618,893 | ProgramServicesAmt |
| Management And General | $260,316 | ManagementAndGeneralAmt |
| Fundraising | $30,000 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,090 | TotalAmt |
| Program Services | $9,794 | ProgramServicesAmt |
| Management And General | $24,296 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,491 | TotalAmt |
| Program Services | $276,377 | ProgramServicesAmt |
| Management And General | $425,466 | ManagementAndGeneralAmt |
| Fundraising | $648 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,105,135 | TotalAmt |
| Program Services | $331,062 | ProgramServicesAmt |
| Management And General | $1,774,073 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,028,374 | TotalAmt |
| Program Services | $870,386 | ProgramServicesAmt |
| Management And General | $1,157,988 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,433 | TotalAmt |
| Program Services | $319,906 | ProgramServicesAmt |
| Management And General | $16,527 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,508 | TotalAmt |
| Management And General | $8,508 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,717,688 | TotalAmt |
| Program Services | $3,303,595 | ProgramServicesAmt |
| Management And General | $1,412,756 | ManagementAndGeneralAmt |
| Fundraising | $1,337 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,870 | TotalAmt |
| Program Services | $127,069 | ProgramServicesAmt |
| Management And General | $512,801 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $29,674,977 | $29,661,121 | $13,856 |
| QAAP FEES | $2,651,661 | $2,651,661 | |
| MAINTENANCE COSTS | $2,531,115 | $1,708,740 | $822,375 |
| REFERENCE LAB SERVICE | $923,637 | $923,637 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,397,867 | TotalAmt |
| Program Services | $2,206,645 | ProgramServicesAmt |
| Management And General | $3,168,818 | ManagementAndGeneralAmt |
| Fundraising | $22,404 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,932,851 | TotalAmt |
| Program Services | $108,073,770 | ProgramServicesAmt |
| Management And General | $29,693,143 | ManagementAndGeneralAmt |
| Fundraising | $165,938 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,209,639 | BOYAmt |
| EOY | $12,092,203 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,930,829 | BOYAmt |
| EOY | $5,706,154 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,543,291 | BOYAmt |
| EOY | $11,949,592 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,067 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,774,723 | BOYAmt |
| EOY | $2,150,519 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,061,867 | BOYAmt |
| EOY | $473,224 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $73,209,461 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,595,231 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,485,548 | BOYAmt |
| EOY | $66,614,230 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,176,985 | BOYAmt |
| EOY | $39,710,782 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,945,326 | BOYAmt |
| EOY | $657,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,852,988 | BOYAmt |
| EOY | $3,737,299 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,239,263 | BOYAmt |
| EOY | $143,091,003 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,854,691 | BOYAmt |
| EOY | $13,530,770 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $919,782 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,303 | BOYAmt |
| EOY | $131,514 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,323,509 | BOYAmt |
| EOY | $64,277,913 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,534,285 | BOYAmt |
| EOY | $77,940,197 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,427,784 | BOYAmt |
| EOY | $60,445,454 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,277,194 | BOYAmt |
| EOY | $4,705,352 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,704,978 | BOYAmt |
| EOY | $65,150,806 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,239,263 | BOYAmt |
