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MYMICHIGAN HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN HEALTH (EIN 38-2459948)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349306735
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T14:52:52-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREWS HOOPER PAVLIK PLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15300 GRATIOT RDAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code486386035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382459948EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDMNameControl
Phone9898393181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCINE M PADGETTName
TitleSR. VP & TREASURERTitle
Phone9898393181Phone
Date Signed2014-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2014-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDIANE POSTLER-SLATTERYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts77256790GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees142TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI445795TotalGrossUBI
Net Unrelated Business Txbl Income400215NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26051ContributionsGrantsPriorYear
Contributions Grants Current Year475ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17634451ProgramServiceRevenuePriorYear
Program Service Revenue CY17617352ProgramServiceRevenueCY
Investment Income Prior Year24272367InvestmentIncomePriorYear
Investment Income Current Year49262603InvestmentIncomeCurrentYear
Other Revenue Prior Year277230OtherRevenuePriorYear
Other Revenue Current Year616547OtherRevenueCurrentYear
Total Revenue Prior Year42210099TotalRevenuePriorYear
Total Revenue Current Year67496977TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year193425GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY198125GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10706554SalariesEtcPriorYear
Salaries Etc Current Year10900390SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10381479OtherExpensePriorYear
Other Expenses Current Year9324023OtherExpensesCurrentYear
Total Expenses Prior Year21281458TotalExpensesPriorYear
Total Expenses Current Year20422538TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20928641RevenuesLessExpensesPriorYear
Revenues Less Expenses CY47074439RevenuesLessExpensesCY
Total Assets BOY646422658TotalAssetsBOY
Total Assets EOY699997713TotalAssetsEOY
Total Liabilities BOY111177382TotalLiabilitiesBOY
Total Liabilities EOY73735087TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY535245276NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY626262626NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense13866280Expense
Grants198125Grants
Revenue17387099Revenue
DescriptionTHE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT AND RISK MANAGEMENT.Description
Total Program Service Expense13866280TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees142NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFM PADGETT SR VP TREASURERNamePerson
Telephone Number9898393181TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD REYNOLDS
PRESIDENT50.00XX14907880335094
DIANE POSTLER-SLATTERY
PRESIDENT50.00XX4818300
JEFFERY ALLEN MD
DIRECTOR2.00X000
ERIC BLACKHURST
CHAIR2.00X000
JOAN DAVID
DIRECTOR2.00X000
NANCY GALLAGHER
DIRECTOR2.00X000
BOBBIE ARNOLD
VICE CHAIR2.00X000
SARA WASSENAAR DDS
DIRECTOR2.00X000
WILLIAM HENDERSON
DIRECTOR2.00X000
GLENN SMITH
DIRECTOR2.00X000
BOB DENOOYER
DIRECTOR2.00X000
MARGUERITTE KUHN MD
DIRECTOR2.00X000
CARL SCHWIND
DIRECTOR2.00X000
RANNY REICKER
DIRECTOR2.00X000
RON VERCH
DIRECTOR2.00X000
DON SHEETS
DIRECTOR2.00X000
BILL WEIDEMAN
DIRECTOR2.00X000
GREGORY ROGERS
EXECUTIVE VP50.00X4044770161845
FRANCINE PADGETT
TREASURER50.00X3546550108431
DONNA RAPP
SECRETARY50.00X3178520107258
BRIAN RODGERS
SENIOR VP50.00X307351090201
LYNN BRUCHHOF
VP HUMAN RES50.00223271032222X
GREG GHILARDI
VP HUMAN RES50.00171590038752X
MARK SANTAMARIA
PRESIDENT-AD50.00276917017294X
MICHAEL LARSON
CIO - ADMIN50.0021477809601X
CHANDRA MORSE
VP50.00200303042407X
DANIEL SORENSON MD
MEDICAL DIRE50.00199313040945X
SCOTT CURRIE
VP50.00197843017322X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4407321TotalReportableCompFromOrg
Total Other Compensation1001372TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CERNER CORP
PO BOX 412702KANSAS CITYMO641412702COMPUTER5804038
KAUFMAN HALL
6024 EASTMAN AVEMIDLANDMI486402518CONSULTING892529
TOWERS WATSON DELAWARE INC
1079 SOLUTIONS CENTERCHICAGOIL606771000ACTUARIAL564482
MIDLAND EMERGENCY RM CORP
2000 DILLOWAY DRMIDLANDMI48640ER PHYSICIANS384687
DELOITTE & TOUCHE LLP
4205 COLLECTION CENTER DRCHICAGOIL60693AUDIT334600
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
All Other Contributions475AllOtherContributions
Total Contributions475TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
EXEMPT AFFILIATE REVENUE5610001738709917387099
512(B)(17) INCOME524126230253230253
