MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-14
IRS object ID: 201531349349307093
Schema version: 2013v4.0
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-14T16:48:42-05:00	ReturnTs
Tax Period End	2014-06-30	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5300 GRATIOT RD	AddressLine1
City	SAGINAW	City
State	MI	State
ZIP Code	486386035	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER- MIDLAND	BusinessNameLine1

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	4000 WELLNESS DRIVE	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCINE M PADGETT	PersonNm
Person Title	SR. VP & TREASURER	PersonTitleTxt
Phone	9898393181	PhoneNum
Signature	2015-05-14	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	2015-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	GREGORY ROGERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DRIVE	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$374,175,711	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 OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2496	TotalEmployeeCnt
Total Volunteers	378	TotalVolunteersCnt
Total Gross UBI	$529,728	TotalGrossUBIAmt
PY Contributions Grants	$4,255,517	PYContributionsGrantsAmt
CY Contributions Grants	$3,945,489	CYContributionsGrantsAmt
PY Program Service Revenue	$307,442,210	PYProgramServiceRevenueAmt
CY Program Service Revenue	$317,324,776	CYProgramServiceRevenueAmt
PY Investment Income	$14,147,038	PYInvestmentIncomeAmt
CY Investment Income	$15,004,488	CYInvestmentIncomeAmt
PY Other Revenue	$25,556,485	PYOtherRevenueAmt
CY Other Revenue	$12,719,184	CYOtherRevenueAmt
PY Total Revenue	$351,401,250	PYTotalRevenueAmt
CY Total Revenue	$348,993,937	CYTotalRevenueAmt
PY Grants And Similar Paid	$239,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$219,900	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$130,188,427	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$124,163,972	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$197,648	CYTotalFundraisingExpenseAmt
PY Other Expenses	$199,624,350	PYOtherExpensesAmt
CY Other Expenses	$178,857,211	CYOtherExpensesAmt
PY Total Expenses	$330,051,877	PYTotalExpensesAmt
CY Total Expenses	$303,241,083	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,349,373	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,752,854	CYRevenuesLessExpensesAmt
Total Assets BOY	$591,435,828	TotalAssetsBOYAmt
Total Assets EOY	$562,885,607	TotalAssetsEOYAmt
Total Liabilities BOY	$198,133,070	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$159,745,990	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$393,302,758	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$403,139,617	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 OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$241,582,527	ExpenseAmt
Revenue	$317,324,776	RevenueAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,649 PATIENT ADMISSIONS AND 267,068 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2014. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$219,900	ExpenseAmt
Grant	$219,900	GrantAmt
Desc	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$241,802,427	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	Yes (true)	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	false	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	false	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	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	192	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2496	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
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 DRIVE	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	50.00	Yes (X)	$0	$684,458	$51,167
GREGORY ROGERS
PRESIDENT	2.00	50.00	Yes (X)	$0	$586,155	$245,886	Yes (X)
KERRY PIERCE MD
DIRECTOR	2.00	50.00	Yes (X)	$0	$375,332	$49,343
JAMES BICKNELL MD
DIRECTOR	2.00	50.00	Yes (X)	$0	$370,173	$56,154
DANNY GREIG MD
DIRECTOR	2.00		Yes (X)	$20,651	$0	$0
BOBBIE ARNOLD
DIRECTOR	2.00		Yes (X)	$0	$0	$0
BILL COLLINS
DIRECTOR	2.00		Yes (X)	$0	$0	$0
PAM BOUNDY
DIRECTOR	2.00		Yes (X)	$0	$0	$0
CHUCK KENDALL
DIRECTOR	2.00		Yes (X)	$0	$0	$0
CARL ELLINGER
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JIM FABIANO
DIRECTOR	2.00		Yes (X)	$0	$0	$0
TOM OLEN DO
DIRECTOR	2.00		Yes (X)	$0	$0	$0
JON LYNCH
CHAIR	2.00		Yes (X)	$0	$0	$0
WALLACE MAYTON
VICE CHAIR	2.00		Yes (X)	$0	$0	$0
AMY WILSON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
SANDRA REARDON
DIRECTOR	2.00		Yes (X)	$0	$0	$0
FRANCINE PADGETT
SENIOR VP/TR	2.00	50.00		$0	$521,192	$141,589	Yes (X)
DONNA RAPP
SENIOR VP/SE	2.00	50.00		$0	$389,673	$125,707	Yes (X)
ADELBERTO ADAN
VP	50.00			$294,578	$0	$93,007		Yes (X)
WILLIAM DERY MD
MEDICAL DIRE	50.00			$264,349	$0	$96,071		Yes (X)
DIANE NOLD
VP	50.00			$250,328	$0	$69,083		Yes (X)
JEFFERY HANOVER
CRNA	50.00			$260,748	$0	$34,959			Yes (X)
EGLE KLUGIENE MD
PHYSICIAN	50.00			$256,556	$0	$844			Yes (X)
MARK ADAMS MD
PHYSICIAN	50.00			$252,000	$0	$0			Yes (X)
KELLY HILL MD
PHYSICIAN	50.00			$247,734	$0	$63,710			Yes (X)
COREY KALO
CRNA	50.00			$246,395	$0	$29,629			Yes (X)
MICHELLE WOOD
FORMER VP	0.00			$141,030	$0	$42,576				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,234,369	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,926,983	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,099,725	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	102	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt	Business Name Line2ContractorName/BusinessName/BusinessNameLine2
MIDLAND EMERGENCY RM CORP
2000 DILLOWAY DR	MIDLAND	MI	48640	ER PHYSICIANS	$5,217,643
MIDMICHIGAN ANESTHESIOLOGY GROUP
PO BOX 67000 DEPT 103901	DETROIT	MI	48267	SERVICES	$2,592,070
EXECUTIVE HEALTH RESOURCES INC
PO BOX 822688	PHILADELPHIA	PA	191822688	CONSULTING	$2,087,305
SIEMENS MED SOLUTIONS USA INC
DEPT 14195	PALATINE	IL	600554195	MAINTENANCE	$1,973,784	C/O MELLON BANK
THREE RIVERS CONSTRUCTION
PO BOX 1467	MIDLAND	MI	48641	CONSTRUCTION	$1,661,468