| EOY | $143,091,003 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,859,354 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,109,880 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $51,476,594 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,370,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,370,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,697,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,694,522 | DepreciationAmt |
| Book Value | $57,002,552 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,457,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,900,709 | DepreciationAmt |
| Book Value | $6,556,510 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $685,168 | OtherCostOrOtherBasisAmt |
| Book Value | $685,168 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $66,614,230 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER FINANCIAL INVESTMENTS | Desc |
| Book Value | $39,710,782 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $39,710,782 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION & POST-RETIREMENT | $58,053,402 |
| SELF INSURANCE, DEFERRED COMP, OTHER | $6,224,511 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $64,277,913 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $141,156,684 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,109,880 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $19,047 | OtherRevenueAmt |
| Revenue Not Reported | $1,128,927 | RevenueNotReportedAmt |
| Revenue Subtotal | $140,027,757 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$235,552 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$235,552 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $139,792,205 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $140,315,126 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,146,723 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,146,723 | ExpensesNotReportedAmt |
| Expenses Subtotal | $138,168,403 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$235,552 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$235,552 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $137,932,851 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | MIDMICHIGAN HEALTH DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30,2017 AND 2016. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | NET ASSETS RELEASED FROM RESTRICTIONS 19,047 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -235,552 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | NET ASSETS RELEASED FROM RESTRICTIONS 2,146,723 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -235,552 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART IV | FormAndLineReferenceDesc |
| Explanation | NO INDIVIDUALS OR ENTITIES WERE PAID AT LEAST 5,000 BY THE ORGANIZATION FOR PROFESSIONAL FUNDRAISING SERVICES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $469,596 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $469,596 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,042,986 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,148,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,894,004 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03540 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $21,512,582 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,148,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,363,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3023 | ActivitiesOrProgramsCnt |
| Persons Served | 161513 | PersonsServedCnt |
| Total Community Benefit Expns | $127,677 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 74 | PersonsServedCnt |
| Total Community Benefit Expns | $227,584 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $227,584 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 390 | PersonsServedCnt |
| Total Community Benefit Expns | $115,991 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $115,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3049 | ActivitiesOrProgramsCnt |
