MYMICHIGAN MEDICAL CENTER ALMA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER ALMA (EIN 38-1437919)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201441359349306419
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 H
Schedule J
Schedule K
Schedule L
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	381437919	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER-GRATIOT	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	300 E WARWICK DR	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	488011096	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	MARK SANTAMARIA	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	300 E WARWICK DR	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	488011096	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	105403365	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MIDMICHIGAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1953	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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	938	TotalNbrEmployees
Total Nbr Volunteers	235	TotalNbrVolunteers
Total Gross UBI	202351	TotalGrossUBI
Contributions Grants Prior Year	94448	ContributionsGrantsPriorYear
Contributions Grants Current Year	79173	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	108983536	ProgramServiceRevenuePriorYear
Program Service Revenue CY	92453109	ProgramServiceRevenueCY
Investment Income Prior Year	15836256	InvestmentIncomePriorYear
Investment Income Current Year	3440753	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3110548	OtherRevenuePriorYear
Other Revenue Current Year	4461819	OtherRevenueCurrentYear
Total Revenue Prior Year	128024788	TotalRevenuePriorYear
Total Revenue Current Year	100434854	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	52773528	SalariesEtcPriorYear
Salaries Etc Current Year	43504031	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	4088	TotalFundrsngExpCurrentYear
Other Expense Prior Year	66731607	OtherExpensePriorYear
Other Expenses Current Year	61773593	OtherExpensesCurrentYear
Total Expenses Prior Year	119505135	TotalExpensesPriorYear
Total Expenses Current Year	105277624	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8519653	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-4842770	RevenuesLessExpensesCY
Total Assets BOY	130957203	TotalAssetsBOY
Total Assets EOY	125653023	TotalAssetsEOY
Total Liabilities BOY	56535782	TotalLiabilitiesBOY
Total Liabilities EOY	54466611	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	74421421	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	71186412	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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	91817096	Expense
Revenue	92453109	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - GRATIOT PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 5,108 PATIENT ADMISSIONS AND 139,440 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2013. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Description
Total Program Service Expense	91817096	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	true	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	false	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	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	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	79	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	938	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	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	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 (28 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	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
RICHARD REYNOLDS
DIRECTOR	2.00	50.00	X	0	1490788	335094
MARK SANTAMARIA
PRESIDENT	2.00	50.00	X	0	276917	17294	X
DIANE POSTLER-SLATTERY
DIRECTOR	2.00	50.00	X	0	48183	0
RAYMOND BOROWICZ
DIRECTOR	2.00		X	0	0	0
KATHLEEN CRUMBAUGH
DIRECTOR	2.00		X	0	0	0
DENNIS DUNLAP
VICE CHAIR	2.00		X	0	0	0
NANCY GALLAGHER
DIRECTOR	2.00		X	0	0	0
KELLY BEBOW
DIRECTOR	2.00		X	0	0	0
WILLIAM HENDERSON
CHAIR	2.00		X	0	0	0
ERIC HO MD
DIRECTOR	2.00		X	0	0	0
PATRICIA EAREGOOD
DIRECTOR	2.00		X	0	0	0
SUNIL RANGWANI MD
DIRECTOR	2.00		X	0	0	0
DAVID ROSLUND
DIRECTOR	2.00		X	0	0	0
SARAH WASSENAAR DDS
CHAIR	2.00		X	0	0	0
DALE WEBURG
DIRECTOR	2.00		X	0	0	0
LILLIAN CONNORS
DIRECTOR	2.00		X	0	0	0
WILLIAM SCHMIDT
DIRECTOR	2.00		X	0	0	0
PRAKASH SARVEPALLI MD
DIRECTOR	2.00		X	0	0	0
LAURA MCCOLLUM
SECRETARY/TR	2.00	0.00	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
ROBIN WHITMORE
VICE PRESIDE	50.00			171002	0	12609		X
BRAD BINSFELD DO
PHYSICIAN	50.00			656699	0	6673			X
JAMES WARE DO
PHYSICIAN	50.00			593299	0	2258			X
MARK MASLOVICH MD
PHYSICIAN	50.00			563646	0	15626			X
DIANE MACDONALD MD
PHYSICIAN	50.00			425255	0	16987			X
MAGED HANNA MD
PHYSICIAN	50.00			312355	0	15425			X
MARK BUSH
FORMER PRESI	0.00	0.00		221859	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2944115	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2488395	TotalReportableCompFrmRltdOrgs
Total Other Compensation	637655	TotalOtherCompensation
Number Individuals GT100 K	38	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
SODEXHO FOOD & NUTRITION SERVICES
300 E WARWICK	ALMA	MI	48801	DIETARY MGMT	2200249
GRATIOT MANAGEMENT CO
401 S ST JOHNS ST	ITHACA	MI	48847	STAFFING AGENCY	2065147
ANESTHESIA ASSOC OF ALMA
PO BOX 423	ALMA	MI	48801	PHYSICIAN SVCS	1434899
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	63150	REHAB MGMT	1360970
SIEMENS MEDICAL SOLUTIONS USA
C/O MELLON BANK DEPT 14195	PALATINE	IL	60055	EQUIPMAINT/LAB	1121614