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,190,634	GovernmentGrantsAmt
All Other Contributions	$1,754,855	AllOtherContributionsAmt
Total Contributions	$3,945,489	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PAYMENTS	621990	$170,505,992	$170,505,992
PATIENT REVENUE, NET	621990	$145,929,425	$145,929,425
CONTRACTED CLINICAL SERVICES	621990	$414,449	$414,449
REFERENCE LABORATORY	621500	$307,549		$307,549
FITNESS CENTER	624100	$167,361		$167,361

Field	Value	IRS element (for citing)
Total Program Service Revenue	$317,324,776	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,525,963	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,107,764	RelatedOrExemptFuncIncomeAmt
Exclusion	$3,418,199	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16	TotalRevenueColumnAmt
Exclusion	$16	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,273	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,273	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,273	TotalRevenueColumnAmt
Exclusion	$9,273	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$35,660,283	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$25,100,511	SecuritiesAmt
Other	$81,263	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,559,772	SecuritiesAmt
Other	-$81,263	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,478,509	TotalRevenueColumnAmt
Exclusion	$10,478,509	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EXEMPT AFFILIATE REVENUE	900099	$4,859,200	$4,859,200
EXEMPT INCENTIVE PAYMENTS	900099	$2,668,159	$2,668,159
EXEMPT JOINT VENTURE REVENUE	900099	$2,020,425	$2,020,425

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,162,127	TotalRevenueColumnAmt
Related Or Exempt Func Income	$612,621	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,818	UnrelatedBusinessRevenueAmt
Exclusion	$2,494,688	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,709,911	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$348,993,937	TotalRevenueColumnAmt
Related Or Exempt Func Income	$328,118,035	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$529,728	UnrelatedBusinessRevenueAmt
Exclusion	$16,400,685	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$219,900	TotalAmt
Program Services	$219,900	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$854,356	TotalAmt
Program Services	$253,770	ProgramServicesAmt
Management And General	$600,586	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$95,720,020	TotalAmt
Program Services	$74,403,608	ProgramServicesAmt
Management And General	$21,209,955	ManagementAndGeneralAmt
Fundraising	$106,457	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,931,488	TotalAmt
Program Services	$5,368,287	ProgramServicesAmt
Management And General	$1,555,537	ManagementAndGeneralAmt
Fundraising	$7,664	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,805,213	TotalAmt
Program Services	$10,700,148	ProgramServicesAmt
Management And General	$3,089,784	ManagementAndGeneralAmt
Fundraising	$15,281	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,852,895	TotalAmt
Program Services	$5,409,498	ProgramServicesAmt
Management And General	$1,435,780	ManagementAndGeneralAmt
Fundraising	$7,617	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$37,227	TotalAmt
Management And General	$37,227	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$270,000	TotalAmt
Management And General	$270,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$609,118	TotalAmt
Management And General	$609,118	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,034,485	TotalAmt
Program Services	$59,473,175	ProgramServicesAmt
Management And General	$20,517,761	ManagementAndGeneralAmt
Fundraising	$43,549	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$154,920	TotalAmt
Program Services	$85,370	ProgramServicesAmt
Management And General	$69,003	ManagementAndGeneralAmt
Fundraising	$547	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,089,615	TotalAmt
Program Services	$42,898,913	ProgramServicesAmt
Management And General	$2,176,363	ManagementAndGeneralAmt
Fundraising	$14,339	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$151,006	TotalAmt
Program Services	$92,648	ProgramServicesAmt
Management And General	$58,358	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,896,500	TotalAmt
Program Services	$1,491,095	ProgramServicesAmt
Management And General	$4,405,405	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$187,618	TotalAmt
Program Services	$123,405	ProgramServicesAmt
Management And General	$64,127	ManagementAndGeneralAmt
Fundraising	$86	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$263,056	TotalAmt
Program Services	$134,754	ProgramServicesAmt
Management And General	$127,951	ManagementAndGeneralAmt
Fundraising	$351	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,405,870	TotalAmt
Program Services	$6,552,816	ProgramServicesAmt
Management And General	$852,568	ManagementAndGeneralAmt
Fundraising	$486	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,380,181	TotalAmt
Program Services	$17,147,851	ProgramServicesAmt
Management And General	$2,231,059	ManagementAndGeneralAmt
Fundraising	$1,271	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,277,182	TotalAmt
Management And General	$1,277,182	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$16,925,225	$16,925,225
LOSS ON EXTINGUISHMENT OF	$653,244		$653,244
PHYSICIAN PRACTICE SUBSID	$521,964	$521,964

