MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349306862
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T14:15:35-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	380833014	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MIDMICHIGAN MEDICAL CENTER- MIDLAND	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	4000 WELLNESS DRIVE	AddressLine1
City	MIDLAND	City
State	MI	State
ZIP Code	48670	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	FRANCINE M PADGETT	Name
Title	SR. VP & TREASURER	Title
Phone	9898393181	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LAURA M EBEL	Name
Phone	9894975300	Phone
Date Prepared	2013-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREGORY ROGERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	387996013	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MIDMICHIGAN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1940	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. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	2540	TotalNbrEmployees
Total Nbr Volunteers	594	TotalNbrVolunteers
Total Gross UBI	-329358	TotalGrossUBI
Net Unrelated Business Txbl Income	-777738	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2619222	ContributionsGrantsPriorYear
Contributions Grants Current Year	7342951	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	291657703	ProgramServiceRevenuePriorYear
Program Service Revenue CY	303791371	ProgramServiceRevenueCY
Investment Income Prior Year	20846841	InvestmentIncomePriorYear
Investment Income Current Year	10881156	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12459407	OtherRevenuePriorYear
Other Revenue Current Year	17689387	OtherRevenueCurrentYear
Total Revenue Prior Year	327583173	TotalRevenuePriorYear
Total Revenue Current Year	339704865	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	218850	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	237350	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	120546514	SalariesEtcPriorYear
Salaries Etc Current Year	125252813	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	233231	TotalFundrsngExpCurrentYear
Other Expense Prior Year	177569897	OtherExpensePriorYear
Other Expenses Current Year	205558736	OtherExpensesCurrentYear
Total Expenses Prior Year	298335261	TotalExpensesPriorYear
Total Expenses Current Year	331048899	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	29247912	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8655966	RevenuesLessExpensesCY
Total Assets BOY	578764276	TotalAssetsBOY
Total Assets EOY	566339285	TotalAssetsEOY
Total Liabilities BOY	224628373	TotalLiabilitiesBOY
Total Liabilities EOY	206316069	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	354135903	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	360023216	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. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	242115151	Expense
Revenue	303791371	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 12,710 PATIENT ADMISSIONS AND 286,884 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2012. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	237350	Expense
Grants	237350	Grants
Description	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	242352501	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	true	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	true	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	190	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2540	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	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	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	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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 DRIVE	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 (31 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
RICHARD REYNOLDS
DIRECTOR	50.00	X	0	746845	317274
GREGORY ROGERS
PRESIDENT	50.00	X	0	508008	182503	X
JAMES BICKNELL MD
DIRECTOR	50.00	X	0	338864	48736
J CHRISTOPHER HOUGH MD
DIRECTOR	50.00	X	0	326397	95241
KERRY PIERCE MD
DIRECTOR	50.00	X	0	265759	58134
BOBBIE ARNOLD
DIRECTOR	2.00	X	0	0	0
BILL COLLINS
DIRECTOR	2.00	X	0	0	0
PAM BOUNDY
DIRECTOR	2.00	X	0	0	0
CHUCK KENDALL
DIRECTOR	2.00	X	0	0	0
CARL ELLINGER
DIRECTOR	2.00	X	0	0	0
JIM FABIANO
DIRECTOR	2.00	X	0	0	0
VANESSA RICKETT
DIRECTOR	2.00	X	0	0	0
JEFF HERMAN MD
DIRECTOR	2.00	X	0	0	0
ROBERT LOFIEGO
CHAIR	2.00	X	0	0	0
JON LYNCH
VICE CHAIR	2.00	X	0	0	0
WALLY MAYTON
DIRECTOR	2.00	X	0	0	0
MARGARET RIECKER
DIRECTOR	2.00	X	0	0	0
JIM SHEPICH MD
DIRECTOR	2.00	X	0	0	0
BILL WEIDEMAN
DIRECTOR	2.00	X	0	0	0
AMY WILSON
DIRECTOR	2.00	X	0	0	0
FRANCINE PADGETT
SENIOR VP/TR	50.00		0	421124	122367	X
DONNA RAPP
SENIOR VP/SE	50.00		0	382562	141503	X
WILLIAM DERY MD
MEDICAL DIRE	50.00		284140	0	71172		X
ADELBERTO ADAN
VP	50.00		258016	0	91846		X
DIANE NOLD
