2015-05-14T16:48:42-05:00 2014-06-30 383133790 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2013-07-01 380833014 MIDMICHIGAN MEDICAL CENTER- MIDLAND MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT SR. VP & TREASURER 9898393181 2015-05-14 true LAURA M EBEL P00184232 9894975300 2015-05-14 2013 2016-02-25 16:41:14Z GREGORY ROGERS 4000 WELLNESS DRIVE MIDLAND MI 48670 374175711 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 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. 16 11 2496 378 529728 4255517 3945489 307442210 317324776 14147038 15004488 25556485 12719184 351401250 348993937 239100 219900 0 130188427 124163972 0 197648 199624350 178857211 330051877 303241083 21349373 45752854 591435828 562885607 198133070 159745990 393302758 403139617 X TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE. false false 241582527 317324776 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. 219900 219900 MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM. 241802427 true true false false false false false false false true true true false false true false false true false false false false false false false false true true false true true true false false false false false false false false true true false false false false false true true true true false true 192 0 true 2496 true true true false false false false false false false false false false false X 16 11 false false false false true true true true true false false true true true true true true true true true true X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 X DIANE POSTLER-SLATTERY DIRECTOR 2.00 50.00 X 0 684458 51167 GREGORY ROGERS PRESIDENT 2.00 50.00 X X 0 586155 245886 KERRY PIERCE MD DIRECTOR 2.00 50.00 X 0 375332 49343 JAMES BICKNELL MD DIRECTOR 2.00 50.00 X 0 370173 56154 DANNY GREIG MD DIRECTOR 2.00 X 20651 0 0 BOBBIE ARNOLD DIRECTOR 2.00 X 0 0 0 BILL COLLINS DIRECTOR 2.00 X 0 0 0 PAM BOUNDY DIRECTOR 2.00 X 0 0 0 CHUCK KENDALL DIRECTOR 2.00 X 0 0 0 CARL ELLINGER DIRECTOR 2.00 X 0 0 0 JIM FABIANO DIRECTOR 2.00 X 0 0 0 TOM OLEN DO DIRECTOR 2.00 X 0 0 0 JON LYNCH CHAIR 2.00 X 0 0 0 WALLACE MAYTON VICE CHAIR 2.00 X 0 0 0 AMY WILSON DIRECTOR 2.00 X 0 0 0 SANDRA REARDON DIRECTOR 2.00 X 0 0 0 FRANCINE PADGETT SENIOR VP/TR 2.00 50.00 X 0 521192 141589 DONNA RAPP SENIOR VP/SE 2.00 50.00 X 0 389673 125707 ADELBERTO ADAN VP 50.00 X 294578 0 93007 WILLIAM DERY MD MEDICAL DIRE 50.00 X 264349 0 96071 DIANE NOLD VP 50.00 X 250328 0 69083 JEFFERY HANOVER CRNA 50.00 X 260748 0 34959 EGLE KLUGIENE MD PHYSICIAN 50.00 X 256556 0 844 MARK ADAMS MD PHYSICIAN 50.00 X 252000 0 0 KELLY HILL MD PHYSICIAN 50.00 X 247734 0 63710 COREY KALO CRNA 50.00 X 246395 0 29629 MICHELLE WOOD FORMER VP 0.00 X 141030 0 42576 2234369 2926983 1099725 102 true true false MIDLAND EMERGENCY RM CORP 2000 DILLOWAY DR MIDLAND MI 48640 ER PHYSICIANS 5217643 MIDMICHIGAN ANESTHESIOLOGY GROUP PO BOX 67000 DEPT 103901 DETROIT MI 48267 SERVICES 2592070 EXECUTIVE HEALTH RESOURCES INC PO BOX 822688 PHILADELPHIA PA 191822688 CONSULTING 2087305 SIEMENS MED SOLUTIONS USA INC C/O MELLON BANK DEPT 14195 PALATINE IL 600554195 MAINTENANCE 1973784 THREE RIVERS CONSTRUCTION PO BOX 1467 MIDLAND MI 48641 CONSTRUCTION 1661468 47 2190634 1754855 3945489 MEDICARE/MEDICAID PAYMENTS 621990 170505992 170505992 PATIENT REVENUE, NET 621990 145929425 145929425 CONTRACTED CLINICAL SERVICES 621990 414449 414449 REFERENCE LABORATORY 621500 307549 307549 FITNESS CENTER 624100 167361 167361 317324776 4525963 1107764 3418199 16 16 9273 9273 9273 9273 35660283 25100511 81263 10559772 -81263 10478509 10478509 EXEMPT AFFILIATE REVENUE 900099 4859200 4859200 EXEMPT INCENTIVE PAYMENTS 900099 2668159 2668159 EXEMPT JOINT VENTURE REVENUE 900099 2020425 2020425 3162127 612621 54818 2494688 12709911 348993937 328118035 529728 16400685 X 219900 219900 854356 253770 600586 95720020 74403608 21209955 106457 6931488 5368287 1555537 7664 13805213 10700148 3089784 15281 6852895 5409498 1435780 7617 37227 37227 270000 270000 609118 609118 80034485 59473175 20517761 43549 154920 85370 69003 547 45089615 42898913 2176363 14339 151006 92648 58358 5896500 1491095 4405405 187618 