| Persons Served | 161977 | PersonsServedCnt |
| Total Community Benefit Expns | $471,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,955 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $467,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3051 | ActivitiesOrProgramsCnt |
| Persons Served | 161977 | PersonsServedCnt |
| Total Community Benefit Expns | $21,983,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,152,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,830,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04220 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $2,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,970 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $75 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $3,045 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,045 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,792,471 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $48,866,085 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $50,185,485 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,319,400 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NE MI CANCER CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RADIATION ONCOLOGY DIAGNOSIS & TREATMENT | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER-ALPENA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE SCHEDULE H, PART VI | WebsiteAddressTxt |
| State License | 1060000019 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | INPATIENT PSYCHIATRIC & REHAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN MEDICAL CENTER-ALPENA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (true) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART VI | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SCHEDULE H, PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SCHEDULE H, PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SCHEDULE H, PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, MIDMICHIGAN MEDICAL CENTER-ALPENA - PART V, LINE 2 | MIDMICHIGAN MEDICAL CENTER - ALPENA WAS PREVIOUSLY ALPENA REGIONAL MEDICAL CENTER, A MICHIGAN MUNICIPAL HEALTH FACILITIES CORPORATION. THIS ORGANIZATION WAS GRANTED TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE IN MARCH OF 2016. AT THAT TIME THE ORGANIZATION BECAME A DUAL-STATUS ORGANIZATION AS BOTH A GOVERNMENTAL UNIT AND A PUBLIC CHARITY. |
| FACILITY 1, MIDMICHIGAN MEDICAL CENTER-ALPENA - PART V, LINE 5 | A. WE HAVE PARTNERED IN THE PAST WITH ALCONA HEALTH CLINIC TO PUT ON PATH CLASSES, AND A SIGN UP EVENT FOR HEALTH INSURANCE COVERAGE. THEY ARE A FQHC. B. WE HAVE BEEN MEMBERS OF THE NORTHERN MICHIGAN CHRONIC DISEASE COORDINATING NETWORK AND THE NORTHERN MICHIGAN REGIONAL DIABETES PREVENTION PROGRAM NETWORK. WE ALSO HAVE PARTNERED WITH THE LOCAL HEALTH DEPARTMENT FOR HEALTH FAIRS. C. WE ARE WORKING WITH LOCAL PUBLIC SAFETY AS A PARTNER WITH OTHER GROUPS TO REFER PARENTS TO RECEIVE CAR SEATS. WE PARTNER WITH LOCAL LAW ENFORCEMENT REGARDING EDUCATION OF HOSPITAL POLICY AND PROCEDURES FOR INMATES IN THE HOSPITAL. WE ARE PARTNERED WITH THE LOCAL SEXUAL ABUSE PREVENTION TEAM TO ASSIST WITH POLICIES AND PROCEDURES IN OUR HOSPITAL WHEN PRESENTED WITH A SEXUAL ASSAULT VICTIM. WE ALSO HAVE COORDINATED WITH LOCAL FIRE STATION STAFF FOR AMERICAN HEART ASSOCIATION TRAINING. D. WE HAVE PARTNERED WITH CHURCHES TO COMMUNICATE COMMUNITY HEALTH PROGRAMS. E. WE HAVE PARTNERED WITH PRESCHOOLS AND ELEMENTARY SCHOOLS TO IMPLEMENT 5210 EDUCATION A PROGRAM AIMED AT INCREASING PROPER NUTRITION AND INCREASED EXERCISE. F. EXCHANGE INFORMATION AND SHARE RESOURCES FOR A SIMILAR MISSION TO ENHANCE THE CAPACITY OF THE OTHER PARTNER. FORMAL ALLIANCE FORMALIZED PARTNERSHIP (BINDING AGREEMENT) AMONG MULTIPLE ORGANIZATIONS WITH MERGED INITIATIVES, COMMON GOALS AND METRICS. |