VP	50.00		247690	0	75516		X
MICHELLE WOOD
VP	50.00		222898	0	89996		X
JEFFERY HANOVER
CRNA	50.00		272247	0	33773			X
LOIS ROBERTSON
CRNA	50.00		261873	0	40323			X
ARTURAS KLUGAS MD
PHYSICIAN	50.00		260513	0	15388			X
SASHA SAVAGE MD
PHYSICIAN	50.00		254394	0	42129			X
KELLY HILL MD
PHYSICIAN	50.00		250364	0	38786			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2312135	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2989559	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1464687	TotalOtherCompensation
Number Individuals GT100 K	92	NumberIndividualsGT100K
Formers Listed	false	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
SKANSKA USA BUILDING INC
14776 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONSTRUCTION	19669790
CERNER CORP
PO BOX 412702	KANSAS CITY	MO	641412702	SOFTWARESUPPORT	8203915
MIDLAND EMERGENCY RM CORP
2000 DILLOWAY DR	MIDLAND	MI	48640	ER PHYSICIANS	5274898
DELOITTE CONSULTING LLP
PO BOX 7247 6447	PHILADELPHIA	PA	191706447	CONSULTING	3571936
HBC CONTRACTING
2170 APOLLO DRIVE	LANSING	MI	48906	CONSTRUCTION	2347280

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	58	NumberOfContractorsGT100K
Government Grants	2249765	GovernmentGrants
All Other Contributions	5093186	AllOtherContributions
Total Contributions	7342951	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE, NET	621990	154738955	154738955
CONTRACTED CLINICAL SERVICES	621990	148256668	148256668
REFERENCE LABORATORY	621500	433792		433792
MEDICARE/MEDICAID PAYMENTS	621990	280518	280518
FITNESS CENTER	624100	81438		81438

Field	Value	IRS element (for citing)
Total Program Service Revenue	303791371	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5758098	TotalRevenueColumn
Related Or Exempt Function Income	1397523	RelatedOrExemptFunctionIncome
Exclusion	$4,360,575	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8082	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	8082	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	8082	TotalRevenueColumn
Exclusion	$8,082	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	53405956	Securities
Other	8250	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	47458595	Securities
Other	832553	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5947361	Securities
Other	-824303	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	5123058	TotalRevenueColumn
Exclusion	$5,123,058	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EXEMPT AFFILIATE REVENUE	900099	13685119	13685119
EXEMPT JOINT VENTURE REVENUE	900099	2082107	2082107
CAFETERIA/FOOD SERVICE	722210	1241383		$1,241,383

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	672696	TotalRevenueColumn
Related Or Exempt Function Income	731155	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-844588	UnrelatedBusinessRevenue
Exclusion	$786,129	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	17681305	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	339704865	TotalRevenueColumn
Related Or Exempt Function Income	321172045	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-329358	UnrelatedBusinessRevenue
Exclusion	$11,519,227	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	237350	Total
Program Services	237350	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1173295	Total
Program Services	330608	ProgramServices
Management And General	842687	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	95972141	Total
Program Services	68262703	ProgramServices
Management And General	27599078	ManagementAndGeneral
Fundraising	110360	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7892308	Total
Program Services	5584390	ProgramServices
Management And General	2298922	ManagementAndGeneral
Fundraising	8996	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13278193	Total
Program Services	9405101	ProgramServices
Management And General	3857929	ManagementAndGeneral
Fundraising	15163	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6936876	Total
Program Services	4956766	ProgramServices
Management And General	1971939	ManagementAndGeneral
Fundraising	8171	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	352863	Total
Management And General	352863	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	216109	Total
Management And General	216109	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	568250	Total
Management And General	568250	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	72559990	Total
Program Services	45875361	ProgramServices
Management And General	26611908	ManagementAndGeneral
Fundraising	72721	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	414678	Total
Program Services	134664	ProgramServices
Management And General	279389	ManagementAndGeneral
Fundraising	625	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7639755	Total
Program Services	4514246	ProgramServices
Management And General	3109646	ManagementAndGeneral