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$303,241,083	TotalAmt
Program Services	$241,802,427	ProgramServicesAmt
Management And General	$61,241,008	ManagementAndGeneralAmt
Fundraising	$197,648	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,652	BOYAmt
EOY	$9,114	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,727,756	BOYAmt
EOY	$1,876,675	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,543,641	BOYAmt
EOY	$1,200	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,729,551	BOYAmt
EOY	$42,108,494	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$738,683	BOYAmt
EOY	$737,548	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,660,944	BOYAmt
EOY	$2,980,998	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,291,914	BOYAmt
EOY	$15,399,965	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$333,810,856	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$178,446,666	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$206,911,907	BOYAmt
EOY	$155,364,190	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$52,822,137	BOYAmt
EOY	$43,978,337	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$258,158,970	BOYAmt
EOY	$294,412,392	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,292,098	BOYAmt
EOY	$4,314,378	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,550,575	BOYAmt
EOY	$1,702,316	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$591,435,828	BOYAmt
EOY	$562,885,607	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,057,374	BOYAmt
EOY	$18,614,816	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$159,500,338	BOYAmt
EOY	$131,202,804	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,575,358	BOYAmt
EOY	$9,928,370	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$198,133,070	BOYAmt
EOY	$159,745,990	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$362,135,058	BOYAmt
EOY	$370,536,306	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,502,726	BOYAmt
EOY	$19,705,306	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,664,974	BOYAmt
EOY	$12,898,005	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$393,302,758	BOYAmt
EOY	$403,139,617	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$591,435,828	BOYAmt
EOY	$562,885,607	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$45,752,854	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,498,726	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$62,414,721	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,664,974	BeginningYearBalanceAmt
Contributions	$3,950	ContributionsAmt
Investment Earnings Or Losses	$229,081	InvestmentEarningsOrLossesAmt
End Year Balance	$12,898,005	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,396,980	BeginningYearBalanceAmt
Contributions	$51,272	ContributionsAmt
Investment Earnings Or Losses	$216,722	InvestmentEarningsOrLossesAmt
End Year Balance	$12,664,974	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,090,216	BeginningYearBalanceAmt
Contributions	$103,806	ContributionsAmt
Investment Earnings Or Losses	$202,958	InvestmentEarningsOrLossesAmt
End Year Balance	$12,396,980	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,892,692	BeginningYearBalanceAmt
Contributions	$6,020	ContributionsAmt
Investment Earnings Or Losses	$191,504	InvestmentEarningsOrLossesAmt
End Year Balance	$12,090,216	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,708,254	BeginningYearBalanceAmt
Contributions	$3,425	ContributionsAmt
Investment Earnings Or Losses	$181,013	InvestmentEarningsOrLossesAmt
End Year Balance	$11,892,692	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,153,467	OtherCostOrOtherBasisAmt
Book Value	$1,153,467	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,134,986	OtherCostOrOtherBasisAmt
Depreciation	$77,231,385	DepreciationAmt
Book Value	$106,903,601	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,435,662	OtherCostOrOtherBasisAmt
Depreciation	$6,476,072	DepreciationAmt
Book Value	$14,959,590	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$125,290,500	OtherCostOrOtherBasisAmt
Depreciation	$94,739,209	DepreciationAmt
Book Value	$30,551,291	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,796,241	OtherCostOrOtherBasisAmt
Book Value	$1,796,241	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$155,364,190	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER FINANCIAL INVESTMENTS	Desc
Book Value	$294,412,392	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$294,412,392	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	SELF INSURANCE, DEF COMP, & ACC PEN	Desc
Amt	$9,928,370	Amt

Field	Value	IRS element (for citing)
Total Liability	$9,928,370	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$374,957,543	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$26,498,726	NetUnrealizedGainsInvstAmt
Other Revenue	$224,174	OtherRevenueAmt
Revenue Not Reported	$26,722,900	RevenueNotReportedAmt
Revenue Subtotal	$348,234,643	RevenueSubtotalAmt
Investment Expenses Not Incld	$609,118	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$150,176	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$759,294	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$348,993,937	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$303,158,848	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,180,129	OtherExpensesIncludedAmt
Expenses Not Reported	$1,180,129	ExpensesNotReportedAmt
Expenses Subtotal	$301,978,719	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$609,118	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$653,246	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,262,364	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$303,241,083	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4	HOSPITAL OPERATIONS SUPPORT 1,667,465 HOSPITAL CAPITAL SUPPORT 6,625,453 SCHOLARSHIP FUNDS 3,729,576 COMMUNITY SERVICE FUNDS 875,511 ----------- 12,898,005
SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 877,420 LOSS ON EXTINGUISHMENT OF DEBT -653,246
SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -81,263 BOOK/TAX DIFFERENCE FROM K-1 54,939 TRANFER OF CONTRIBUTIONS TO MIDMI MED CENTER - GRATIOT 176,500
SCHEDULE D, PAGE 4, PART XII, LINE 2D	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 81,263 NET ASSETS RELEASED FROM RESTRICTIONS 1,098,866
SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON EXTINGUISHMENT OF DEBT 653,246