FieldValueIRS element (for citing)
Total Program Service Revenue17617352TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column46333118TotalRevenueColumn
Related Or Exempt Function Income45112453RelatedOrExemptFunctionIncome
Exclusion$1,220,665ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12689298Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities9756604Securities
Other3209Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2932694Securities
Other-3209Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2929485TotalRevenueColumn
Exclusion$2,929,485ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MCCO900099313080313080
MIDMICHIGAN HLTH NETWORK LLC900099199444199444
EXEMPT JOINT VENTURE REVENUE9000992400024000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column80023TotalRevenueColumn
Unrelated Business Revenue16098UnrelatedBusinessRevenue
Exclusion$63,925ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue616547TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column67496977TotalRevenueColumn
Related Or Exempt Function Income62836632RelatedOrExemptFunctionIncome
Unrelated Business Revenue445795UnrelatedBusinessRevenue
Exclusion$4,214,075ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total198125Total
Program Services198125ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3639114Total
Program Services1819557ProgramServices
Management And General1819557ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4780968Total
Program Services4517741ProgramServices
Management And General263227ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1150577Total
Program Services871701ProgramServices
Management And General278876ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total792133Total
Program Services618715ProgramServices
Management And General173418ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total537598Total
Program Services403199ProgramServices
Management And General134399ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total728939Total
Management And General728939ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94038Total
Program Services70529ProgramServices
Management And General23509ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total54200Total
Management And General54200ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total202571Total
Management And General202571ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6487611Total
Program Services5014287ProgramServices
Management And General1473324ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12384Total
Program Services9908ProgramServices
Management And General2476ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total291424Total
Program Services218609ProgramServices
Management And General72815ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total50048Total
Program Services37620ProgramServices
Management And General12428ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40955Total
Program Services30716ProgramServices
Management And General10239ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total111146Total
Program Services55573ProgramServices
Management And General55573ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total49641Total
Management And General49641ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total209333Total
Management And General209333ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total991733Total
Management And General991733ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20422538Total
Program Services13866280ProgramServices
Management And General6556258ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1187795BOY
EOY2079809EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1398BOY
EOY950EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11509287BOY
EOY16508753EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1894401LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec701898LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY769382BOY
EOY1192503EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY22808870BOY
EOY29823430EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY74659498BOY
EOY76619151EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY534405968BOY
EOY572619636EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1080460BOY
EOY1153481EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY646422658BOY
EOY699997713EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14667567BOY
EOY16126163EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY96509815BOY
EOY57608924EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY111177382BOY
EOY73735087EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY535206178BOY
EOY626225031EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY39098BOY
EOY37595EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY535245276BOY
EOY626262626EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY646422658BOY