| FACILITY 1, MIDMICHIGAN MEDICAL CENTER-ALPENA - PART V, LINE 11 | AS A RESULT OF THE CHNA, TOBACCO CESSATION, OBESITY PREVENTION, AND PHYSICAL INACTIVITY WERE FOUND TO BE THE GREATEST EXPRESSED NEEDS OF THE COMMUNITY. TO ADDRESS THESE NEEDS THE FOLLOWING WAS EXECUTED: - INCREASE PARTICIPATION IN SMOKING CESSATION PROGRAMS THROUGH PHYSICAN- BASED INTERVENTIONS, INCREASE COMMUNITY OUTREACH TO RAISE AWARENESS OF TOBACCO CESSATION SERVICES, AND BY OFFERING THE AMERICAN CANCER SOCIETY'S FREEDOM FROM SMOKING TOBACCO CESSATION PROGRAM. - IMPLEMENTATION OF A PATIENT POPULATION MANAGEMENT PROGRAM, A PILOT PROGRAM THAT SOUGHT TO LEARN FROM UNDERSTANDING AND ENGAGING ITS OWN EMPLOYEE/SPOUSE POPULATION TO PILOT STRATEGIES IN AN EFFORT TO GET CLOSER TO A TRUE POPULATION HEALTH MANAGEMENT PHILOSOPHY. THE HOSPITAL COMPARED A TEST GROUP FROM ITS POPULATION BY OFFERING SPECIALIZED COACHING IN FOUR SEPARATE AREAS: HEALTH, SPIRITUAL, PHYSIO-SOCIAL, AND FINANCIAL. THESE INDIVIDUALS WERE SELECTED FROM VOLUNTARY APPLICANTS AND PROVIDED TWO INDIVIDUALIZED SESSIONS PER MONTH OVER A 12 MONTH PERIOD. THESE SESSIONS WERE FINANCIALLY SUPPORTED BY THE HOSPITAL IN EXCHANGE FOR THE SELECTED APPLICANTS AGREEING TO ATTEND SESSIONS AND REASONABLY FOLLOW THROUGH WITH COLLABORATIVE RECOMMENDATIONS MADE BY EACH RESPECTIVE COACH. THE GOAL OF THIS PROGRAM IS TO CREATE AN ENVIRONMENT FOR AN INDIVIDUAL THAT IS SPECIFIC TO THEIR NEEDS AND MEETS ALL FOUR CORNERSTONES OF TOTAL WELL-BEING. THE INITIAL GOAL OF THIS PILOT IS 50 EMPLOYEES/SPOUSES. PROGRAM DETAILS, APPLICATION PROCESS, AND MEASUREMENT WERE RECOMMENDED THROUGH THE EMPLOYEE HEALTH AND SAFETY VALUE STREAM WHICH FALLS UNDER TEAMWORK ON THE ARMC PRODUCTION SYSTEM. |
| FACILITY 1, MIDMICHIGAN MEDICAL CENTER-ALPENA - PART V, LINE 13H | PATIENTS RELIGIOUS BELIEFS PREVENT HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CARDIOLOGY ASSOCIATES | ||||
| 460 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| ORTHOPAEDIC ASSOCIATES | ||||
| 401 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| HOME CARE & PRIVATE DUTY | ||||
| 1521 W CHISHOLM ST | ALPENA | MI | 49707 | HOME CARE ADMIN OFFICES |
| HOME MEDICAL EQUIPMENT | ||||
| 232 RIVER ST | ALPENA | MI | 49707 | HOME MEDICAL EQUIPMENT |
| REHABILITATION SERVICES | ||||
| 5671 N SKEEL AVE STE 40 | OSCODA | MI | 48750 | REHABILITATION SERVICES |
| PEDIATRIC MEDICINE | ||||
| 393 LONG RAPIDS RD | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| REHABILITATION SERVICES | ||||
| 201 S BRADLEY HWY | ROGERS CITY | MI | 49779 | REHABILITATION SERVICES |
| PHARMACY | ||||
| 11745 US 23 SOUTH | OSSINEKE | MI | 49766 | OUTPATIENT PHARMACY |
| REHABILITATION SERVICES | ||||
| 11899 M-32 WEST | ATLANTA | MI | 49709 | REHABILITATION SERVICES |
| ALPENA OPHTHAMOLOGY | ||||
| 346 LONG RAPIDS PLAZA | ALPENA | MI | 49707 | PHYSICIAN CLINIC |
| HOME MEDICAL EQUIPMENT | ||||
| 12674 JEROME ST PO BOX 85 | ATLANTA | MI | 49709 | HOME MEDICAL EQUIPMENT |
| HOME MEDICAL EQUIPMENT | ||||
| 109 EVERGREEN | OSCODA | MI | 48750 | HOME MEDICAL EQUIPMENT |
| REHABILITATION SERVICES | ||||
| 177 N BARLOW RD | LINCOLN | MI | 48742 | REHABILITATION SERVICES |
| RADIOLOGY SERVICES | ||||
| 555 N BRADLEY HWY | ROGERS CITY | MI | 49779 | IMAGING SERVICES |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II - COMMUNITY BUILDING ACTIVITIES | MIDMICHIGAN MEDICAL CENTER-ALPENA EMPLOYEES PARTICIPATED ON COMMUNITY BOARDS FOR LOCAL NON-PROFIT AGENCIES INCLUDING FEDERALLY QUALIFIED HEALTH CENTERS, THUNDER BAY TRANSPORTATION AUTHORITY, AND THE UNITED WAY IN FY2017. IN ADDITION, EMPLOYEES PARTICIPATED IN LOCAL CIVIC ORGANIZATIONS AND COMMUNITY COALITIONS INCLUDING: LOCAL WORKFORCE DEVELOPMENT COALITION, LIONS CLUB, ALPENA ROTARY, ZONTA CLUB OF ALPENA, ALPENA HEALTH AND HUMAN SERVICES COORDINATING COUNCIL, CHILD ABUSE AND NEGLECT TEAM, GREAT START COLLABORATIVE, KNIGHTS OF COLUMBUS, ALPENA BABY PANTRY, AND THE ALPENA BOOSTERS CLUB. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | 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 COST REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. LINE 2 - COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. LINE 3 - BAD DEBT ATTRIBUTABLE TO CHARITY CARE: OUR COLLECTIONS AGENTS INACTIVATE ACCOUNTS WHEN THEY FIND THERE ARE NO ASSETS AND/OR NO EMPLOYMENT. THIS CRITERIA WAS USED TO ESTIMATE HOW MANY ACCOUNTS IN BAD DEBT MIGHT HAVE QUALIFIED FOR CHARITY CARE. OUR ORGANIZATION PROVIDES MEDICAL CARE TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THIS INCLUDES THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT CHOOSE NOT TO PARTICIPATE IN THE PROGRAM, AND THOSE WHO CHOOSE FOR ANY NUMBER OF OTHER REASONS NOT TO PAY. THESE PERSONS CAN BE SERVED REPEATEDLY WITHIN OUR SYSTEM AND ARE NEVER TURNED AWAY EVEN IF IT IS REASONABLY ASSURED THAT PAYMENT WILL NEVER BE RECEIVED. |
| PART III, LINE 8 - MEDICARE EXPLANATION | THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD. THE AUDIT CALCULATION REPORTS A MEDICARE LOSS OF 9,257,269 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2017. |
| PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION | MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." |
| PART VI, LINE 2 - NEEDS ASSESSMENT | ON APRIL 1, 2016 MIDMICHIGAN MEDICAL CENTER-ALPENA, THEN ALPENA REGIONAL MEDICAL CENTER, BECAME A SUBSIDIARY OF MIDMICHIGAN HEALTH. DUE TO THIS TRANSITION, MIDMICHIGAN MEDICAL CENTER-ALPENA WAS NOT REQUIRED TO COMPLETE A CHNA UNTIL 2018. THUS, ALL OF MIDMICHIGAN MEDICAL CENTER-ALPENA'S COMMUNITY BENEFIT ACTIVITIES COMPLETED IN FY 2017 WERE NOT DRIVEN BY THE RESULTS OF A CHNA UNLIKE OTHER SUBSIDIARIES OF MIDMICHIGAN HEALTH. TO LEARN MORE ABOUT ALPENA'S 2018 CHNA STRATEGY, SEE APPENDIX A. A. DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY: MIDMICHIGAN MEDICAL CENTER-ALPENA IS LOCATED WITHIN ALPENA, MICHIGAN. AS RURAL COMMUNITY HOSPITAL, MIDMICHIGAN MEDICAL CENTER-ALPENA PROVIDES MEDICAL CARE TO ALCONA, ALPENA, MONTMORENCY, AND PRESQUE ISLE COUNTY; COMPRISED OF THE FOLLOWING 23 ZIP CODES: 49707 (ALPENA), 49744 (HERRON), 49747 (HUBBARD LAKE), 49753 (LACHINE), 49766 (OSSINEKE), 48705 (BARTON CITY), 48721 (BLACK RIVER), 48728 (CURRAN), 48737 (GLENNIE), 48738 (GREENBUSH), 48740 (HARRISVILLE), 48742 (LINCOLN), 48745 (MIKADO), 48762 (SPRUCE), 49709 (ATLANTA), 49746 (HILLMAN), 49756 (LEWISTON), 49743 (HAWKS), 49759 (MILLERBURG), 49765 (ONAWAY), 49776 (POSEN), 49777 (PRESQUE ISLE), AND 49779 (ROGERS CITY). B. DEMOGRAPHICS OF THE COMMUNITY: POPULATION ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY TOTAL POPULATION, ESTIMATED 2016 10,352 28,704 9,173 12,762 9,928,300 RANK OF MICHIGAN COUNTIES BY POPULATION 75TH 50TH 77TH 71ST AGE ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY UNDER 18 YEARS 12.7% 19.1% 14.8% 16.1% 22.1% 18-44 YEARS 19.3% 28.1% 21.3% 22.0% 34.1% 45-64 YEARS 32.6% 30.4% 33.4% 31.5% 27.6% 65 YEARS & OLDER 35.4% 22.3% 30.5% 30.4% 16.2% MEDIAN AGE 57.4 47.3 55.0 53.9 39.5 RACE ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY WHITE 98.1% 98.2% 98.2% 97.6% 80.7% BLACK 0.7% 0.5% .8.0% 1.0% 15.0% NATIVE AMERICAN 0.8% 0.7% 0.7% 0.9% 0.9% ASIAN PACIFIC ISLANDER 0.4% 0.6% 0.3% 0.5% 3.4% COUNTY HEALTH RANKINGS ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY OVERALL RANK 39/83 58/83 70/83 41/83 PERCENTAGE OF ADULTS REPORTING FAIR TO POOR HEALTH (AGE-ADJUSTED) 13% 15% 15% 14% 17% AVERAGE NUMBER OF PHYSICALLY UNHEALTHY DAYS REPORTED IN PAST 30 DAYS (AGE-ADJUSTED) 3.7 3.8 3.9 3.6 4 AVERAGE NUMBER OF MENTALLY UNHEALTHY DAYS REPORTED IN PAST 30 DAYS (AGE-ADJUSTED) 3.7 3.7 3.8 3.7 3.9 B. EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY THAT ARE AVAILABLE TO RESPOND TO HEALTH NEEDS OF THE COMMNNITY: A 139 LICENSED- BED HOSPITAL LOCATED IN NORTHEAST MICHIGAN ON THE SHORES OF LAKE HURON, ALPENA'S FIRST COMMUNITY HOSPITAL OPENED IN 1915 AS THE DONALD MCRAE HOSPITAL. IT SERVED UNTIL 1939, WHEN A PETITION WAS PASSED TO BUILD A NEW PUBLIC HOSPITAL. ON APRIL 16, 1940, A NEW 88-LICENSED BED HOSPITAL OPENED CALLED ALPENA GENERAL HOSPITAL. ON APRIL 1, 2016, ALPENA REGIONAL