123405 64127 86 263056 134754 127951 351 7405870 6552816 852568 486 19380181 17147851 2231059 1271 1277182 1277182 MEDICAL SUPPLIES 16925225 16925225 LOSS ON EXTINGUISHMENT OF 653244 653244 PHYSICIAN PRACTICE SUBSID 521964 521964 303241083 241802427 61241008 197648 7652 9114 1727756 1876675 2543641 1200 44729551 42108494 738683 737548 2660944 2980998 14291914 15399965 333810856 178446666 206911907 155364190 52822137 43978337 258158970 294412392 4292098 4314378 2550575 1702316 591435828 562885607 24057374 18614816 159500338 131202804 14575358 9928370 198133070 159745990 X 362135058 370536306 18502726 19705306 12664974 12898005 393302758 403139617 591435828 562885607 45752854 26498726 -62414721 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12664974 3950 229081 12898005 12396980 51272 216722 12664974 12090216 103806 202958 12396980 11892692 6020 191504 12090216 11708254 3425 181013 11892692 1.00000 false false 1153467 1153467 184134986 77231385 106903601 21435662 6476072 14959590 125290500 94739209 30551291 1796241 1796241 155364190 OTHER FINANCIAL INVESTMENTS 294412392 F 294412392 SELF INSURANCE, DEF COMP, & ACC PEN 9928370 9928370 374957543 26498726 224174 26722900 348234643 609118 150176 759294 348993937 303158848 1180129 1180129 301978719 609118 653246 1262364 303241083 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 true true true X true X true true true false true true 1 1672973 1672973 0.00550 1 35383150 28582380 6800770 0.02240 2 37056123 28582380 8473743 0.02790 1849 131253 930173 32405 897768 0.00300 32 378 8381349 5990166 2391183 0.00790 1 54288 54288 0.00020 97 401216 401216 0.00130 1979 131631 9767026 6022571 3744455 0.01230 1981 131631 46823149 34604951 12218198 0.04030 1 435 435 1 10281 10281 1 35141 35141 0.00010 1 435 435 1 28522 28522 0.00010 1 162255 162255 0.00050 1 22076 22076 0.00010 7 259145 259145 0.00090 true 8829086 335327 104748759 102847797 1900962 X true true NPS ASSOCIATES LLC AMBULATORY SURGERY CENTER 0.44000 0.56000 1 1 MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND MI 48670 X X X X MIDMICHIGAN MEDICAL CENTER-MIDLAND 1 true X X X X X X X X X X 13 true false true X WWW.MIDMICHIGAN.ORG X X X X X X X X X true false true true 150.000000000000 true 200.000000000000 true X X X X X X X true true X true X X true X X X X X true X false true 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 14 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 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. true SCHOLARSHIPS-GRAND CANYON 1 500 SCHOLARSHIPS-MICH TECH U 1 1000 SCHOALRSHIPS-RUSH MED COL 1 1000 SCHOLARSHIPS-ST GEORGE U. 1 1000 SCHOLARSHIPS-ST. LOUIS U. 1 1000 SCHOLARSHIPS-INDIANA UNIV 1 1000 SCHOLARSHIPS-GANNON UNIV 1 1000 SCHOLARSHIPS-UNIV OF PITT 1 1000 SCHOLARSHIPS-WASHINGTON U 1 1000 SCHOLARSHIPS-ROSALIND FRA 1 1000 SCHOLARSHIPS-U OF BRIDGEP 1 1000 SCHOLARSHIPS-CLARKSTON 1 1000 SCHOLARSHIPS-ADVANTIST 2 1000 SCHOLARSHIPS-CALVIN COLL 1 1000 SCHOLARSHIPS-U OF PHOENIX 1 1000 SCHOLARSHIPS-AT STILL UNI 1 1250 SCHOLARSHIPS-MAYO MED 1 1250 SCHOLARSHIPS-MARQUETTE 1 1500 SCHOLARSHIPS-WALDEN UNIV 2 1600 SCHOLARSHIPS-CHAMBERLAIN 1 2000 SCHOLARSHIPS-BAKER OWOSSO 1 2000 SCHOLARSHIPS-LAMAR UNIV 1 2000 SCHOLARSHIPS-LANSING CC 1 2000 SCHOLARSHIPS- BYU 1 2000 SCHOLARSHIPS-WINSTONSALEM 1 2000 SCHOLARSHIPS-WAYNE STATE 2 2250 SCHOLARSHIPS- NORTHERN 2 2500 SCHOLARSHIPS-OAKLAND UNIV 3 2500 SCHOLARSHIPS-OHIO STATE U 1 2500 SCHOLARSHIPS-UNIV OF PENN 1 2500 SCHOLARSHIPS-DELTA COLLEG 4 3000 SCHOLARSHIPS-DUKE 2 3000 SCHOLARSHIPS-LSSU 2 4000 SCHOLARSHIPS-U OF DETROIT 3 5000 SCHOLARSHIPS-WESTERN MI 3 5000 SCHOLARSHIPS-GRAND VALLEY 4 6000 SCHOLARSHIPS-MIDMI CC 11 7500 SCHOLARSHIPS-FERRIS STATE 9 11000 SCHOLARSHIPS- U OF M 14 22000 SCHOLARSHIPS-SVSU 18 23700 SCHOLARSHIPS-DAVENPORT UN 14 25100 SCHOLARSHIPS-MSU 14 26500 SCHOLARSHIPS-CENTRAL MI U 29 33750 SCHEDULE I, PAGE 1, PART I, LINE 2 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. X true true X X X X X false true false false false false false true false DIANE POSTLER-SLATTERY DIRECTOR 527025 111784 45649 33067 18100 735625 GREGORY ROGERS PRESIDENT 399069 131402 55684 226372 19514 832041 