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
All Other Contributions	79173	AllOtherContributions
Total Contributions	79173	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID PAYMENTS	621990	64304609	64304609
NET PATIENT REVENUE	621990	27610745	27610745
REFERENCE LABORATORY	541900	202351		202351
CONTRACTED CLINICAL SERVICES	621110	196962	196962
PHYSICIAN SUBSIDY	621990	138442	138442

Field	Value	IRS element (for citing)
Total Program Service Revenue	92453109	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1641633	TotalRevenueColumn
Related Or Exempt Function Income	1080291	RelatedOrExemptFunctionIncome
Exclusion	$561,342	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	5	TotalRevenueColumn
Exclusion	$5	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	284548	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	284548	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	284548	TotalRevenueColumn
Exclusion	$284,548	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5911791	Securities
Other	855835	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4545484	Securities
Other	423027	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1366307	Securities
Other	432808	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1799115	TotalRevenueColumn
Exclusion	$1,799,115	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INCENTIVE PAYMENTS	900099	2185459	2185459
CAFETERIA/FOOD SERVICE	722514	557293	557293
OUTSIDE INCOME	900099	479722	479722

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	954797	TotalRevenueColumn
Related Or Exempt Function Income	954797	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4177271	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	100434854	TotalRevenueColumn
Related Or Exempt Function Income	97508320	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	202351	UnrelatedBusinessRevenue
Exclusion	$2,645,010	ExclusionAmount

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

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	195409	Total
Program Services	97705	ProgramServices
Management And General	97704	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	35088442	Total
Program Services	30811136	ProgramServices
Management And General	4275267	ManagementAndGeneral
Fundraising	2039	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1325431	Total
Program Services	1148976	ProgramServices
Management And General	176355	ManagementAndGeneral
Fundraising	100	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4473052	Total
Program Services	4036432	ProgramServices
Management And General	435864	ManagementAndGeneral
Fundraising	756	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2421697	Total
Program Services	2106203	ProgramServices
Management And General	315354	ManagementAndGeneral
Fundraising	140	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	50904	Total
Management And General	50904	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	75818	Total
Management And General	75818	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	96576	Total
Management And General	96576	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18853203	Total
Program Services	18459637	ProgramServices
Management And General	393566	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	26103	Total
Program Services	6322	ProgramServices
Management And General	19781	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1830155	Total
Program Services	1157225	ProgramServices
Management And General	671877	ManagementAndGeneral
Fundraising	1053	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5956059	Total
Management And General	5956059	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2823940	Total
Program Services	2306863	ProgramServices
Management And General	517077	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	71137	Total
Program Services	46847	ProgramServices
Management And General	24290	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	159910	Total
Program Services	102289	ProgramServices
Management And General	57621	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2184082	Total
Program Services	2184082	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6256213	Total
Program Services	6023875	ProgramServices
Management And General	232338	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	237563	Total
Program Services	237563	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	14721336	14721336
PHYSICIAN PRACTICE INVEST	5901718	5901718
QAAP FEES	2440287	2440287
LICENSES & DUES	88589	28600	59989