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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$1,672,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,672,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00550	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$35,383,150	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,582,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,800,770	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$37,056,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,582,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,473,743	NetCommunityBenefitExpnsAmt
Total Expense	0.02790	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1849	ActivitiesOrProgramsCnt
Persons Served	131253	PersonsServedCnt
Total Community Benefit Expns	$930,173	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$897,768	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	32	ActivitiesOrProgramsCnt
Persons Served	378	PersonsServedCnt
Total Community Benefit Expns	$8,381,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,990,166	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,391,183	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$54,288	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,288	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	97	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$401,216	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$401,216	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1979	ActivitiesOrProgramsCnt
Persons Served	131631	PersonsServedCnt
Total Community Benefit Expns	$9,767,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,022,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,744,455	NetCommunityBenefitExpnsAmt
Total Expense	0.01230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1981	ActivitiesOrProgramsCnt
Persons Served	131631	PersonsServedCnt
Total Community Benefit Expns	$46,823,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,604,951	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,218,198	NetCommunityBenefitExpnsAmt
Total Expense	0.04030	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$435	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$435	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$10,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,281	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$35,141	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,141	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$435	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$435	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$28,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$162,255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$162,255	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$22,076	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,076	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$259,145	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$259,145	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,829,086	BadDebtExpenseAmt
Bad Debt Expense Attributable	$335,327	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$104,748,759	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,847,797	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,900,962	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	NPS ASSOCIATES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	AMBULATORY SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.44000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.56000	PhysiciansProfitOrOwnershipPct

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-MIDLAND	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4000 WELLNESS DRIVE	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-MIDLAND	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MIDMICHIGAN.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Lawsuit	Yes (X)	PermitLawsuitInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Lawsuit	Yes (X)	LawsuitInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 3	MIDMICHIGAN MEDICAL CENTER-MIDLAND'S COMMUNITY EDUCATION COORDINATOR IS A MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE. THIS COMMITTEE IS A SUBCOMMITTEE OF MIDLAND'S HEALTH AND HUMAN SERVICE COUNCIL. OTHER ORGANIZATIONS WHO PARTICIPATE IN THIS COMMITTEE INCLUDE: THE DOW CHEMICAL COMPANY; MIDLAND SENIOR SERVICES; COUNCIL ON AGING; COMMUNITY MENTAL HEALTH FOR CENTRAL MICHIGAN; AND THE 1016 RECOVERY NETWORK. THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS. ADDITIONALLY, MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A PARTNER WITH MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A FORMAL, MULTI-STAKEHOLDER, COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY HEALTH EXCELLENCE FOR THE 14-COUNTY REGION IT SERVES. THIS INITIATIVE IS BASED ON A CORE BELIEF THAT SOLUTIONS TO OUR HEALTH AND HEALTH CARE PROBLEMS CAN BE FOUND AND DESIGNED AT A REGIONAL LEVEL, ACCELERATING REGIONAL COMPETITIVE ADVANTAGE AND SUSTAINABILITY. WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA, WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 12I	PATIENTS RELIGIOUS BELIEFS PREVENTS HIM/HER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 14G	THE COMPLETE POLICY IS NOT PUBLISHED. HOWEVER, NOTICES OF THE EXISTENCE OF A FINANCIAL ASSISTANCE POLICY IS AVAILABLE IN REGISTRATION AREAS (INCLUDING EMERGENCY ROOM). PATIENT BILLING INVOICES AND THE HOSPITAL WEBSITE INDICATE THE AVAILABILITY OF FINANCIAL ASSISTANCE.
FACILITY 1, MIDMICHIGAN MEDICAL CENTER-MIDLAND - PART V, LINE 22	- PATIENTS WHO DID NOT FOLLOW THEIR INSURANCE POLICY RULES (SUCH AS ACCESSING PARTICIPATING PROVIDERS, OBTAINING REFERRALS, ETC) - GUARANTORS REFUSING TO ASSIGN BENEFITS TO THE HOSPITAL IF THEY ARE AVAILABLE - PATIENTS WHO ARE UNCOOPERATIVE WITH THE MEDICAID APPLICATION PROCESS

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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DR	MIDLAND	MI	48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
MIDMI MED OFFICES- CAMPUS RIDGE I
4401 CAMPUS RIDGE DR	MIDLAND	MI	48640	REHABILITATION SERVICES & LABORATORY
MIDMI MED OFFICES-CAMPUS RIDGE II
4500 CAMPUS RIDGE DR	MIDLAND	MI	48640	INFUSION CENTER
RIECKER SURGERY CENTER
4400 WELLNESS DR	MIDLAND	MI	48640	AMBULATORY SURGERY
MIDMICHIGAN MEDICAL OFFICES-MIDLAND
4009 ORCHARD DR	MIDLAND	MI	48640	PHYSICIAN OFFICE & LABORATORY
MIDLAND PROFESSIONAL SUITES
555 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES, LAB, RADIOLOGY
ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLY	MIDLAND	MI	48642	REHABILITATION SERVICES
WEST WACKERLY BUILIDING
2524 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES
MIDMICHIGAN HEALTH PARK-MT PLEASANT
4851 E PICKARD ST	MT PLEASANT	MI	48858	REHAB, LAB, CARDIOLOGY, RADIOLOGY
MIDMICHIGAN MED OFFICES-FREELAND
5694 MIDLAND RD	FREELAND	MI	48623	REHABILITATION SERVICES, LAB, RADIOLOGY
MIDMICHIGAN GRATIOT CANCER CENTER
315 WARWICK DR	ALMA	MI	48801	RADIATION ONCOLOGY
MIDMICHIGAN MEDICAL OFFICES-AUBURN
929 W MIDLAND RD	AUBURN	MI	48611	LABORATORY
MPG CARDIOLOGY
301 W WACKERLY	MIDLAND	MI	48640	CARDIOLOGY DIAGNOSTIC SERVICES
MIDMICHIGAN MEDICAL OFFICES-SANFORD
40 W SAGINAW RD	SANFORD	MI	48657	LABORATORY

