MYMICHIGAN MEDICAL CENTER CLARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER CLARE (EIN 38-1518643)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349306281
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T13:07:51-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREWS HOOPER PAVLIK PLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	381518643	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	MIDM	NameControl
Phone	9898393181	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	703 NORTH MCEWAN STREET	AddressLine1
City	CLARE	City
State	MI	State
ZIP Code	48617	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRANCINE M PADGETT	Name
Title	SR. VP & TREASURER	Title
Phone	9898393181	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LAURA M EBEL	Name
Phone	9894975300	Phone
Date Prepared	2014-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	RAYMOND STOVER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	703 NORTH MCEWAN STREET	AddressLine1
City	CLARE	City
State	MI	State
ZIP Code	48617	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	47326309	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MIDMICHIGAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	360	TotalNbrEmployees
Total Nbr Volunteers	99	TotalNbrVolunteers
Total Gross UBI	20842	TotalGrossUBI
Net Unrelated Business Txbl Income	-6738	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	25948	ContributionsGrantsPriorYear
Contributions Grants Current Year	34880	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	46386134	ProgramServiceRevenuePriorYear
Program Service Revenue CY	41750605	ProgramServiceRevenueCY
Investment Income Prior Year	713734	InvestmentIncomePriorYear
Investment Income Current Year	882412	InvestmentIncomeCurrentYear
Other Revenue Prior Year	710407	OtherRevenuePriorYear
Other Revenue Current Year	2495359	OtherRevenueCurrentYear
Total Revenue Prior Year	47836223	TotalRevenuePriorYear
Total Revenue Current Year	45163256	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	19063366	SalariesEtcPriorYear
Salaries Etc Current Year	17591039	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	31063839	OtherExpensePriorYear
Other Expenses Current Year	26100571	OtherExpensesCurrentYear
Total Expenses Prior Year	50127205	TotalExpensesPriorYear
Total Expenses Current Year	43691610	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2290982	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1471646	RevenuesLessExpensesCY
Total Assets BOY	39348920	TotalAssetsBOY
Total Assets EOY	41863244	TotalAssetsEOY
Total Liabilities BOY	16161421	TotalLiabilitiesBOY
Total Liabilities EOY	16421934	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23187499	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25441310	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	36829470	Expense
Revenue	41750605	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - CLARE PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO CLARE AND ITS SURROUNDING COUNTIES. 1,452 PATIENT ADMISSIONS AND 89,072 HOSPITAL OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2013. THE CATH LAB HAD 9 VISITS IN FISCAL YEAR 2013. CARE IS PROVIDED WITHOUT RESPECT TO PATIENTS ABILITY TO PAY.	Description
Total Program Service Expense	36829470	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	26	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	360	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	FM PADGETT SR VP TREASURER	NamePerson
Telephone Number	9898393181	TelephoneNumber

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
RICHARD REYNOLDS
DIRECTOR	2.00	50.00	X	0	1490788	335094
JOHN NGUYGEN DO
DIRECTOR	2.00	50.00	X	0	345535	7103
TOM CLARINGBOLD DO
DIRECTOR	2.00	50.00	X	0	311281	37126
RAYMOND STOVER
PRESIDENT	2.00	50.00	X	0	192247	61301	X
MICHAEL WERTHEIMER MD
DIRECTOR	2.00	50.00	X	0	158668	35160
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	50.00	X	0	48183	0
JEFFREY FOSSITT
DIRECTOR	2.00		X	0	0	0
MIKE JENKINS
VICE CHAIR	2.00		X	0	0	0
JEFF PUNCHES
DIRECTOR	2.00		X	0	0	0
TOM HOUSE
DIRECTOR	2.00		X	0	0	0
DON RICHARDS
TREASURER	2.00		X	0	0	0
KAREN KLEINHARDT
DIRECTOR	2.00		X	0	0	0
RON VERCH
CHAIR	2.00		X	0	0	0
LISA BENIC
SECRETARY	2.00		X	0	0	0
AMY STARK
DIRECTOR	2.00		X	0	0	0
FRANCINE PADGETT
ASSISTANT TR	2.00	50.00		0	354655	108431	X
DONNA RAPP
ASSISTANT SE	2.00	50.00		0	317852	107258	X
EDWARDO MUNOZ
CRNA	50.00	0.00		219047	0	17230		X
WILLIAM GROVES
CRNA	50.00	0.00		208844	0	25307		X
RUSSELL RADER
ANESTHESIOLO	50.00	0.00		206858	0	22573		X
KELLY MATHISON
CRNA	50.00	0.00		188402	0	8710		X
WILLIAM WELCH
CRNA	50.00	0.00		181792	0	15137		X
LAWRENCE BARCO
FORMER PRESI	0.00	0.00		226321	0	16167			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1231264	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3219209	TotalReportableCompFrmRltdOrgs
Total Other Compensation	796597	TotalOtherCompensation
Number Individuals GT100 K	11	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
EMCARE INC
7032 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	PHYSICIAN SVCS	857092
MICHIGAN EMERGENCY PHYS LLP
PO BOX 793	TRAVERSE CITY	MI	496850793	PHYSICIAN SVCS	788654
MAYO COLLABORATIVE SERVICE
201 1ST STREET SW	ROCHESTER	MN	55905	LABORATORY SVCS	292885	MAYO CLINIC MEDICAL LIBRARIES
THREE RIVERS CONSTRUCTION
PO BOX 1467	MIDLAND	MI	48641	CONSTRUCTION	279322
SOURCECORP HEALTHSERVE RAD INC
PO BOX 142589 DRAWER 9039	IRVING	TX	750142589	ARCHIVING	104898