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	105277624	Total
Program Services	91817096	ProgramServices
Management And General	13456440	ManagementAndGeneral
Fundraising	4088	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5491	BOY
EOY	5191	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1042432	BOY
EOY	342391	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	24	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19934273	BOY
EOY	15423828	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	5030	BOY
EOY	2415	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	975021	BOY
EOY	890531	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3285895	BOY
EOY	2914907	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	120835912	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	61734151	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	63518552	BOY
EOY	59101761	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	4825464	BOY
EOY	7592470	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	35500884	BOY
EOY	38171791	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1531207	BOY
EOY	896600	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	332930	BOY
EOY	311138	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	130957203	BOY
EOY	125653023	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	10401092	BOY
EOY	9101648	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	41329613	BOY
EOY	40893550	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	458205	BOY
EOY	458205	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4346872	BOY
EOY	4013208	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	56535782	BOY
EOY	54466611	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	74415981	BOY
EOY	71165254	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5440	BOY
EOY	21158	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	74421421	BOY
EOY	71186412	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	130957203	BOY
EOY	125653023	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-4842770	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1607761	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

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	true	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1377689	OtherCostOrOtherBasis
Book Value	1377689	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	55206270	OtherCostOrOtherBasis
Depreciation	23870511	Depreciation
Book Value	31335759	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3508972	OtherCostOrOtherBasis
Depreciation	2394888	Depreciation
Book Value	1114084	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	60579555	OtherCostOrOtherBasis
Depreciation	35468752	Depreciation
Book Value	25110803	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	163426	OtherCostOrOtherBasis
Book Value	163426	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	59101761	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	38171791	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	38171791	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	LT 3RD PARTY PAY, ASSET RETIRE OBLG	Description
Amount	$4,013,208	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4013208	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	100864756	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1607761	NetUnrealizedGainsInvestments
Other Revenues	509	OtherRevenues
Revenue Not Rptd F990	1608270	RevenueNotRptdF990
Revenue Subtotal	99256486	RevenueSubtotal
Investment Expenses Not Included	96576	InvestmentExpensesNotIncluded
Other Revenues Not Included	1081792	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1178368	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	100434854	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	105363184	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	49867	OtherExpensesIncluded
Expenses Not Rptd F990	49867	ExpensesNotRptdF990
Expenses Subtotal	105313317	ExpensesSubtotal
Investment Expenses Not Included2	96576	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-132269	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	-35693	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	105277624	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ESCROW LIABILITY ARRANGEMENT EXPLANATION	SCHEDULE D, PAGE 2, PART IV, LINE 2B	ON FEBRUARY 1, 2012 MIDMICHIGAN MEDICAL CENTER-GRATIOT SOLD 3 DIALYSIS UNITS TO TOTAL RENAL CARE, INC. AS A PART OF THE SALE, 5% OF THE TRANSACTION IS BEING HELD IN ESCROW FOR A PERIOD OF TWO YEARS, ENDING FEBRUARY 1, 2014. IN THE EVENT THAT ANY UNKNOWN ISSUES ARISE DURING THE TWO YEAR PERIOD, THE ESCROW ACCOUNT IS AVAILABLE TO RESOLVE THOSE UNKNOWN ISSUES. PROCEEDS OF THE ESCROW ACCOUNT REMAINING AT THE END OF THE TWO YEAR PERIOD WILL BE DISTRIBUTED TO MIDMICHIGAN MEDICAL CENTER-GRATIOT.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 509
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -132,269 INCOME FROM CONSOLIDATED SUBSIDIARIES 648,984 GAIN ON SALE OF MT. PLEASANT DIALYSIS BUILDING 565,077
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	RELEASED FROM RESTRICTION FOR CAPITAL 49,867
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -132,269