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II - COMMUNITY BUILDING ACTIVITIES	MIDMICHIGAN MEDICAL CENTER-MIDLAND (MIDLAND) EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A KEY PARTNER WITH UNITED WAY OF MIDLAND COUNTY, WHICH SUPPORTS MANY NON-PROFIT AGENCIES IN MIDLAND COUNTY, INCLUDING 211 - FIRST CALL FOR HELP. MIDMICHIGAN MEDICAL CENTER-MIDLAND EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NON-PROFIT BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT FOR HEALTH AND HUMAN SERVICES PROJECTS, AND PARTICIPATING IN STRATEGIC INITIATIVES THROUGH THE HEALTH AND HUMAN SERVICES COUNCIL THAT IMPACT COMMUNITY HEALTH SUCH AS THOSE FOR SUBSTANCE ABUSE PREVENTION. MIDLAND IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS.
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 COSTREPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. LINE 2 - COSTING METHODOLOGY: AN AVERAGE 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: HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE.
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 SHORTAGE OF 9,696,853 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2014. HOWEVER, WITHOUT MEANINGFUL USE PAYMENTS THIS ORGANIZATION WOULD HAVE SHOWN A MEDICARE SHORTFALL OF 11,104,287.
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." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.0% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. MIDMICHIGAN HEALTH ASSUMES THE COST OF THE PROGRAM (INTEREST) AND GUARANTEES THE RECEIVABLES.
PART VI, LINE 2 - NEEDS ASSESSMENT	MIDMICHIGAN MEDICAL CENTER MIDLAND OPERATES FROM A COMMUNITY HEALTH NEEDS ASSESSMENT PLAN, DEVELOPED FROM DATA OUTLINED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS SERVED THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS, SUBSIDIZED PROGRAMS, AND COMMUNITY OUTREACH PROGRAMS, INCLUDING LOW COST AND FREE HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS. THE IMPLEMENTATION STRATEGY FOR FY 2013-2016 INCLUDES REGULAR MEASUREMENT OF SHORT-TERM IMPACT ON PRIORITY ACTION ITEMS AND LONG-TERM IMPACT ON COMMUNITY HEALTH STATUS. DATA WITHIN THE CHNA COMES FROM A VARIETY OF LOCAL AND NATIONAL SOURCES. THIS DATA IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES; AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS. PARTIAL LIST OF SOURCES FOR GENERAL HEALTH DATA FOLLOW: CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS); COMBINED ADULT AND YOUTH. COUNTY HEALTH RANKINGS (UNIVERSITY OF WISCONSIN DATA) CDC DATA AND STATISTICS (USED FOR GENERAL AND AGE SPECIFIC AND HEALTH CONDITION DATA SUCH AS AGING, TOBACCO USE, VACCINES AND IMMUNIZATIONS) MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS AMERICAN CANCER SOCIETY AMERICAN DIABETES ASSOCIATION WHO COUNTRY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION (HEART AND OBESITY PREVENTION INFORMATION) NATIONAL CANCER INSTITUTE CANCER STUDIES CDC FUNDED STATISTICS ON HIV/AIDS; LUNG CANCER; SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICS-MENTAL DISORDERS CENTERS FOR MEDICARE AND MEDICAID SERVICES - RESEARCH, STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS U.S. CENSUS BUREAU KAISER FAMILY FOUNDATION WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS. FOR EXAMPLE, THE MIDMICHIGAN COMMUNITY ACTION AGENCY COMMUNITY NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS, AND INCLUDES CLARE, GLADWIN, AND MIDLAND COUNTIES (THIS SURVEY ADDRESSES HEALTH CARE COST, INCLUDING PRESCRIPTION MEDICATIONS, AFFORDABLE PREVENTATIVE HEALTH CARE, AND TRANSPORTATION TO SERVICES). IN MIDLAND, A BEHAVIORAL RISK FACTOR SURVEY IS COMPLETED EVERY FOUR YEARS, AND THE DATA IS USED WITHIN THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT & IMPROVEMENT COMMITTEE TO OUTLINE HEALTH & HUMAN SERVICE NEEDS AND PRIORITIES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MIDMICHIGAN MEDICAL CENTER-MIDLAND COMMUNICATES TO PATIENTS AND THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS. ADDITIONALLY, CONTACT INFORMATION ABOUT FINANCIAL ASSISTANCE IS AVAILABLE ON OUR WEBSITE AT HTTP://WWW.MIDMICHIGAN.ORG/PATIENTSVISITORS/BILLING-INSURANCE/FAQ- BILLING/NOINSURANCE.
PART VI, LINE 4 - COMMUNITY INFORMATION	MIDMICHIGAN MEDICAL CENTER-MIDLAND'S PRIMARY SERVICE AREA IS COMPRISED OF THE 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY, PLUS FREELAND AND AUBURN. 51.1% OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 66.8%. MIDMICHIGAN MEDICAL CENTER- MIDLAND'S SECONDARY MARKET IS CLARE COUNTY, WITH 11.5% OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 13.4% OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY. COVENANT ALSO SERVES MIDLAND'S PRIMARY SERVICE AREA, RECEIVING 12.3% OF THE INPATIENT MARKET, FOLLOWED BY MCLAREN - BAY REGION WITH A 5.0% CAPTURE. THE COLEMAN/SANFORD SERVICE AREA IS A DESIGNATED LOW INCOME POPULATION GROUP HEALTH PROFESSIONAL SHORTAGE AREA. DEMOGRAPHICS -------------------------------------------------------------------------- 2014 % OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE -------------------------------------------------------------------------- 100,988 15.6% 72,267 53,622 39,865 40.5 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 92.7% 2.0% 0.5% 2.6% 2.2%
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MIDMICHIGAN HEALTHS FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. WE PARTNER WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES SERVED. ACTIVE COMMUNITY MEMBER BOARDS OVERSEE COMMUNITY OUTREACH ENDEAVORS FOR EACH MIDMICHIGAN HEALTH AFFILIATE. ADDITIONALLY, STAFF PARTICIPATES IN COMMUNITY COLLABORATIVES FOR AREA NON-PROFITS WITH A FOCUS ON HEALTH LIKE THE MIDLAND GLADWIN AREA CANCER SERVICES AND THE MICHIGAN HEALTH INFORMATION ALLIANCE, INC., OR MIHIA, WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NON-PROFIT ORGANIZATION TO IMPROVE HEALTH AND HEALTH DELIVERY IN CENTRAL MICHIGAN. THESE COMMUNITY COLLABORATIONS HELP TO BUILD A HEALTH CARE SYSTEM WHERE CONSUMERS, PROVIDERS AND PAYERS MAKE DECISIONS FOR BEST PRACTICE IN THE AREA SERVED. ADDITIONALLY, WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, AND HEALTH AND HUMAN SERVICE AGENCIES TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THE COMMUNITY EDUCATION MANAGER FOR MIDMICHIGAN MEDICAL CENTER-MIDLAND IS AN ACTIVE MEMBER OF THE COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT COMMITTEE OF THE HEALTH AND HUMAN SERVICES COUNCIL OF MIDLAND COUNTY.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	5.4 MILLION IN COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS, SCREENINGS, SPECIAL EVENTS AND HEALTH EXPERTISE, INCLUDING INSURANCE UNDER-REIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY. MIDMICHIGAN HEALTH COMMUNITY BENEFIT FOCUS AREAS INCLUDE: ACCESS TO CARE, INCLUDING INITIATION AND COORDINATION OF CARE, CONTINUITY OF SERVICES AND CARE FOR THE UNDERINSURED; HEALTH OUTCOMES INCLUDING HEART DISEASE, CANCER AND DIABETES; HEALTH CARE BEHAVIORS INCLUDING HEALTHY DIET, PHYSICAL ACTIVITY AND HEALTHY WEIGHT; AND MATERNAL AND INFANT HEALTH, INCLUDING IMPROVED BIRTH WEIGHTS AND BREASTFEEDING DURATION. MIDMICHIGAN MEDICAL CENTER-MIDLAND FOCUSED ON AND INCREASED THE NUMBER OF FITNESS RELATED ACTIVITIES TO PREVENT COMPLICATIONS OF OBESITY, AS WELL AS DIABETES PREVENTION THROUGH PREDIABETES CLASSES. ALSO, IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES, ADDITIONAL BREASTFEEDING SUPPORT THROUGH BREASTFEEDING FACILITATORS WERE PROVIDED. CLOSE TO 500 INDIVIDUALS PARTICIPATED IN HEART DISEASE AND STROKE SCREENINGS; PERIPHERAL ARTERY DISEASE OR OSTEOPOROSIS SCREENINGS, THAT WERE PROIVDED FREE OR FOR LOW-COST; PROVIDING A MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES, WHEN TREATMENT IS USUALLY MORE SUCCESSFUL, RESULTING IN LOWER MORBIDITY OR MORTALITY. MIDMICHIGAN HEALTH SCREENED 2,458 PEOPLE IN OUR SERVICE AREA THIS YEAR, AT A COST OF 48,310.25, IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLSTEROL LEVELS AND DECREASED PHYSICAL ACTIVITY AMONG ADULTS AND CHILDREN. ADDITIONALLY, EXERCISE AND FITNESS RELATED ACTIVITIES FOR A TOTAL OF 1,509 COMMUNITY MEMBERS WERE PROVIDED. HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH CHILDREN ABOUT REGULAR EXERCISE, GOOD NUTRITION, AND MAINTAINING A HEALTHY WEIGHT. MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS WITH MANY OF THESE PROGRAMS. TRAUMA PREVENTION ACTIVITIES IN LINE WITH OUR TRAUMA TWO CERTTIFICATION WERE INITIATED; PROVIDING 1,157 BIKE HELMET FITTINGS FOR CHILDREN AND THINK FIRST AND FALL PREVENTION EDUCATION FOR MANY OTHERS. MIDMICHIGAN HEALTH COMMUNITY EDUCATION STAFF MADE A CONCENTRATED EFFORT THIS FISCAL YEAR TO CONNECT PEOPLE TO PHYSICIANS AND NEEDED HEALTH SERVICES. CONTACT INFORMATION FOR SERVICES WERE 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 ACCESS LINE, AND PHYSICIAN LIAISONS TO PROVIDE INFORMATION TO OFFCIES 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (43 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS-GRAND CANYON	1	$500
SCHOLARSHIPS-MICH TECH U	1	$1,000
SCHOALRSHIPS-RUSH MED COL	1	$1,000
SCHOLARSHIPS-ST GEORGE U.	1	$1,000
SCHOLARSHIPS-ST. LOUIS U.	1	$1,000
SCHOLARSHIPS-INDIANA UNIV	1	$1,000
SCHOLARSHIPS-GANNON UNIV	1	$1,000
SCHOLARSHIPS-UNIV OF PITT	1	$1,000
SCHOLARSHIPS-WASHINGTON U	1	$1,000
SCHOLARSHIPS-ROSALIND FRA	1	$1,000
SCHOLARSHIPS-U OF BRIDGEP	1	$1,000
SCHOLARSHIPS-CLARKSTON	1	$1,000
SCHOLARSHIPS-ADVANTIST	2	$1,000
SCHOLARSHIPS-CALVIN COLL	1	$1,000
SCHOLARSHIPS-U OF PHOENIX	1	$1,000
SCHOLARSHIPS-AT STILL UNI	1	$1,250
SCHOLARSHIPS-MAYO MED	1	$1,250
SCHOLARSHIPS-MARQUETTE	1	$1,500
SCHOLARSHIPS-WALDEN UNIV	2	$1,600
SCHOLARSHIPS-CHAMBERLAIN	1	$2,000
SCHOLARSHIPS-BAKER OWOSSO	1	$2,000
SCHOLARSHIPS-LAMAR UNIV	1	$2,000
SCHOLARSHIPS-LANSING CC	1	$2,000
SCHOLARSHIPS- BYU	1	$2,000
SCHOLARSHIPS-WINSTONSALEM	1	$2,000
SCHOLARSHIPS-WAYNE STATE	2	$2,250
SCHOLARSHIPS- NORTHERN	2	$2,500
SCHOLARSHIPS-OAKLAND UNIV	3	$2,500
SCHOLARSHIPS-OHIO STATE U	1	$2,500
SCHOLARSHIPS-UNIV OF PENN	1	$2,500
SCHOLARSHIPS-DELTA COLLEG	4	$3,000
SCHOLARSHIPS-DUKE	2	$3,000
SCHOLARSHIPS-LSSU	2	$4,000
SCHOLARSHIPS-U OF DETROIT	3	$5,000
SCHOLARSHIPS-WESTERN MI	3	$5,000
SCHOLARSHIPS-GRAND VALLEY	4	$6,000
SCHOLARSHIPS-MIDMI CC	11	$7,500
SCHOLARSHIPS-FERRIS STATE	9	$11,000
SCHOLARSHIPS- U OF M	14	$22,000
SCHOLARSHIPS-SVSU	18	$23,700
SCHOLARSHIPS-DAVENPORT UN	14	$25,100
SCHOLARSHIPS-MSU	14	$26,500
SCHOLARSHIPS-CENTRAL MI U	29	$33,750