EOY699997713EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses47074439ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3568598ReconciliationUnrealizedInvest
Reconcilation Other Changes40374313ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MIDMICHIGAN MEDICAL CENTER - MIDLAND
3808330143falsetruetrue$0
MIDMICHIGAN MEDICAL CENTER - GRATIOT
3814379193falsetruetrue$0
MIDMICHIGAN MEDICAL CENTER - CLARE
3815186433falsetruetrue$0
MIDMICHIGAN MEDICAL CENTER - GLADWIN
3860204343falsetruetrue$0
MIDMICHIGAN STRATFORD VILLAGE
3826233249falsetruetrue$0
MIDMICHIGAN GLADWIN PINES
3827548759falsetruetrue$0
MIDMICHIGAN REGIONAL IMAGING
3521822959falsetruetrue$0
MIDMICHIGAN VISITING NURSE ASSOCIATION
3814593979falsetruetrue$0
MIDMICHIGAN URGENT CARE
2050648489falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
General ExplanationTHE AMOUNT OF SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATIONS IS EQUAL TO THE PROGRAM SERVICE EXPENSE REPORTED ON FORM 990, PART IX. MIDMICHIGAN HEALTH IS LISTED IN THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS AS THE SOLE MEMBER OF THE ORGANIZATION. THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$54,200DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB54200TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1ReturnReference
ExplanationMIDMICHIGAN HEALTH CONTRACTS WITH THE FREDRICK GROUP TO MONITOR HEALTHCARE LEGISLATION AND EVALUATE THE POTENTIAL IMPACT OF THE LEGISLATION ON OUR HEALTH SYSTEM.Explanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32966OtherCostOrOtherBasis
Depreciation13860Depreciation
Book Value19106BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1585462OtherCostOrOtherBasis
Depreciation688038Depreciation
Book Value897424BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis275973OtherCostOrOtherBasis
Book Value275973BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1192503TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value76619151BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities76619151TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (17 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MIDMICHIGAN MEDICAL CENTER-MIDLAND393302756C
MIDMICHIGAN MEDICAL CENTER-GRATIOT71186412C
MIDMICHIGAN MEDICAL CENTER-GLADWIN34024784C
MIDMICHIGAN MEDICAL CENTER-CLARE25441310C
MIDMICHIGAN HEALTH DEVELOPMENT ASSOC18407418C
MIDMICHIGAN VISITING NURSE ASSOC16699573C
MIDMICHIGAN REGIONAL IMAGING4272998C
MIDMICHIGAN STRATFORD VILLAGE2764188C
MIDMICHIGAN GLADWIN PINES2523505C
MIDMICHIGAN HEALTH NETWORK1726284C
MIDMICHIGAN URGENT CARE827683C
REGIONAL DIALYSIS SERVICES485385C
MIDMICHIGAN PHYSICIANS GROUP481605C
MIDMICHIGAN COLLABORATIVE CARE ORG200562C
THUMB AREA DIALYSIS155173C
MIDMICHIGAN ASSURANCE GROUP120000C
ISOMMC
FieldValueIRS element (for citing)
Total Of Book Value Program Related572619636TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION/RETIREMENT BENEFITS$30,736,816
DEFERRED COMP, SELF INS, OTHER$26,712,108
OTHER$160,000
FieldValueIRS element (for citing)
Total Of Amounts57608924TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt23877155TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3568598NetUnrealizedGainsInvestments
Other Revenues1978OtherRevenues
Revenue Not Rptd F9903570576RevenueNotRptdF990
Revenue Subtotal20306579RevenueSubtotal
Investment Expenses Not Included202571InvestmentExpensesNotIncluded
Other Revenues Not Included46987827OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt47190398RevenueNotRptdOnFinStmt
Total Revenue Per Form99067496977TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18260734TotExpensesEtcAuditedFinclStmt
Other Expenses Included3209OtherExpensesIncluded
Expenses Not Rptd F9903209ExpensesNotRptdF990
Expenses Subtotal18257525ExpensesSubtotal
Investment Expenses Not Included2202571InvestmentExpensesNotIncluded2
Other Expenses Not Included1962442OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2165013ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020422538TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 1,978
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 4BRECLASSED AFFILIATE EXPENSE 1,962,442 INCOME FROM CONSOLIDATED SUBSIDIARIES 44,798,341 512(B)(17) INCOME 230,253 LOSS ON DISPOSAL -3,209
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DLOSS ON DISPOSAL 3,209
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BRECLASSED AFFILIATE EXPENSE 1,962,442

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantBusiness Name Line2RecipientNameBusiness/BusinessNameLine2
MIDLAND CENTER FOR THE ARTS
1801 W ST ANDREWS STMIDLANDMI48640386114020501C310000GENERAL SUPPORT
AMERICAN CANCER SOCIETY - MIDMI
1111 S HENRY SUITE ABAY CITYMI48706131788491501C324500GENERAL SUPPORTREGIONAL OFFICE
MIDLAND COMMUNITY TENNIS CENTER
900 EAST WACKERLY STMIDLANDMI48642381534400501C36500GENERAL SUPPORT
CENTRAL MICHIGAN UNIVERSITY
1200 S FRANKLIN STMOUNT PLEASANTMI48859386004447501C36250GENERAL SUPPORT
MIDLAND TOMORROW
300 RODD ST SUITE 201MIDLANDMI48640382600199501C310000GENERAL SUPPORT