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Fundraising Events	19671	FundraisingEvents
All Other Contributions	15209	AllOtherContributions
Total Contributions	34880	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID PAYMENTS	621990	28513095	28513095
NET PATIENT REVENUE	621990	12957488	12957488
CONTRACTED CLINICAL SERVICES	621990	259180	259180
REFERENCE LABORATORY	621500	20842		20842

Field	Value	IRS element (for citing)
Total Program Service Revenue	41750605	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	262093	TotalRevenueColumn
Exclusion	$262,093	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1	TotalRevenueColumn
Exclusion	$1	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2769920	Securities
Other	7000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	2129748	Securities
Other	26854	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	640172	Securities
Other	-19854	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	620318	TotalRevenueColumn
Exclusion	$620,318	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	19671	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	6451	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-6451	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
AFFILIATE RELATED INCOME	900099	297974	297974
OUTSIDE INCOME	900099	222897	222897
CAFETERIA/FOOD SERVICE	900099	91369		$91,369

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1889570	TotalRevenueColumn
Related Or Exempt Function Income	1889570	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2501810	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	45163256	TotalRevenueColumn
Related Or Exempt Function Income	44140204	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	20842	UnrelatedBusinessRevenue
Exclusion	$973,781	ExclusionAmount

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

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	14084588	Total
Program Services	13405204	ProgramServices
Management And General	679384	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	570455	Total
Program Services	547413	ProgramServices
Management And General	23042	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1920142	Total
Program Services	1853421	ProgramServices
Management And General	66721	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1015854	Total
Program Services	959855	ProgramServices
Management And General	55999	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2940	Total
Management And General	2940	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26600	Total
Management And General	26600	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	45045	Total
Management And General	45045	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6862887	Total
Program Services	4293722	ProgramServices
Management And General	2569165	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	85079	Total
Program Services	42768	ProgramServices
Management And General	42311	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	828045	Total
Program Services	604793	ProgramServices
Management And General	223252	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2340199	Total
Program Services	7840	ProgramServices
Management And General	2332359	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1514513	Total
Program Services	1044894	ProgramServices
Management And General	469619	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	42762	Total
Program Services	35460	ProgramServices
Management And General	7302	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	529037	Total
Program Services	529037	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1705479	Total
Program Services	1590776	ProgramServices
Management And General	114703	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	57465	Total
Program Services	202	ProgramServices
Management And General	57263	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHYSICIAN SUBSIDY	6952963	6814521	138442
MEDICAL SUPPLIES	4025818	4017825	7993
QAAP FEES	1081739	1081739