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	false	ExpensesExceededBudget
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	460536	TotalCommunityBenefitExpense
Net Community Benefit Expense	460536	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	16040828	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11732260	DirectOffsettingRevenue
Net Community Benefit Expense	4308568	NetCommunityBenefitExpense
Percent Of Total Expense	0.04090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	16501364	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11732260	DirectOffsettingRevenue
Net Community Benefit Expense	4769104	NetCommunityBenefitExpense
Percent Of Total Expense	0.04530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	457	NumberOfActivitiesOrPrograms
Persons Served	4883	PersonsServed
Total Community Benefit Expense	213955	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7005	DirectOffsettingRevenue
Net Community Benefit Expense	206950	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	267	PersonsServed
Total Community Benefit Expense	412250	TotalCommunityBenefitExpense
Net Community Benefit Expense	412250	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	86	NumberOfActivitiesOrPrograms
Persons Served	1445	PersonsServed
Total Community Benefit Expense	66133	TotalCommunityBenefitExpense
Net Community Benefit Expense	66133	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	546	NumberOfActivitiesOrPrograms
Persons Served	6595	PersonsServed
Total Community Benefit Expense	692338	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7005	DirectOffsettingRevenue
Net Community Benefit Expense	685333	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	548	NumberOfActivitiesOrPrograms
Persons Served	6595	PersonsServed
Total Community Benefit Expense	17193702	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11739265	DirectOffsettingRevenue
Net Community Benefit Expense	5454437	NetCommunityBenefitExpense
Percent Of Total Expense	0.05180	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	290	TotalCommunityBuildingExpense
Net Community Building Expense	290	NetCommunityBuildingExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	3480	TotalCommunityBuildingExpense
Net Community Building Expense	3480	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Building Expense	14029	TotalCommunityBuildingExpense
Net Community Building Expense	14029	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	1914	TotalCommunityBuildingExpense
Net Community Building Expense	1914	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	15	NumberOfActivitiesOrPrograms
Total Community Building Expense	26695	TotalCommunityBuildingExpense
Net Community Building Expense	26695	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Building Expense	124164	TotalCommunityBuildingExpense
Net Community Building Expense	124164	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	87052	TotalCommunityBuildingExpense
Net Community Building Expense	87052	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	40	NumberOfActivitiesOrPrograms
Total Community Building Expense	257624	TotalCommunityBuildingExpense
Net Community Building Expense	257624	NetCommunityBuildingExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,233,770	BadDebtExpenseAmount
Amount Attributable To	432729	AmountAttributableTo
Amount Reimbursed By Medicare	37307941	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	37073562	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	234379	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	false	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-GRATIOT	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	300 E WARWICK DRIVE	AddressLine1
City	ALMA	City
State	MI	State
ZIP Code	48801	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-GRATIOT	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	27	NumberOfOtherFacilities