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (15 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	$527,025	$111,784	$45,649	$33,067	$18,100	$735,625
GREGORY ROGERS
PRESIDENT	$399,069	$131,402	$55,684	$226,372	$19,514	$832,041
KERRY PIERCE MD
DIRECTOR	$201,730	$172,353	$1,249	$30,700	$18,643	$424,675
JAMES BICKNELL MD
DIRECTOR	$289,277	$79,124	$1,772	$39,468	$16,686	$426,327
FRANCINE PADGETT
SENIOR VP/TREASURER	$329,724	$90,341	$101,127	$117,994	$23,595	$662,781
DONNA RAPP
SENIOR VP/SECRETARY	$285,948	$78,293	$25,432	$110,797	$14,910	$515,380
ADELBERTO ADAN
VP							$214,386	$59,952	$20,240	$71,322	$21,685	$387,585
WILLIAM DERY MD
MEDICAL DIRECTOR							$243,842		$20,507	$81,704	$14,367	$360,420
DIANE NOLD
VP							$199,806	$44,955	$5,567	$49,510	$19,573	$319,411
JEFFERY HANOVER
CRNA							$230,343	$400	$30,005	$17,665	$17,294	$295,707
EGLE KLUGIENE MD
PHYSICIAN							$234,822		$21,734	$10	$834	$257,400
MARK ADAMS MD
PHYSICIAN							$252,000					$252,000
KELLY HILL MD
PHYSICIAN							$240,807	$1,000	$5,927	$56,222	$7,488	$311,444
COREY KALO
CRNA							$229,104	$400	$16,891	$15,073	$14,556	$276,024
MICHELLE WOOD
FORMER VP							$93,123	$40,008	$7,899	$37,207	$5,369	$183,606