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	43691610	Total
Program Services	36829470	ProgramServices
Management And General	6862140	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1470	BOY
EOY	1470	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1619342	BOY
EOY	216730	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6206829	BOY
EOY	6357628	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	12576	BOY
EOY	2825	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	375646	BOY
EOY	401157	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	32977618	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	19299017	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	12870349	BOY
EOY	13678601	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2165542	BOY
EOY	3489701	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	15915273	BOY
EOY	17539189	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	181893	BOY
EOY	175943	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	39348920	BOY
EOY	41863244	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4339038	BOY
EOY	4568640	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	10445191	BOY
EOY	9991772	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1377192	BOY
EOY	1861522	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	16161421	BOY
EOY	16421934	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	23174617	BOY
EOY	25433400	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12882	BOY
EOY	7910	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23187499	BOY
EOY	25441310	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	39348920	BOY
EOY	41863244	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1471646	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	782165	ReconciliationUnrealizedInvest
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1826668	OtherCostOrOtherBasis
Book Value	1826668	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15393319	OtherCostOrOtherBasis
Depreciation	8463652	Depreciation
Book Value	6929667	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	830706	OtherCostOrOtherBasis
Depreciation	610989	Depreciation
Book Value	219717	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14545450	OtherCostOrOtherBasis
Depreciation	10224376	Depreciation
Book Value	4321074	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	381475	OtherCostOrOtherBasis
Book Value	381475	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	13678601	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	17539189	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	17539189	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
SELF INSURANCE, OTHER	$1,676,926
INTERCOMPANY LOANS	$184,596

Field	Value	IRS element (for citing)
Total Of Amounts	1861522	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	45945566	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	782165	NetUnrealizedGainsInvestments
Other Revenues	18885	OtherRevenues
Revenue Not Rptd F990	801050	RevenueNotRptdF990
Revenue Subtotal	45144516	RevenueSubtotal
Investment Expenses Not Included	45045	InvestmentExpensesNotIncluded
Other Revenues Not Included	-26305	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	18740	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	45163256	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	43712721	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	46302	OtherExpensesIncluded
Expenses Not Rptd F990	46302	ExpensesNotRptdF990
Expenses Subtotal	43666419	ExpensesSubtotal
Investment Expenses Not Included2	45045	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-19854	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	25191	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	43691610	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 18,885
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -19,854 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED -6,451
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 39,851 DIRECT EXPENSES RELATED TO FUNDRAISING - RECLASSIFIED 6,451
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -19,854

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	LOVE LIGHT TREE	NameOfEvent1
Gross Receipts Event1	19671	GrossReceiptsEvent1
Charitable Contributions Event1	19671	CharitableContributionsEvent1
Food And Beverage Event1	921	FoodAndBeverageEvent1
Other Direct Expenses Event1	5530	OtherDirectExpensesEvent1
Gross Receipts Total	19671	GrossReceiptsTotal
Charitable Contributions Total	19671	CharitableContributionsTotal
Food And Beverage Total Events	921	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	5530	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	6451	DirectExpenseSummaryEvents
Net Income Summary	-6451	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent150	X	Pcent150
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	626361	TotalCommunityBenefitExpense
Net Community Benefit Expense	626361	NetCommunityBenefitExpense
Percent Of Total Expense	0.01430	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	7923227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4646100	DirectOffsettingRevenue
Net Community Benefit Expense	3277127	NetCommunityBenefitExpense
Percent Of Total Expense	0.07500	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	8549588	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4646100	DirectOffsettingRevenue
Net Community Benefit Expense	3903488	NetCommunityBenefitExpense
Percent Of Total Expense	0.08930	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	103	NumberOfActivitiesOrPrograms
Persons Served	46309	PersonsServed
Total Community Benefit Expense	160449	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7845	DirectOffsettingRevenue
Net Community Benefit Expense	152604	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	44	NumberOfActivitiesOrPrograms
Persons Served	1529	PersonsServed
Total Community Benefit Expense	80693	TotalCommunityBenefitExpense
Net Community Benefit Expense	80693	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	1475	PersonsServed
Total Community Benefit Expense	13566	TotalCommunityBenefitExpense
Net Community Benefit Expense	13566	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	207	NumberOfActivitiesOrPrograms
Persons Served	49313	PersonsServed
Total Community Benefit Expense	254708	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7845	DirectOffsettingRevenue
Net Community Benefit Expense	246863	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	209	NumberOfActivitiesOrPrograms
Persons Served	49313	PersonsServed
Total Community Benefit Expense	8804296	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4653945	DirectOffsettingRevenue
Net Community Benefit Expense	4150351	NetCommunityBenefitExpense
Percent Of Total Expense	0.09500	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	9092	TotalCommunityBuildingExpense
Net Community Building Expense	9092	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	65	PersonsServed
Total Community Building Expense	7825	TotalCommunityBuildingExpense
Net Community Building Expense	7825	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	40	NumberOfActivitiesOrPrograms
Total Community Building Expense	18444	TotalCommunityBuildingExpense
Net Community Building Expense	18444	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	9918	TotalCommunityBuildingExpense
Net Community Building Expense	9918	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	67184	TotalCommunityBuildingExpense
Net Community Building Expense	67184	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	64	NumberOfActivitiesOrPrograms
Persons Served	65	PersonsServed
Total Community Building Expense	112463	TotalCommunityBuildingExpense
Net Community Building Expense	112463	NetCommunityBuildingExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$2,310,355	BadDebtExpenseAmount
Amount Attributable To	439100	AmountAttributableTo
Amount Reimbursed By Medicare	15322174	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	13935568	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1386606	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