Other Facilities OtherFacilities (27 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
URGENT CARE - ALMA
321 E WARWICK DRIVE	ALMA	MI	48801	REGIONAL HEALTH CLINIC
BROADWAY HEALTH SERVICES
411 W BROADWAY STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
CENTER FOR OBGYN - ALMA
315 E WARWICK DRIVE STE D	ALMA	MI	48801	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE-BRECKENRIDGE
302 W CHESTNUT	BRECKENRIDGE	MI	48615	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - ST LOUIS
224 N MILL ST	ST LOUIS	MI	48880	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - VESTABURG
8776 EAST HOWARD CITY-EDMORE ROAD	VESTABURG	MI	48891	REGIONAL HEALTH CLINIC
GRATIOT HEALTH PARTNERS
1750 E BELLOWS STE B	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
ITHACA FAMILY PRACTICE
820 N PINE RIVER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
MEDICAL HEMATOLOGYONCOLOGY UNIT
315 WARWICK DRIVE STE C	ALMA	MI	48801	REGIONAL HEALTH CLINIC
MONTCALM HEALTH SERVICES
1021 E MAIN ST	EDMORE	MI	48829	REGIONAL HEALTH CLINIC
MT PLEASANT OBGYN
1621 E BROOMFIELD STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
ITHACA OBGYN
121 NORTH PINE RIVER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
MT PLEASANT VISITING PHYSICIANS
211 S CRAPO STE J	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
DR ELIE OBEID
411 W BROADWAY STE B	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
7320 N ALGER STE G	ALMA	MI	48801	REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
1621 E BROOMFIELD STE C	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
PLEASANT WOMEN'S CARE
1621 E BROOMFIELD STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
GRATIOT PHYSICAL REHABILITATION
328 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
GRATIOT WOUND TREATMENT CENTER
320 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
GRATIOT REHABILITATION SVS ITHACA
509 E CENTER	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
DR RAKESH SAXENA-INTERNAL MEDICINE
311 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
DR INDIRA SAXENA
311 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - ITHACA
121 N PINE RIVER ST	ITHACA	MI	48847	REGIONAL HEALTH CLINIC
SLEEP DISORDERS CENTER - ALMA
200 E WARWICK	ALMA	MI	48801	REGIONAL HEALTH CLINIC
SLEEP DISORDERS CENTER - MT PLEASAN
1750 BELLOWS ST STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
GRATIOT PHYSICAL THERAPY SERVICES
1750 BELLOWS ST	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
MPG HEMATOLOGY
200 E WARWICK STE C	ALMA	MI	48801	REGIONAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BUILDING ACTIVITIES	PART II	MIDMICHIGAN MEDICAL CENTERGRATIOT EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERGRATIOT IS A KEY PARTNER WITH THE UNITED WAY OF GRATIOT COUNTY WHICH SUPPORTS MANY NON PROFIT AGENCIES AND PROJECTS IN GRATIOT COUNTY INCLUDING THE LIVE WELL INITIATIVE THROUGH MIDMICHIGAN HEALTH DEPARTMENT MIDMICHIGAN MEDICAL CENTERGRATIOT EMPLOYEES SERVE ADVISORY AND OTHER KEY ROLES FOR NONPROFIT BOARDS ANDOR COMMITTEES PROVIDING OVERSIGHT OF HEALTH AND HUMAN SERVICES PROJECTS AND PARTICIPATING IN STRATEGIC INITIATIVES THROUGH THE GRATIOT COLLABORATIVE COUNCIL THAT IMPACT COMMUNITY HEALTH ESPECIALLY FOR CHILDREN LIVING IN THE COUNTY GRATIOT IS ALSO REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS
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 SURPLUS OF 558353 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 511539
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 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 00 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE MIDMICHIGAN HEALTH ASSUMES THE COST OF THE PROGRAM INTEREST AND GUARANTEES THE RECEIVABLES
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTER GRATIOT 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 LIVE WELL GRATIOT COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DEVELOPED OUT OF A PARTNERSHIP BETWEEN THE HOSPITAL AND MIDMICHIGAN DISTRICT HEALTH DEPARTMENT TO ADDRESS HEALTH NEEDS OF GRATIOT COUNTY AND DEVELOP A HEALTH IMPROVEMENT PLAN SPECIFIC TO THE IDENTIFIED NEEDS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	MIDMICHIGAN MEDICAL CENTERGRATIOT COMMUNICATES 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 CENTERGRATIOTS PRIMARY SERVICE AREA IS COMPRISED OF THE 15 ZIP CODES WHICH CAPTURE ALL OF ISABELLA COUNTY AND MOST OF GRATIOT COUNTY 750 