2018-05-15T16:41:24-04:00 2017-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2016-07-01 386000029 MIDMICHIGAN MEDICAL CENTER - ALPENA MIDM 9898393181 1501 W CHISHOLM ST ALPENA MI 49707 FRANCINE M PADGETT SR. VP & TREASURER 9899383181 2018-05-15 true LAURA M EBEL P00184232 9894975300 2018-05-15 2016 2022-09-23 18:48:47Z KARMON T BJELLA 1501 W CHISHOLM ST ALPENA MI 49707 140104380 false X WWW.MIDMICHIGAN.ORG X 1940 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. 12 9 1101 154 2542247 15667 82779 574882 32723775 134565839 123687 187691 871562 4463793 33801803 139792205 0 0 16893036 73063530 4969 17722 165938 17395658 64851599 34293663 137932851 -491860 1859354 203239263 143091003 192534285 77940197 10704978 65150806 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. false false 82770068 119476425 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. 7832963 7617194 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. 17470739 7472220 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. 108073770 true true false false false false false false false false true true false false true true false true false false false false false true false false true true false false true false false false false false false false false false false false false false true true true false false true 140 0 1101 true true true false false false false false false false false false X 12 9 false false false false true true true true true false false true true true true true true true true false X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DR MIDLAND MI 48670 DIANE POSTLER-SLATTERY DIRECTOR 2.00 50.00 X 0 1081036 189448 GREGORY ROGERS DIRECTOR 2.00 50.00 X 0 703309 270422 KARMON T BJELLA PRESIDENT 50.00 X X 342978 0 32614 JAMES ARBUCKLE DIRECTOR 2.00 X 0 0 0 JAMES DECKER MD DIRECTOR 2.00 X 0 0 0 JAMES FLORIP VICE CHAIR 2.00 X 0 0 0 BEACH HALL DIRECTOR 2.00 X 0 0 0 GEORGE HILDEBRAND DIRECTOR 2.00 X 0 0 0 DAVID MEINHARDT MD DIRECTOR 2.00 X 0 0 0 ERIC SMITH CHAIR 2.00 X 0 0 0 MARIE WILLIAMS DIRECTOR 2.00 X 0 0 0 RICHARD WILLIS MD DIRECTOR 2.00 X 0 0 0 JEFFREY DOMBROSKI PHYSICIAN 50.00 X 791382 0 1037 ABRAHAM SALACATA PHYSICIAN 50.00 X 686256 0 11190 DANIEL VOGEL PHYSICIAN 50.00 X 627669 0 11190 SANJEEV ARORA PHYSICIAN 50.00 X 605180 0 11190 DANIEL MAXWELL PHYSICIAN 50.00 X 590197 0 9311 3643662 1784345 536402 50 false true false SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 900742936 PHYSICIAN 4433007 OAKCITY CONTRACTING LLC 181 N INDUSTRIAL DR ALPENA MI 49707 CONSTRUCTION 2906062 AHSA LLC PO BOX 945 TRAVERSE CITY MI 49685 STAFFING 1387649 OXFORD INTEGRATED HEALTH SOLUTIONS 14674 W MOUNTAIN VIEW BLVD SURPRISE AZ 85374 PHYSICIAN 815396 THUNDER BAY ER PHYSICIANS PC PO BOX 2347 GRAND RAPIDS MI 49501 ER PHYSICIANS 737539 13 574882 574882 MEDICARE/MEDICAID PAYMENTS 621990 75683970 75683970 PATIENT REVENUE, NET 621990 43704087 43704087 PHYSICIAN CLINICS 621990 7617194 7617194 HOME CARE, OTHER 621990 5073671 5073671 O/P PHARMACY 446110 1325862 1325862 1161055 1161055 134565839 409677 248085 161592 107759 107759 107759 44279 63480 90189 76623 235552 13566 -235552 -221986 -221986 JOINT VENTURE RELATED INCOME 900099 1767507 1767507 BILLING SERVICES 900099 571770 571770 CAFETERIA INCOME 722514 571301 571301 1445456 1434405 11051 4356034 139792205 136100689 2542247 574387 427430 427430 54043753 43760182 10203910 79661 8116004 4061725 4048095 6184 6914674 3460509 3448897 5268 3561669 1782468 1776487 2714 9803 9803 35000 35000 17722 17722 145741 145741 12909209 12618893 260316 30000 34090 9794 24296 702491 276377 425466 648 2105135 331062 1774073 2028374 870386 1157988 336433 319906 16527 8508 8508 4717688 3303595 1412756 1337 639870 127069 512801 MEDICAL SUPPLIES 29674977 29661121 13856 QAAP FEES 2651661 2651661 MAINTENANCE COSTS 2531115 1708740 822375 REFERENCE LAB SERVICE 923637 923637 5397867 2206645 