Field	Value	IRS element (for citing)
Address Line1	703 N MCEWAN ST	AddressLine1
City	CLARE	City
State	MI	State
ZIP Code	486171440	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Other	X	Other
Needs Assessment Conducted	13	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	true	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	150.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	200.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Collection Activities	true	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	true	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MIDMI MEDICAL CENTER-CLARE REHAB SV
231 SOUTH FIRST STREET	HARRISON	MI	48625	REHABILITATION SERVICES ONLY
MIDMICHIGAN HEALTH PARK-HOUGHTON LK
9249 W LAKE CITY ROAD	HOUGHTON LAKE	MI	48629	REHABILITATION, LAB, & MAMMOGRAPHY
MIDMICHIGAN URGENT CARE - CLARE
700 WEST FIFTH ST	CLARE	MI	48617	URGENT CARE, OCCUPATIONAL MEDICINE
CLARE MMO RHC
602 BEECH STREET	CLARE	MI	48617	RURAL HEALTH CLINIC
HARRISON RHC
815 NORTH CLARE AVENUE	HARRISON	MI	48625	RURAL HEALTH CLINIC
FARWELL RHC
2812 WEST CADILLAC DRIVE	FARWELL	MI	48622	RURAL HEALTH CLINIC
6TH AND MAPLE STREET
212 W SIXTH STREET	CLARE	MI	48617	RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BUILDING ACTIVITIES	PART II	MIDMICHIGAN MEDICAL CENTERCLARE EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERCLARE IS A KEY PARTNER WITH UNITED WAY OF CLARE AND GLADWIN COUNTY WHICH SUPPORTS MANY NONPROFIT AGENCIES IN THESE COUNTIES INCLUDING 211 FIRST CALL FOR HELP MIDMICHIGAN MEDICAL CENTERCLARE EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NONPROFIT BOARDS ANDOR COMMITTEES IMPACTING COMMUNITY HEALTH THROUGH CONTRIBUTIONS TO ORGANIZATIONS AND COMMITTEES THAT GATHER TO IMPROVE HEALTH SUCH AS THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY COUNCIL AND THE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE CLARE IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS AND A BUSINESS EXPO EACH YEAR THAT PROVIDES HEALTH CARE SCREENINGS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	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 COSTTOCHARGE RATIO IS APPLIED TO THE CHARGE WRITEOFF THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE LINE 3 BAD DEBT ATTRIBUTABLE TO CHARITY CARE HISTORICAL COLLECTION ACTIVITY OBTAINED FROM 3RD PARTY COLLECTION AGENCIES IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE
MEDICARE EXPLANATION	PART III LINE 8	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NONBENEFICIARIES AND NONBENEFICIARIES 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 COSTTOCHARGE RATIO METHOD THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 1887415 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2013 HOWEVER WITHOUT MEANINGFUL USE PAYMENTS THIS ORGANIZATION WOULD HAVE SHOWN A MEDICARE SHORTFALL OF 2794640
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN HEALTHS COLLECTION 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 AIDCHARITY 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 000 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE MIDMICHIGAN HEALTH ASSURES THE COST OF THE PROGRAM INTEREST AND GUARANTEES THE RECEIVABLES