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 371 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 95 MARKET SHARE MCLAREN CENTRAL MICHIGAN LOCATED IN ISABELLA COUNTY RECEIVES 241 INPATIENT MARKET SHARE THE LOW INCOME POPULATION GROUP IN ISABELLA COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AND ISABELLA COUNTY IS A DESIGNATED LOW INCOME POPULATION GROUP HEALTH PROFESSIONAL SHORTAGE AREA GRATIOT COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA AS WELL AS A LOW INCOME POPULATION GROUP DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA DEMOGRAPHICS 2013 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 113182 121 45344 32527 40857 321 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 885 12 24 42 37
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 MEMBERS PARTICIPATE IN COMMUNITY COLLABORATIVES FOR AREA NONPROFITS WITH A FOCUS ON HEALTH LIKE GRATIOT COUNTY TOBACCO REDUCTION COALITION AND DISTRICT ONE REGIONAL MEDICAL RESPONSE COALITION GRATIOT COUNTY IS ALSO INCLUDED IN 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 SEVERAL HOSPITAL ADMINISTRATORS WERE CRUCIAL TO THE DEVELOPMENT OF A FREE HEALTH CLINIC IN GRATIOT COUNTY
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 INVITATIONS TO WOMENS HEALTH CONFERENCES IN GLADWIN ALMA AND MIDLAND WERE SENT TO UNDERINSURED WOMEN AND THOSE REFERRED BY HEALTH CARE PROVIDERS THE PROGRAM CHALLENGED ATTENDEES TO TAKE CHARGE OF THEIR HEALTH AND THEY ESTABLISHED GOALS AND ACTIONS FOR POSITIVE CHANGE THE MARCH CONFERENCES FEATURED ADVICE FROM MIDMICHIGAN HEALTH PROVIDERS AND THE WOMENS GUIDE TO LIVING WELL PARTICIPANTS RECEIVED FOLLOWUP CALLS THREE MONTHS LATER TO SEE IF CHANGED BEHAVIORS HAD BECOME HEALTHY HABITS 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 LOW COST MEANS FOR DETECTING POTENTIALLY SERIOUS HEALTH PROBLEMS IN THEIR EARLIEST STAGES WHEN TREATMENT IS USUALLY MORE SUCCESSFUL RESULTING IN LOWER MORBIDITY OR MORTALITY MIDMICHIGAN MEDICAL CENTERGRATIOT HAS ALSO BEEN INVOLVED WITH VARIOUS GRATIOT COUNTY FESTIVALS INCLUDING THE ITHACA HOMETOWN FESTIVAL MAPLE SYRUP FESTIVAL AND ALMA HIGHLAND FESTIVAL FOR SEVERAL YEARS AT EACH FESTIVAL THE HOSPITAL PROVIDES VARIOUS RESOURCES AND HEALTH PROMOTION ACTIVITIES ONE EXAMPLE INCLUDES A RACE PREPARATION SERIES IN CONJUNCTION WITH THE ALMA HIGHLAND FESTIVAL SERIES OF RACES 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 4TH OR 5TH 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 LINES 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 CENTERGRATIOT LINE NUMBER 1 PART V LINE 3	PART V LINE 3	MIDMICHIGAN MEDICAL CENTERGRATIOTS COMMUNITY EDUCATION COORDINATOR IS A STEERING COMMITTEE MEMBER FOR A COMMUNITY COLLABORATIVE THAT GATHERS AND REVIEWS DATA AND WORKS TOWARD COMMON GOALS FOR HEALTH IMPROVEMENT CALLED LIVE WELL GRATIOT COUNTY THE GROUP PROVIDES A PROFILE OF GRATIOT COUNTY TO INCLUDE LOCAL STATISTICS IN ADDITION TO STATE COUNTY AND PROVIDER DATA IN ORDER TO ADDRESS HEALTH NEEDS IN THE GRATIOT COMMUNITY OTHER CONTRIBUTORS INCLUDE GRATIOT COMMISSION ON AGING DIRECTOR ALMA ACTION ASSOCIATION GRATIOT COUNTY SUBSTANCE ABUSE COALITION AND MIDMICHIGAN DIST HEALTH DEPT THE COMMITTEE IS RESPONSIBLE FOR DEVELOPING AND EVALUATING ASSESSMENTS OF COMMUNITY NEED AND DEVELOPING PLANS TO MEET THOSE NEEDS ADDITIONALLY MIDMICHIGAN MEDICAL CENTERGRATIOT 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 CENTERGRATIOT 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 CENTERGRATIOT 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 CENTERGRATIOT 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 (11 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	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
RICHARD REYNOLDS
DIRECTOR	558629	50000	882159	312473	22621	1825882	425203
MARK SANTAMARIA
PRESIDENT	208060	60000	8857	3355	13939	294211
FRANCINE PADGETT
ASSISTANT TREASURER	305957	15000	33698	84095	24336	463086
DONNA RAPP
ASSISTANT SECRETARY	277354	15000	25498	93285	13973	425110
ROBIN WHITMORE
VICE PRESIDENT								162351	8651	8566	4043	183611
BRAD BINSFELD DO
PHYSICIAN								636611	20088		6673	663372
JAMES WARE DO
PHYSICIAN								575014	18285		2258	595557
MARK MASLOVICH MD
PHYSICIAN								471706	16111	25	15601	579272	75829
DIANE MACDONALD MD
PHYSICIAN								419216	6039	15	16972	442242
MAGED HANNA MD
PHYSICIAN								287098	25257	15	15410	327780
MARK BUSH
FORMER PRESIDENT									221859			221859