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. ADAN, MD, ADELBERTO VP NOLD, DIANE VP
SCHEDULE J, PAGE 1, PART I, LINE 7	MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING.
SCHEDULE J, PART III	ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B ROGERS, PADGETT, BICKNELL, RAPP, POSTLER-SLATTERY, AND ADAN ARE PARTICIPANTS IN A 457(F) PLAN. NO PAYMENTS TO THESE PARTICIPANTS WERE MADE IN 2013. 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Business Name Line2IssuerName/BusinessNameLine2	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MSHFA - 2006A
A	MICHIGAN STATE HOSPITAL FINANCING A	382889417	59465HEB8	2006-11-07	$40,078,400	CAPITAL PROJECTS	false	false	false
MSHFA - 2009A
B		382889417	59465HLF1	2009-06-17	$77,220,000	CAPITAL PROJECTS	false	false	false
MICHIGAN FINANCE AUTH-SERIES D
C		800596186		2011-06-09	$12,763,800	CAPITAL PROJECTS	false	false	Yes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt
A	$40,883,565	$231,439	$41,457,291	2009	false	false	Yes (true)	Yes (true)
B	$82,220,000	$1,217,943	$72,626,694	2011	false	false	Yes (true)	Yes (true)	$7,805,078
C	$12,763,800	$26,670	$3,157,830	2011	Yes (true)	false	Yes (true)	Yes (true)		$9,579,299