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTER CLARE 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 20132016 INCLUDES REGULAR MEASUREMENT OF SHORTTERM IMPACT ON PRIORITY ACTION ITEMS AND LONGTERM 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 HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS US 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 CLARE PARTICIPATES IN A STRONG COLLABORATIVE PARTNERSHIP HEADED BY CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CALLED TOGETHER WE CAN AND A SMALLER SUBSET OF THAT GROUP THE CLAREGLADWIN HEALTH IMPROVEMENT PLAN THESE GROUPS HAVE DEVELOPED A HEALTH IMPROVEMENT PLAN THAT IS BEING ENACTED TO IMPROVE COUNTY HEALTH AND CONSEQUENTLY THEIR RANKINGS AS DETERMINED BY THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	WE COMMUNICATE TO PATIENTS AND THE PUBLIC OF 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 LOWCOST 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 FOLLOWUP OR EXPEDITED APPLICATIONS THEY PROVIDE MEDICAID APPLICATIONS PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS
COMMUNITY INFORMATION	PART VI	MIDMICHIGAN MEDICAL CENTERCLARES PRIMARY SERVICE AREA IS COMPRISED OF THE 4 ZIP CODES WHICH CAPTURE CLARE COUNTY 828 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 266 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 288 MARKET SHARE FOLLOWED BY MCLAREN CENTRAL MICHIGAN WITH A 132 MARKET CAPTURE AND MIDMICHIGAN MEDICAL CENTERGRATIOT AT A 62 CAPTURE CLARE COUNTY IS A DESIGNATED LOW INCOME MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED GEOGRAPHIC SINGLE COUNTY HEALTH PROFESSIONAL SHORTAGE AREA DEMOGRAPHICS 2013 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 34117 205 41606 32890 14226 447 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 968 03 08 16 05
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	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 PARTICIPATE IN COMMUNITY COLLABORATIVES FOR AREA NONPROFITS WITH A FOCUS ON HEALTH LIKE THE MIDMICHIGAN COMMUNITY HEALTH SERVICES EXECUTIVE COMMITTEE AND THE MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA WHICH IS A DIVERSE GROUP OF STAKEHOLDERS COLLABORATING TOGETHER AS A NONPROFIT 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 COORDINATOR FOR MIDMICHIGAN MEDICAL CENTERCLARE IS AN ACTIVE MEMBER OF THE TOGETHER WE CAN HEALTH IMPROVEMENT TEAM FOR CLARE AND GLADWIN COUNTIES
AFFILIATED HEALTH CARE INFORMATION	PART VI	63 MILLION IN COMMUNITY BENEFITS WAS PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS SCREENINGS SPECIAL EVENTS AND HEALTH EXPERTISE INCLUDING INSURANCE UNDERREIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY AREAS OF FOCUS IN THE MIDMICHIGAN HEALTH COMMUNITY BENEFIT PLANS ARE 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 CENTERCLARE FOCUSED ON DIABETES PREVENTION WITH PROVISION OF PREDIABETES CLASSES AS WELL AS GOOD DIABETES CONTROL BY PROVIDING AN EXPO IN THE SPRING THAT OFFERED SCREENINGS AND EDUCATION FOR PEOPLE WITH DIABETES ADDITIONALLY CLOSE TO 1000 COMMUNITY MEMBERS ATTENDED HEALTH FAIRS WHERE EDUCATION AND HEALTH CARE SCREENINGS WERE PROVIDED IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES ADDITIONAL BREASTFEEDING SUPPORT THROUGH BREASTFEEDING FACILITATORS AND SCHOLARSHIPS FOR THOSE WHO COULD NOT AFFORD BREASTFEEDING PREPARATION CLASSES WERE PROVIDED ADDITIONALLY A BEST PRACTICE EDUCATIONAL AND NETWORKING CONFERENCE BUILDING BRIDGES FOR BREASTFEEDING DURATION WAS HELD FOR PRACTITIONERS INCLUDING DOCTORS NURSES LACTATION CONSULTANTS AND ANY OTHER SUPPORT STAFF WHO WORK WITH MOMS AND NEWBORNS FREE OR LOWCOST STROKE KNOW YOUR NUMBERS TOTAL LIPID PROFILE BLOOD GLUCOSE BLOOD PRESSURE WEIGHT BODY MASS INDEX AND WAIST CIRCUMFERENCE AND OSTEOPOROSIS SCREENINGS PROVIDED CONVENIENT FREE OR LOWCOST 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 5266 PEOPLE IN OUR SERVICE AREA THIS YEAR AT A COST OF 96204 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASED PHYSICAL ACTIVITY AMONG CHILDREN MIDMICHIGAN HEALTH AND THE GREAT LAKES LOONS EXPANDED THE FITNESS WATCH PROJECT TO REACH 1000 CHILDREN IN THE REGION IN 7TH GRADE NOTING AN INCREASE IN AT LEAST ONE MEASURE OF PHYSICAL FITNESS IN 92 OF THE PARTICIPANTS ADDITIONALLY 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