MIDMICHIGAN COMMUNITY COLLEGE
1375 S CLARE AVENUEHARRISONMI48625381812272501C313214GENERAL SUPPORT
MIDMICHIGAN DISTRICT HEALTH DEPT
651 N STATE STREET STE 2STANTONMI48888381808049501C311200GENERAL SUPPORT
FREELAND COMMUNITY SPORTS
5690 MIDLAND RDFREELANDMI48623204803638501C36100GENERAL SUPPORTASSOCIATION
MIDLAND AREA CHAMBER OF COMMERCE
300 RODD STREET SUITE 101MIDLANDMI48642380832915501C66100GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationMIDMICHIGAN HEALTH PROVIDES CHARITABLE CONTRIBUTIONS TO THOSE ORGANIZATIONS THAT APPLY AND MEET THE REQUIRED CRITERIA FOR CHARITABLE GIVING. THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT COORDINATOR FOLLOWS UP WITH EACH REQUEST TO ASCERTAIN THAT EACH REQUEST MEETS THE COMMUNITY BENEFIT STANDARDS. NO FUNDS ARE PROVIDED DIRECTLY TO INDIVIDUALS AND IT IS EXPECTED THAT WRITTEN ACKNOWLEDGEMENT FROM THE DONEE IS RECEIVED IN A TIMELY FASHION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
RICHARD REYNOLDS
PRESIDENT55862950000882159312473226211825882425203
GREGORY ROGERS
EXECUTIVE VP3687293574814380018045566322
FRANCINE PADGETT
TREASURER30595715000336988409524336463086
DONNA RAPP
SECRETARY27735415000254989328513973425110
BRIAN RODGERS
SENIOR VP27505515000172967276517436397552
LYNN BRUCHHOF
VP HUMAN RESOURCES18318440087247407482255493
GREG GHILARDI
VP HUMAN RESOURCES16295886321887719875210342
MARK SANTAMARIA
PRESIDENT-ADMIN CORP208060600008857335513939294211
MICHAEL LARSON
CIO - ADMIN CORP1740414000073742985303224379
CHANDRA MORSE
VP186021100004282375954812242710
DANIEL SORENSON MD
MEDICAL DIRECTOR181813175003045610489240258
SCOTT CURRIE
VP179589100008254118855437215165

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. BRUCHHOF, LYNN - VP HUMAN RESOURCES ROGERS, GREGORY - EXEC VICE PRES PADGETT, FRANCINE - TREASURER RODGERS, BRIAN - SENIOR VICE PRES RAPP, DONNA - SECRETARY MORSE, CHANDRA - VICE PRESIDENT REYNOLDS, RICHARD - PRESIDENT WAGNER, JEFFREY - VICE PRESIDENT LARSON, MICHAEL - CIO - ADMIN CORP
NON-FIXED PAYMENTS PROVIDEDSCHEDULE J, PAGE 1, PART I, LINE 7MIDMICHIGAN 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.
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIION 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 - REYNOLDS, ROGERS, PADGETT, RAPP, RODGERS, POSTLER- SLATTERY, SANTAMARIA, AND BRUCHHOF ARE PARTICIPANTS IN A 457(F) PLAN. THE ONLY PAYMENT MADE IN 2012 WAS TO REYNOLDS WHO HAD VESTED AS OF 1/1/2012 AND RECEIVED THE AMOUNT REQUIRED TO BE PAID OUT ACCORDING TO THE PLAN. 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJERAMIE SODERBERGNamePerson
FieldValueIRS element (for citing)
RelationshipFAMILY MEMBERRelationship
Amount Of Transaction69635AmountOfTransaction
Description Of TransactionEMPLOYMENTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ADDITIONAL INFORMATIONFORM 990PART 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.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIESFORM 990, PART V, LINE 4BCAYMAN ISLANDS, OTHER COUNTRY
ADDITIONAL INFORMATIONFORM 990, PART VILINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, RICHARD REYNOLDS, AND DON SHEETS.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PAGE 6, PART VI, LINE 4ARTICLES XI, XII, AND XIII OF THE ARTICLES OF INCORPORATION WERE DELETED IN THEIR ENTIRETY. ARTICLE II, SECTION 10 WAS AMENDED TO ADD THAT THE CORPORATION IS ORGANIZED AS A NONPROFIT CORPORATION AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, OR SCIENTIFIC PURPOSES OR FOR THE PURPOSE OF SUPPORTING AND ENCOURAGING HEALTHCARE SERVICES. IT ADDS THAT THE CORPORATION SHALL NOT CARRY ON ANY ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY TAX-EXEMPT CORPORATIONS UNDER SECTION 501(C)(3). SECTION 11 WAS ADDED TO ARTICLE II, STATING THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING BENEFIT TO THE MHC MEMBER CLASS AND THAT NOTHING IN ARTICLE II SHOULD BE CONSTRUED TO PROHIBIT THE CORPORATION FROM DISTRIBUTIONS TO ITS MEMBERS. ARTICLE VII WAS AMENDED TO STATE THAT THE CORPORATION IS ORGANIZED ON A MEMBERSHIP BASIS, WITH MORE THAN ONE CLASS OF MEMBERS, AND THE RIGHTS OF THE MEMBERS ARE IN THE BYLAWS OF THE CORPORATION. RESERVED POWERS OF THE MHC MEMBER CLASS SHALL NOT BE AMENDED WITHOUT THE CONSENT OF BOTH MEMBER CLASSES. ARTICLE VIII WAS AMENDED TO STATE THAT THE FINAL CORPORATE AUTHORITY IS VESTED IN THE BOARD OF DIRECTORS. ARTICLE IX WAS AMENDED TO STATE WHEN THE CORPORATION ASSUMES LIABILITY FOR ACTS OR OMISSIONS OF A VOLUNTEER: (A) THE VOLUNTEER WAS ACTING WITHIN THE SCOPE OF AUTHORITY, (B) THE VOLUNTEER WAS ACTING IN GOOD FAITH, (C) THE VOLUNTEER'S CONDUCT WAS NOT GROSSLY NEGLIGENT OR WILLFUL MISCONDUCT, (D) THE VOLUNTEER'S CONDUCT WAS NOT INTENTIONAL TORT, (E) THE VOLUNTEER'S CONDUCT WAS NOT A TORT INVOLVING A MOTOR VEHICLE. ARTICLE X WAS AMENDED TO STATE THAT UPON THE DISSOLUTION OF THE CORPORATION, AFTER PAYING THE LIABILITIES OF THE CORPORATION, THE BOARD OF DIRECTORS WILL DISTRIBUTE ANY REMAINING ASSETS ACCORDING TO THE INTERNAL REVENUE CODE OR TO THE FEDERAL, STATE OR LOCAL GOVERNMENT FOR PUBLIC PURPOSES. ANY ASSETS NOT DISPOSED WILL BE DISPOSED BY THE CIRCUIT FOR THE COUNTY.