MEDICAL CENTER JOINED MIDMICHIGAN HEALTH, MAKING IT THE FIFTH MEDICAL CENTER IN THE MIDMICHIGAN HEALTH SYSTEM. TO REFLECT THE HOSPITAL JOINING MIDMICHIGAN, THE MEDICAL CENTER CHANGED ITS NAME TO MIDMICHIGAN MEDICAL CENTER-ALPENA. ACCREDITED BY THE JOINT COMMISSION, THE MEDICAL CENTER HAS APPROXIMATELY 1,000 EMPLOYEES, 200 VOLUNTEERS AND ABOUT 100 PHYSICIANS. IN 2017, THE MEDICAL CENTER IN ALPENA WAS RECOGNIZED AS A TOP RURAL COMMUNITY HOSPITAL BY THE NATIONAL RURAL HEALTH ASSOCIATION, WAS NAMED TO THE BECKER'S HOSPITAL REVIEW 2017 LIST OF 100 GREAT COMMUNITY HOSPITALS, AND RECEIVED MICHIGAN'S QUALITY IMPROVEMENT ORGANIZATION (MPRO) 2017 GOVERNOR'S AWARD OF EXCELLENCE FOR OUTSTANDING ACHIEVEMENT IN EFFECTIVE REPORTING AND MEASUREMENT IN THE HOSPITAL VALUE-BASED PURCHASING ACUTE CARE HOSPITAL SETTING. C. HOW IS DATA OBTAINED: FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CURRENTLY UNDERWAY AT MIDMICHIGAN MEDICAL CENTER-ALPENA, A MIX METHODOLOGIES APPROACH HAS BEEN EMPLOYED TO BETTER UNDERSTAND THE HEALTH NEEDS THROUGH COLLECTION OF PRIMARY AND SECONDARY DATA. OVER 175 PUBLIC HEALTH INDICATORS HAVE BEEN COLLECTED TO DETERMINE THE DEMOGRAPHIC AND HEALTH STATUS OF EACH COUNTY WITH MIDMICHIGAN MEDICAL CENTER-ALPENA'S PRIMARY SERVICE AREAS FROM NUMEROUS REPUTABLE SOURCES INCLUDING BUT NOT LIMITED TO: COUNTY HEATH RANKINGS, NATIONAL CANCER INSTITUTE, CENTERS FOR MEDICARE & MEDICAID SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION, MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES, UNITED STATES CENSUS BUREAU, USDA FOOD ENVIRONMENT ATLAS, NATIONAL INSTITUTES OF HEALTH, MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, MDHHS IMMUNIZATIONS REPORT CARD, MICHIGAN HEALTH PROFILE, AMERICAN COMMUNITY SURVEY, MICHIGAN STATE POLICE, KIDS COUNT DATA CENTER, MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, HEALTH INDICATOR WAREHOUSE, UNITED WAY: ALICE REPORT, FOOD BANK OF EASTERN MICHIGAN, THUNDER BAY TRANSPORTATION, US DEPARTMENT OF EDUCATION, NATIONAL CENTER FOR CANCER STATISTICS, NATIONAL VITAL STATISTICS SYSTEM, AND CDC DIABETES ATLAS. IN ADDITION TO THE PRIMARY DATA COLLECTED, THE CHNA OF MIDMICHIGAN MEDICAL CENTER-ALPENA'S PRIMARY SERVICE AREAS SOUGHT INPUT FROM PEOPLE REPRESENTING THE BROAD AND LOCAL COMMUNITIES, AS WELL AS LOW-INCOME, AND OTHER MEDICALLY UNDERSERVED POPULATIONS. MULTIPLE METHODS ARE BEING USED TO OBTAIN COMMUNITY INPUT: COMMUNITY HEALTH ADVISORY TASK FORCE COMMUNITY QUESTIONNAIRE COMMUNITY STAKEHOLDER QUESTIONNAIRE D. THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: AS PART OF THE CHNA CURRENTLY UNDERWAY AT MIDMICHIGAN MEDICAL CENTER-ALPENA, THE MOST SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WILL BE IDENTIFIED. ONCE THE CHNA HAS BEEN APPROVED BY MIDMICHIGAN MEDICAL CENTER-ALPENA'S BOARD OF DIRECTORS IN JUNE 2018, THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2018-2020 WILL BE DEVELOPED IN CONJUNCTION WITH THE ALPENA COMMUNITY HEALTH TASK FORCE. |
| PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE PUBLIC IS MADE AWARE OF OUR FINANCIAL ASSISTANCE POLICY: A. THROUGH BROCHURES AVAILABLE AT ALL MIDMICHIGAN MEDICAL CENTER-ALPENA OFFICES B. BY PATIENT ACCOUNTING COUNSELORS AND SOCIAL WORKERS C. ON THE PATIENT AND FINANCIAL ASSISTANCE PROGRAM WEBPAGE ON OUR WEBSITE (HTTPS://WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT- NOTICE-OFFMANCIAL-AIQL) IN FISCAL YEAR 2017, MIDMICHIGAN MEDICAL CENTER-ALPENA PROVIDED 23,931.99 IN FINANCIAL ASSISTANCE TO PATIENTS THAT MET ESTABLISHED INCOME, ASSET AND NEEDS CRITERIA. PATIENTS THAT FAILED TO SATISFY ESTABLISHED FINANCIAL ASSISTANCE CRITERIA WERE GIVEN AID IN OBTAINING FREE/LOWCOST HEALTH INSURANCE AND/OR HELP WITH ARRANGING A PAYMENT PLAN. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | MIDMICHIGAN MEDICAL CENTER - ALPENA'S PRIMARY SERVICE AREA IS COMPRISED OF 23 ZIP CODES IN 4 COUNTIES AROUND AND INCLUDING ALPENA COUNTY THAT ACCOUNT FOR OVER 71% OF THE HOSPITAL'S INPATIENT ADMISSIONS, AND NO OTHER HOPSITALS ARE WITHIN THE SERVICE AREA. DEMOGRAPHICS OF THE COMMUNITY: POPULATION ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY TOTAL POPULATION, ESTIMATED 2016 10,352 28,704 9,173 12,762 9,928,300 RANK OF MICHIGAN COUNTIES BY POPULATION 75TH 50TH 77TH 71ST AGE ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY UNDER 18 YEARS 12.7% 19.1% 14.8% 16.1% 22.1% 18-44 YEARS 19.3% 28.1% 21.3% 22.0% 34.1% 45-64 YEARS 32.6% 30.4% 33.4% 31.5% 27.6% 65 YEARS & OLDER 35.4% 22.3% 30.5% 30.4% 16.2% MEDIAN AGE 57.4 47.3 55.0 53.9 39.5 RACE ALCONA ALPENA MONTMORENCY PRESQUE ISLE MICHIGAN COUNTY COUNTY COUNTY COUNTY WHITE 98.1% 98.2% 98.2% 97.6% 80.7% BLACK 0.7% 0.5% 0.8% 1.0% 15.0% NATIVE AMERICAN 0.8% 0.7% 0.7% 0.9% 0.9% ASIAN PACIFIC ISLANDER 0.4% 0.6% 0.3% 0.5% 3.4% |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | MIDMICHIGAN MEDICAL CENTER-ALPENA REACHED 993 PEOPLE AND SPENT 228,820.23 ON COMMUNITY BENEFIT PROGRAMS IN FISCAL YEAR 2017. OVER 11,000 WAS SPENT TO PROVIDE GENERAL COMMUNITY HEALTH EDUCATION AT COMMUNITY EVENTS AND HEALTH FAIRS THROUGHOUT NORTHEAST MICHIGAN FOR 184 PEOPLE ON TOPICS LIKE ADVANCED DIRECTIVES, DIABETES MANAGEMENT, NUTRITION, HEART DISEASE, WOMEN'S HEALTH, TOBACCO CESSATION, AND CHRONIC DISEASE MANAGEMENT. IN ADDITION TO COMMUNITY EDUCATION EVENTS, MIDMICHIGAN MEDICAL CENTER-ALPENA PROVIDED: DIABETES OUTREACH EVENT WHERE 100 RECEIVED FREE A1C SCREENINGS AIMED TO INCREASE DIABETES MANAGEMENT AND AWARENESS OF SUPPORT SERVICES AVAILABLE. FALL PREVENTION INFORMATION, CARE TAKER LIFTING, AND INFORMATION ABOUT SUPPORT SERVICES AVAILABLE TO 300 SENIORS. TRANSPORTATION ASSISTANCE PROVIDED TO PATIENTS NEEDING A RETURN RIDE HOME AFTER RECEIVING CARE AT MIDMICHIGAN MEDICAL CENTER FROM THE COURTESY VAN PROGRAM RUN BY VOLUNTEER SERVICES. IN-KIND FINANCIAL DONATIONS TO COMMUNITY ORGANIZATIONS THROUGH USE OF MEETING ROOMS AND SPACES. MORE THAN A 100,000 IN CASH FINANCIAL DONATIONS WERE PROVIDED TO COMMUNITY GROUPS IN EFFORTS TO SUPPORT CANCER SUPPORT GROUPS AND OTHER LOCAL HEALTH IMPROVEMENT INITIATIVES. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | DURING FISCAL YEAR 2017, MIDMICHIGAN HEALTH PROVIDED 90 MILLION IN CHARITY CARE, COMMUNITY BENEFITS AND OTHER UNCOMPENSATED CARE TO 912,000 PEOPLE IN OUR 23-COUNTY REGION. MIDMICHIGAN HEALTH STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WAS TAKEN TO EACH SCREENING AND COMMUNITY OUTREACH EVENT AND PROVIDED AT THE TIME OF PHYSICIAN APPOINTMENTS; WHEN SCHEDULING APPOINTMENTS OR INQUIRING ABOUT AN APPOINTMENT AT A COMMUNITY EVENT. THE MIDMICHIGAN HEALTH PHYSICIAN DIRECTORY HAS INFORMATION ABOUT MIDMICHIGAN ACCESS LINE AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFICES RE: MIDMICHIGAN ACCESS LINE, TO HELP THEM DETERMINE IF A PROGRAM OR SERVICE IS AVAILABLE LOCALLY, OR TO TRANSFER THEM TO A PHYSICIAN OFFICE OR DEPARTMENT FOR REFERRALS. |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MICHIGAN |
| ADDITIONAL INFORMATION | PART I, LINES 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES, THE PATIENT'S 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 CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. PART V, PAGE 3 AND PAGE 4, LINES 7A AND 10A WWW.MIDMICHIGAN.ORG/ABOUT/OUR-AFFILIATES/MEDICAL-CENTERS/MIDMICHIGAN- MEDICAL-CENTER-ALPENA/ PART V, PAGE 5, LINE 16A AND 16C WWW.MIDMICHIGAN.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/PATIENT-NOTICE-OF- FINANCIAL-AID/ |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIANE POSTLER-SLATTERY | ||||||||||||
| DIRECTOR | $739,510 | $338,120 | $3,406 | $165,567 | $23,881 | $1,270,484 | ||||||
| GREGORY ROGERS | ||||||||||||
| DIRECTOR | $485,894 | $190,965 | $26,450 | $247,979 | $22,443 | $973,731 | ||||||
| KARMON T BJELLA | ||||||||||||
| PRESIDENT | $291,887 | $46,728 | $4,363 | $23,318 | $9,296 | $375,592 | ||||||
| JEFFREY DOMBROSKI | ||||||||||||
| PHYSICIAN | $569,025 | $221,763 | $594 | $30 | $1,007 | $792,419 | ||||||
| ABRAHAM SALACATA | ||||||||||||