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MICHIGAN
ADDITIONAL INFORMATION	PART VI	PART I LINE 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES THE PATIENTS 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 CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE
MIDMICHIGAN MEDICAL CENTER CLARE LINE NUMBER 1 PART V LINE 3	PART V LINE 3	MIDMICHIGAN MEDICAL CENTERCLARES COMMUNITY EDUCATION COORDINATOR IS INVOLVED IN A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT CALLED THE TOGETHER WE CAN HEALTH IMPROVEMENT PLANNING WORKING GROUP HIP FOR CLARE AND GLADWIN COUNTY THIS WORKING GROUP IS A SUBCOMMITTEE OF THE TOGETHER WE CAN HEALTH IMPROVEMENT COUNCIL A COLLABORATIVE OF COMMUNITY MEMBERS AND AGENCIES FROM ACROSS THE REGION LED BY THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT IN AN EFFORT TO ADDRESS HEALTH NEEDS IN THE COMMUNITIES SERVED INCLUSIVE OF THOSE SERVED BY MIDMICHIGAN MEDICAL CENTERCLARE OTHER MEMBERS INCLUDE THE CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT CHIEF HEALTH OFFICER DIRECTOR OF PUBLIC HEALTH PROMOTION AND PREPAREDNESS AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT HEALTH PROMOTION AND PREPAREDNESS SUPERVISOR AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT AND DIRECTOR OF PERSONAL HEALTH SERVICES AT CENTRAL MICHIGAN DISTRICT HEALTH DEPARTMENT THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS ADDITIONALLY MIDMICHIGAN MEDICAL CENTERCLARE IS A PARTNER WITH MIHIA THE MICHIGAN HEALTH INFORMATION ALLIANCE INC OR MIHIA IS A FORMAL MULTISTAKEHOLDER COMMUNITY COLLABORATION WORKING TO ACHIEVE A COMMUNITY OF HEALTH EXCELLENCE FOR THE 14COUNTY REGION IT SERVES WE WORK WITH THE MIHIA DATA DASHBOARD AND THE DIRECTOR OF MIHIA WHO ADVISES WITH DATA COLLECTION AND INTERPRETATION
MIDMICHIGAN MEDICAL CENTER CLARE LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	PATIENTS RELIGIOUS BELIEFS PREVENT HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY
MIDMICHIGAN MEDICAL CENTER CLARE LINE NUMBER 1 PART V LINE 14G	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
MIDMICHIGAN MEDICAL CENTER CLARE LINE NUMBER 1 PART V LINE 22	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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitle	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
RICHARD REYNOLDS
DIRECTOR	558629	50000	882159	312473	22621	1825882	425203
JOHN NGUYGEN DO
DIRECTOR	344927		608	10	7093	352638
TOM CLARINGBOLD DO
DIRECTOR	251981	58457	843	22723	14403	348407
RAYMOND STOVER
PRESIDENT	176069		16178	45083	16218	253548
MICHAEL WERTHEIMER MD
DIRECTOR	126473	30626	1569	20252	14908	193828
FRANCINE PADGETT
ASSISTANT TREASURER	305957	15000	33698	84095	24336	463086
DONNA RAPP
ASSISTANT SECRETARY	277354	15000	25498	93285	13973	425110
EDWARDO MUNOZ
CRNA								209048	7500	2499	10785	6445	236277
WILLIAM GROVES
CRNA								199313		9531	10573	14734	234151
RUSSELL RADER
ANESTHESIOLOGY MGR								194450	5000	7408	10496	12077	229431
KELLY MATHISON
CRNA								174101	10000	4301	3783	4927	197112
WILLIAM WELCH
CRNA								162599	10000	9193	3718	11419	196929
LAWRENCE BARCO
FORMER PRESIDENT								104933		121388	7923	8244	242488