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	MARK BUSH 221,859 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, SANTAMARIA, RAPP, PADGETT AND POSTLER-SLATTERY 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 (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
2003-CNTY OF GRATIOT HOSP FIN AUTH
A	386004853	2003-05-01	5000000	CAPITAL PROJECTS	false	false	false
2006-MI STATE HOSP FIN AUTH
B	382889417	2006-11-07	32496000	CAPITAL PROJECTS	false	false	false	59465HEB8
2009-MI STATE HOSP FIN AUTH
C	382889417	2009-06-17	5000000	CAPITAL PROJECTS	false	false	false	59465HLF1

Form990 Schedule K Part II Form990ScheduleKPartII (3 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	Capitalized InterestCapitalizedInterest
A	5000000	18866	4981134	2004	false	false	true	true
B	33148835	187653	31384146	2009	false	false	true	true	1577036
C	5000000	74066	4891253	2011	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
A	false	false	false	false	false	false	false	true
B	false	false	false	false	false	false	false	true	0.02020	0.02020
C	false	false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 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	true	false	false	false	false	false	true
B	false	false	false	true	false	false	false	false	true
C	false	true	false	false	false	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 (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	2006MI STATE HOSP FIN AUTH DUE TO BOND PREMIUMS PART 1 LINE B COLUMN E DOES NOT MATCH PART II LINE 3 COLUMN B
DATE REBATE COMPUTATION PERFORMED	SCHEDULE K	2006MI STATE HOSP FIN AUTH 050110
ADDITIONAL INFORMATION	SCHEDULE K	2003CNTY OF GRATIOT HOSP FIN AUTH IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THESE BOND ISSUES COLUMNS A B AND C THEREFORE FORM 8038T IS NOT REQUIRED

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ANESTESIA ASSOCIATES OF ALMA PC
BUSINESS	1564875	FEES FOR SERVICES	false
FAMILY HEALTH PSYCH COUNS CEN PC
BUSINESS	787001	FEES FOR SERVICES	false
ALISON DUNLAP
FAMILY	28685	EMPLOYMENT	false
DENNIS DUNLAP SON
FAMILY	44834	EMPLOYMENT	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.
ADDITIONAL INFORMATION	FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION WHILE NOT A SIGNIFICANT PORTION OF MIDMICHIGAN MEDICAL CENTER - GRATIOT'S PROGRAM SERVICES, THE ORGANIZATION SOLD ITS DIALYSIS UNIT OPERATIONS LOCATED IN ALMA, MT. PLEASANT AND GREENVILLE TO TOTAL RENAL CARE, INC. ON FEBRUARY 1, 2012.
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 ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
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. 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 SURVEYS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT.
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 3,764,581 393,566 0 PURCHASED/CONTRACT SERVICES 14,695,056 0 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-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREET	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN VNA DBA MIDMI HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	11A	MIDMI HLTH	true
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVE	MIDLAND	MI	48670	352182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	true
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RD	MIDLAND	MI	48640	205064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN HEALTH DEVELOPMENT ASSO
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459947	FACILITIES	MI	501C2		MIDMI HLTH	true
REGIONAL DIALYSIS SERVICES
PO BOX 188	ALMA	MI	48801	383120704	DIALYSIS	MI	501C3	11A	MIDMI HLTH	true
AUXILIARY-MIDMICHIGAN MED CTR-GRAT
300 E WARWICK DRIVE	ALMA	MI	48801	382312831	AUXILIARY	MI	501C3	11D	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 AVE	AddressLine1
Address Line2	GOVERNORS SQUARE BUILDING 4 2ND FL	AddressLine2
City	GRAND CAYMAN	City
Province Or State	GRAND CAYMAN	ProvinceOrState
Country	CJ	Country
Postal Code	KY1-1102	PostalCode

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	false	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	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-MIDLAND
R	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
K	70020	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	7761796	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	2292718	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	6237101	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	138477	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	67500	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	148197	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
R	795844	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
K	70020	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P	7761796	BOOKS RECORDS
MIDMICHIGAN HEALTH
P	2292718	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	6237101	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
Q	138477	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
Q	67500	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
Q	148197	BOOKS RECORDS