| PHYSICIAN | $527,315 | $157,423 | $1,518 | $15 | $11,175 | $697,446 | ||||||
| DANIEL VOGEL | ||||||||||||
| PHYSICIAN | $591,660 | $35,415 | $594 | $15 | $11,175 | $638,859 | ||||||
| SANJEEV ARORA | ||||||||||||
| PHYSICIAN | $520,965 | $81,377 | $2,838 | $15 | $11,175 | $616,370 | ||||||
| DANIEL MAXWELL | ||||||||||||
| PHYSICIAN | $407,259 | $180,100 | $2,838 | $15 | $9,296 | $599,508 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | POSTLER-SLATTERY, ROGERS, AND BJELLA ARE PARTICIPANTS IN A 457(F) PLAN. NO PAYMENTS WERE MADE TO THESE PARTICIPANTS IN 2016. 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. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED 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. PART III - OTHER ADDITIONAL INFORMATION 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. |
| 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 FAIR MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH. |
| 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. |
| 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. |
| 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. 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. |
| 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 SURVEYS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. |
| 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. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFERS FROM MIDMICHIGAN HEALTH 501(C)(3) 83,273,203 UNR DB AND RETIREE BENEFITS ADJUSTMENT 27,476,594 GOODWILL IMPAIRMENT -56,215,326 LEGACY COST -3,057,877 TOTAL 51,476,594 |
Schedule R IRS990ScheduleR
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 HEALTH | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 382459948 | SUPPORT | MI | 501C3 | 12A | NA | false |
| MIDMICHIGAN MEDICAL CENTER-MIDLAND | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-GRATIOT | ||||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-CLARE | ||||||||||
| 703 NORTH MCEWAN STREET | CLARE | MI | 48617 | 381518643 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-GLADWIN | ||||||||||
| 515 QUARTER STREET | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN STRATFORD VILLAGE | ||||||||||
| 2121 ROCKWELL DR | MIDLAND | MI | 48642 | 382623324 | LT CARE | MI | 501C3 | 10 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN GLADWIN PINES | ||||||||||
| 449 QUARTER STREET | GLADWIN | MI | 48624 | 382754875 | LT CARE | MI | 501C3 | 10 | MIDMI HLTH | Yes (true) |
| MIDMI VNA DBA MIDMICHIGAN HOME CARE | ||||||||||
| 3007 N SAGINAW RD | MIDLAND | MI | 48640 | 381459397 | HOME EQUIP | MI | 501C3 | 10 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN PHYSICIANS GROUP | ||||||||||
| 2620 W SUGNET RD | MIDLAND | MI | 48640 | 383317788 | MED OFFICE | MI | 501C3 | 12A | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN HEALTH DEV ASSOC | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501C2 | MIDMI HLTH | Yes (true) | |
| MIDMICHIGAN HEALTH FOUNDATION | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501C3 | 12A | MIDMI HLTH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH EASTERN MICHIGAN CANCER CTR | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1501 W CHISHOLM ST | AddressLine1Txt |
| City | ALPENA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383499499 | EIN |
| Primary Activities | ONCOLOGY | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN ASSURANCE GROUP LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1051 23 LIME TREE BAY AVENUE | AddressLine1Txt |
| Address Line2 | GOVERNORS SQUARE BLDG 4 2ND FLOOR | AddressLine2Txt |
| City | GEORGE TOWN | CityNm |
| Province Or State | GRAND CAYMAN | ProvinceOrStateNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980585596 | EIN |
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMI HLTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $83,273,203 | InvolvedAmt |
| Method Of Amount Determination | BOOKS & RECORDS | MethodOfAmountDeterminationTxt |