KERRY PIERCE MD DIRECTOR 201730 172353 1249 30700 18643 424675 JAMES BICKNELL MD DIRECTOR 289277 79124 1772 39468 16686 426327 FRANCINE PADGETT SENIOR VP/TREASURER 329724 90341 101127 117994 23595 662781 DONNA RAPP SENIOR VP/SECRETARY 285948 78293 25432 110797 14910 515380 ADELBERTO ADAN VP 214386 59952 20240 71322 21685 387585 WILLIAM DERY MD MEDICAL DIRECTOR 243842 20507 81704 14367 360420 DIANE NOLD VP 199806 44955 5567 49510 19573 319411 JEFFERY HANOVER CRNA 230343 400 30005 17665 17294 295707 EGLE KLUGIENE MD PHYSICIAN 234822 21734 10 834 257400 MARK ADAMS MD PHYSICIAN 252000 252000 KELLY HILL MD PHYSICIAN 240807 1000 5927 56222 7488 311444 COREY KALO CRNA 229104 400 16891 15073 14556 276024 MICHELLE WOOD FORMER VP 93123 40008 7899 37207 5369 183606 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. A MSHFA - 2006A MICHIGAN STATE HOSPITAL FINANCING A 382889417 59465HEB8 2006-11-07 40078400 CAPITAL PROJECTS false false false B MSHFA - 2009A 382889417 59465HLF1 2009-06-17 77220000 CAPITAL PROJECTS false false false C MICHIGAN FINANCE AUTH-SERIES D 800596186 2011-06-09 12763800 CAPITAL PROJECTS false false true A 40883565 231439 41457291 2009 false false true true B 82220000 7805078 1217943 72626694 2011 false false true true C 12763800 9579299 26670 3157830 2011 true false true true A false false false false false false true B false false false false false false true C false false false false false false true A false false false true false false false false true B false false false true false false false false true C false false true false true false false false true 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. MIDLAND EMERGENCY ROOM CORPORATION BUSINESS 5390948 FEES FOR SERVICES false ROBIN NELSON FAMILY MEMBER 91268 EMPLOYMENT false MIDLAND ANESTHESIOLOGY GROUP BUSINESS 2655151 MEDICAL STIPEND false TOM WOOD FAMILY MEMBER 88692 EMPLOYMENT false HEATHER WOOD FAMILY MEMBER 143948 EMPLOYMENT false 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 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 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 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 HOME CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET RD MIDLAND MI 48640 383317788 MED OFFICE MI 501C3 11A MIDMI HLTH true MIDMICHIGAN REGIONAL IMAGING 4000 WELLNESS DRIVE MIDLAND MI 48670 352182295 EQUIPMENT MI 501C3 11B MIDMI HLTH true MIDMICHIGAN URGENT CARE 3009 N SAGINAW RD MIDLAND MI 48640 205064848 AMBULATORY MI 501C3 9 MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 608 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true MIDMI MED CENTER-MIDLAND VOLUNTEERS 4000 WELLNESS DRIVE MIDLAND MI 48670 061723993 SUPPORT MI 501C3 11A NA false 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 true false false false false false false false true true false false false false true true true true MIDMICHIGAN HEALTH DEV ASSOC B 1000000 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP B 24362628 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP J 227654 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING K 2926313 BOOKS & RECORDS MIDMICHIGAN HEALTH DEV ASSOC K 759336 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 525952 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 241384 BOOKS & RECORDS MIDMICHIGAN HEALTH P 31070954 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP P 767805 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 736106 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT Q 2124147 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE Q 1018179 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN Q 706414 BOOKS & RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE Q 51380 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING Q 124490 BOOKS & RECORDS MIDMICHIGAN PHYSICIANS GROUP Q 231180 BOOKS & RECORDS MIDMICHIGAN HEALTH Q 241309 BOOKS & RECORDS MIDMICHIGAN HEALTH R 39484207 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT S 72830 BOOKS & RECORDS MIDMICHIGAN REGIONAL IMAGING S 1089654 BOOKS & RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT R 176500 BOOKS & RECORDS