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AAT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT 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.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE 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.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL OFFICERS AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIINO 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 PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GASSOCIATION DUES & OTHER FEES 1,265,597 1,265,597 0 PURCHASED/CONTRACT SERVICES 3,748,690 207,727 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN COLLABORATIVE CARE ORGBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14000 WELLNESS DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
EIN460548987EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income200562TotalIncome
EOY Assets360562EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRMIDLANDMI48670380833014HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DRALMAMI48801381437919HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREETCLAREMI48617381518643HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREETGLADWINMI48624386020434HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DRMIDLANDMI48642382623324LT CAREMI501C39MIDMI HLTHtrue
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREETGLADWINMI48624382754875LT CAREMI501C39MIDMI HLTHtrue
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397CARE/EQUIPMI501C39MIDMI HLTHtrue
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RDMIDLANDMI48640383317788MED OFFICEMI501C311AMIDMI HLTHtrue
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRMIDLANDMI48670352182295EQUIPMENTMI501C311BMIDMI HLTHtrue
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI501C39MIDMI HLTHtrue
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRMIDLANDMI48670382459947OPERATIONSMI501C2MIDMI HLTHtrue
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI501C311AMIDMI HLTHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN ASSURANCE GROUP LTDBusinessNameLine1

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVEAddressLine1
Address Line2GOVERNORS SQUARE BLDG 4 2ND FLOORAddressLine2
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN980585596EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income100ShareOfTotalIncome
Share Of EOY Assets100ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationtrueDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (39 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN REGIONAL IMAGING
F5000000BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q9624333BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q2292718BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q1016133BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q720815BOOKS RECORDS
MIDMI VNA DBA MIDMI HOME CARE
Q523552BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q202523BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q189023BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q332205BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q588144BOOKS RECORDS
MIDMICHIGAN HDA
Q109240BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
F1452686BOOKS RECORDS
MIDMICHIGAN HDA
R558413BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
F5000000BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q9624333BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q2292718BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q1016133BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q720815BOOKS RECORDS
MIDMI VNA DBA MIDMI HOME CARE
Q523552BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q202523BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q189023BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q332205BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q588144BOOKS RECORDS
MIDMICHIGAN HDA
Q109240BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
F1452686BOOKS RECORDS
MIDMICHIGAN HDA
R558413BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
F5000000BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q9624333BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
Q2292718BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q1016133BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q720815BOOKS RECORDS
MIDMI VNA DBA MIDMI HOME CARE
Q523552BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
Q202523BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
Q189023BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
Q332205BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q588144BOOKS RECORDS
MIDMICHIGAN HDA
Q109240BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
F1452686BOOKS RECORDS
MIDMICHIGAN HDA
R558413BOOKS RECORDS