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K - DIFFERENCES IN ISSUE PRICE EXPLANATION	MSHFA - 2006A DUE TO BOND PREMIUMS PART 1, LINE A, COLUMN E DOES NOT MATCH PART II, LINE 3, COLUMN A.
SCHEDULE K - DATE REBATE COMPUTATION PERFORMED	MSHFA - 2006A 05/01/10 MSHFA - 2009A 11/01/14
SCHEDULE K - ADDITIONAL INFORMATION	MSHFA - 2006A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUE IN COLUMN A AND B. THEREFORE, FORM 8038-T IS NOT REQUIRED. MICHIGAN FINANCE AUTH-SERIES D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS, THEREFORE NO ARBITRAGE REBATE CALCULATION IS REQUIRED.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MIDLAND EMERGENCY ROOM CORPORATION
BUSINESS	$5,390,948	FEES FOR SERVICES	false
ROBIN NELSON
FAMILY MEMBER	$91,268	EMPLOYMENT	false
MIDLAND ANESTHESIOLOGY GROUP
BUSINESS	$2,655,151	MEDICAL STIPEND	false
TOM WOOD
FAMILY MEMBER	$88,692	EMPLOYMENT	false
HEATHER WOOD
FAMILY MEMBER	$143,948	EMPLOYMENT	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 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 OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE 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 PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. THE QUESTIONS OR CONCERNS OF THESE REVIEWS ARE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS, IF ANY ARE IDENTIFIED.
FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
FORM 990, PAGE 6, PART VI, LINE 15A	ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED 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, PAGE 7, PART VII	NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES IS NOT TRACKED BY AFFILIATE. THEREFORE THE FULL TIME SERVICE TO ALL AFFILIATES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
FORM 990, PART IX, LINE 11G	EQUIPMENT MAINTENANCE 2,770,781 728,010 21,268 PURCHASED/CONTRACT SERVICES 33,029,313 13,479,163 21,563 OTHER PROFESSIONAL SERVICES 23,673,081 6,310,588 718

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459948	SUPPORT	MI	501C3	11A	NA	false
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	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	11A	MIDMI HLTH	Yes (true)
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVE	MIDLAND	MI	48670	352182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	Yes (true)
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RD	MIDLAND	MI	48640	205064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	Yes (true)
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501C2		MIDMI HLTH	Yes (true)
REGIONAL DIALYSIS SERVICES
PO BOX 608	ALMA	MI	48801	383120704	DIALYSIS	MI	501C3	11A	MIDMI HLTH	Yes (true)
MIDMI MED CENTER-MIDLAND VOLUNTEERS
4000 WELLNESS DRIVE	MIDLAND	MI	48670	061723993	SUPPORT	MI	501C3	11A	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN ASSURANCE GROUP LTD	BusinessNameLine1

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1051 23 LIME TREE BAY AVENUE	AddressLine1
Address Line2	GOVERNORS SQUARE BLDG 4 2ND FLOOR	AddressLine2
City	GEORGE TOWN	City
Province Or State	GRAND CAYMAN	ProvinceOrState
Country	CJ	Country

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	BusinessNameLine1

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	Yes (true)	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	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	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	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MIDMICHIGAN HEALTH DEV ASSOC
B	$1,000,000	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
B	$24,362,628	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
J	$227,654	BOOKS & RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	$2,926,313	BOOKS & RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	$759,336	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	$525,952	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	$241,384	BOOKS & RECORDS
MIDMICHIGAN HEALTH
P	$31,070,954	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	$767,805	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	$736,106	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q	$2,124,147	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	$1,018,179	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	$706,414	BOOKS & RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
Q	$51,380	BOOKS & RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q	$124,490	BOOKS & RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	$231,180	BOOKS & RECORDS
MIDMICHIGAN HEALTH
Q	$241,309	BOOKS & RECORDS
MIDMICHIGAN HEALTH
R	$39,484,207	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
S	$72,830	BOOKS & RECORDS
MIDMICHIGAN REGIONAL IMAGING
S	$1,089,654	BOOKS & RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
R	$176,500	BOOKS & RECORDS