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	LAWRENCE BARCO 69,174 0 0
NON-FIXED PAYMENTS PROVIDED	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.
OTHER ADDITIONAL INFORMATION	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 - REYNOLDS, PADGETT, POSTLER-SLATTERY, AND RAPP 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
2006A MI STATE HOSPITAL FINANCE
A	382889417	59465HEB8	2006-11-07	4332800	CAPITAL PROJECTS	false	false	false
MICHIGAN FINANCE AUTHORITY SER D
B	800596186		2011-06-09	455850	CAPITAL PROJECTS	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow
A	4332800	25050	4394794	2009	false	false	true	true
B	455850	1062		2011	true	false	true	true	454788

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	false	false	0.00560	0.00560	false	false	false	true
B	false	false	false	false			false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	false	false	false	true	false	false	false	false	true
B	false	false	true	false	true	false	false	false	true

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DATE REBATE COMPUTATION PERFORMED	SCHEDULE K	2006A MI STATE HOSPITAL FINANCE 050110
ADDITIONAL INFORMATION	SCHEDULE K	2006A MI STATE HOSPITAL FINANCE IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THIS BOND ISSUE THEREFORE FORM 8038T IS NOT REQUIRED MICHIGAN FINANCE AUTHORITY SER D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS THEREFORE NO ARBITRAGE REBATE CALCULTION IS REQUIRED

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	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 PREDOMINANT PROVIDER OF PRIMARY CARE IN THE COMMUNITIES WE SERVE.
ADDITIONAL INFORMATION	FORM 990	ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION.
ANY SIGNIFICANT NEW PROGRAM SERVICES NOT LISTED ON A PRIOR RETURN	FORM 990, PAGE 2, PART III, LINE 2	DURING THE FISCAL YEAR, MIDMICHIGAN MEDICAL CENTER - CLARE OPENED A CARDIAC CATHETERIZATION LAB.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	THE ARTICLES OF INCORPORATION OF THE ORGANIZATION WERE AMENDED IN JUNE OF 2013 TO INCLUDE THE FOLLOWING LANGUAGE: THE PURPOSES OF THE CORPORATION SHALL INCLUDE PROVIDING A BENEFIT TO ITS MEMBER, AND THE CORPORATION MAY PAY DIVIDENDS OR DISTRIBUTE ITS INCOME OR PROFIT TO MIDMICHIGAN HEALTH, ITS SOLE MEMBER AND A MICHIGAN NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, PROVIDED ANY SUCH PAYMENTS OR DISTRIBUTIONS ARE OTHERWISE CONSISTENT WITH THE CORPORATION'S PURPOSES AND ARE OTHERWISE PERMITTED UNDER THE MICHIGAN NONPROFIT CORPORATION ACT, AS AMENDED. THE CORPORATION SHALL NOT TAKE ANY ACTION WHICH, IF TAKEN DIRECTLY BY MIDMICHIGAN HEALTH, WOULD REQUIRE APPROVAL OF ALL MEMBER CLASSES OF MIDMICHIGAN HEALTH, UNLESS SUCH ACTION IS APPROVED BY MIDMICHIGAN HEALTH AS THE SOLE MEMBER OF THE CORPORATION.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTS	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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	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 AN 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.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	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.
ENFORCEMENT OF CONFLICTS POLICY	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.
COMPENSATION PROCESS FOR TOP OFFICIAL	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 REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERS	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.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONS	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.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	ASSOCIATION DUES & OTHER FEES 2,090,479 545,245 0 PURCHASED/CONTRACT SERVICES 2,203,243 2,023,920 0

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459948	SUPPORT	MI	501C3	11A	NA	false
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRIVE	MIDLAND	MI	48670	380833014	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-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 EQUIP	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET ROAD	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-CLARE VOLUNTEERS
703 NORTH MCEWAN STREET	CLARE	MI	48617	382944967	SUPPORT	MI	501C3	11A	NA	false

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address Foreign AddressForeign

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

Field	Value	IRS element (for citing)
EIN	980585596	EIN
Primary Activity	INSURANCE	PrimaryActivity
Legal Domicile Foreign Country	CJ	LegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MIDMI HLTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C CORP	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN REGIONAL IMAGING
K	682724	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	98343	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	138477	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	1016133	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	7093590	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q	180383	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	54541	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
K	682724	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
K	98343	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	3634223	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	138477	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	1016133	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	7093590	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
Q	180383	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	54541	BOOKS RECORDS