3168818 22404 137932851 108073770 29693143 165938 9209639 12092203 25930829 5706154 13543291 11949592 258067 4774723 2150519 1061867 473224 73209461 6595231 67485548 66614230 20176985 39710782 56945326 657000 3852988 3737299 203239263 143091003 22854691 13530770 919782 436303 131514 168323509 64277913 192534285 77940197 X 4427784 60445454 6277194 4705352 10704978 65150806 203239263 143091003 1859354 1109880 51476594 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2370000 2370000 60697074 3694522 57002552 9457219 2900709 6556510 685168 685168 66614230 OTHER FINANCIAL INVESTMENTS 39710782 F 39710782 ACCRUED PENSION & POST-RETIREMENT 58053402 SELF INSURANCE, DEFERRED COMP, OTHER 6224511 64277913 X 141156684 1109880 19047 1128927 140027757 -235552 -235552 139792205 140315126 2146723 2146723 138168403 -235552 -235552 137932851 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 X X X true SCHEDULE G, PART IV NO INDIVIDUALS OR ENTITIES WERE PAID AT LEAST 5,000 BY THE ORGANIZATION FOR PROFESSIONAL FUNDRAISING SERVICES. true true true X true X true true false true true 1 469596 469596 0.00340 1 21042986 16148982 4894004 0.03540 2 21512582 16148982 5363600 0.03880 3023 161513 127677 3955 123722 0.00090 9 74 227584 227584 0.00160 17 390 115991 115991 0.00080 3049 161977 471252 3955 467297 0.00340 3051 161977 21983834 16152937 5830897 0.04220 4 5 2970 2970 1 75 75 5 5 3045 3045 true 6792471 48866085 50185485 -1319400 X true true NE MI CANCER CENTER RADIATION ONCOLOGY DIAGNOSIS & TREATMENT 0.50000 1 1 MIDMICHIGAN MEDICAL CENTER-ALPENA 1501 W CHISHOLM ST ALPENA MI 49707 SEE SCHEDULE H, PART VI 1060000019 X X X INPATIENT PSYCHIATRIC & REHAB MIDMICHIGAN MEDICAL CENTER-ALPENA 1 false true true X X X X X X X X X 16 true false false true X SEE SCHEDULE H, PART VI X true 16 true SEE SCHEDULE H, PART VI false true X 150.000000000000 200.000000000000 X X X X X X true true X X X X true X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X SEE SCHEDULE H, PART VI X X X X X true X false X X X true X false false 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. 14 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 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/ X X X X X false true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 739510 338120 3406 165567 23881 1270484 GREGORY ROGERS DIRECTOR 485894 190965 26450 247979 22443 973731 KARMON T BJELLA PRESIDENT 291887 46728 4363 23318 9296 375592 JEFFREY DOMBROSKI PHYSICIAN 569025 221763 594 30 1007 792419 ABRAHAM SALACATA PHYSICIAN 527315 157423 1518 15 11175 697446 DANIEL VOGEL PHYSICIAN 591660 35415 594 15 11175 638859 SANJEEV ARORA PHYSICIAN 520965 81377 2838 15 11175 616370 DANIEL MAXWELL PHYSICIAN 407259 180100 2838 15 9296 599508 SCHEDULE J, PART III 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. 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 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 true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-CLARE 703 NORTH MCEWAN STREET CLARE MI 48617 381518643 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 10 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 10 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME EQUIP MI 501C3 10 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 12A MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true MIDMICHIGAN HEALTH FOUNDATION 4000 WELLNESS DRIVE MIDLAND MI 48670 812813405 FOUNDATION MI 501C3 12A MIDMI HLTH true NORTH EASTERN MICHIGAN CANCER CTR 1501 W CHISHOLM ST ALPENA MI 49707 383499499 ONCOLOGY MI N/A RELATED false false 0.50000 MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GEORGE TOWN GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP false false false false false false false false false false false false false false false false false false false true MIDMICHIGAN HEALTH S 83273203 BOOKS & RECORDS