Fundraising	15863	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	626822	Total
Program Services	119705	ProgramServices
Management And General	506884	ManagementAndGeneral
Fundraising	233	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5141642	Total
Program Services	1126000	ProgramServices
Management And General	4015642	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	371105	Total
Program Services	92761	ProgramServices
Management And General	278288	ManagementAndGeneral
Fundraising	56	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	273620	Total
Program Services	101027	ProgramServices
Management And General	172593	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7229916	Total
Program Services	3808569	ProgramServices
Management And General	3421114	ManagementAndGeneral
Fundraising	233	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	25118292	Total
Program Services	13231792	ProgramServices
Management And General	11885690	ManagementAndGeneral
Fundraising	810	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	474236	Total
Management And General	474236	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	48193722	48193722
PHYSICIAN PRACTICE SUBSID	20719709	20719709
UNCOMPENSATED SERVICES	15657022	15657022
MISCELLANEOUS	1005	1005

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	331048899	Total
Program Services	242352501	ProgramServices
Management And General	88463167	ManagementAndGeneral
Fundraising	233231	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8169	BOY
EOY	8219	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2813998	BOY
EOY	4752350	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	3750623	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	41447322	BOY
EOY	42280965	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	779045	BOY
EOY	941429	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1876197	BOY
EOY	1956933	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	12695238	BOY
EOY	13251381	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	385297727	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	161540414	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	205794583	BOY
EOY	223757313	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48310816	BOY
EOY	33463524	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	257581067	BOY
EOY	235447414	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4666118	BOY
EOY	4056626	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2791723	BOY
EOY	2672508	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	578764276	BOY
EOY	566339285	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	42525381	BOY
EOY	27795661	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	167686964	BOY
EOY	163646844	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14416028	BOY
EOY	14873564	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	224628373	BOY
EOY	206316069	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	329823398	BOY
EOY	331059688	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12222289	BOY
EOY	16566548	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12090216	BOY
EOY	12396980	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	354135903	BOY
EOY	360023216	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	578764276	BOY
EOY	566339285	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8655966	ReconcilationRevenueExpenses
Reconcilation Other Changes	-2768653	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12090216	BeginningOfYearBalance
Contributions	103806	Contributions
Investment Earnings Or Losses	202958	InvestmentEarningsOrLosses
End Of Year Balance	12396980	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11892692	BeginningOfYearBalance
Contributions	6020	Contributions
Investment Earnings Or Losses	191504	InvestmentEarningsOrLosses
End Of Year Balance	12090216	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11708254	BeginningOfYearBalance
Contributions	3425	Contributions
Investment Earnings Or Losses	181013	InvestmentEarningsOrLosses
End Of Year Balance	11892692	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11531535	BeginningOfYearBalance
Contributions	5164	Contributions
Investment Earnings Or Losses	171555	InvestmentEarningsOrLosses
End Of Year Balance	11708254	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1153467	OtherCostOrOtherBasis
Book Value	1153467	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	180437887	OtherCostOrOtherBasis
Depreciation	60424245	Depreciation
Book Value	120013642	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21201556	OtherCostOrOtherBasis
Depreciation	3737827	Depreciation
Book Value	17463729	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	177879234	OtherCostOrOtherBasis
Depreciation	97378342	Depreciation
Book Value	80500892	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4625583	OtherCostOrOtherBasis
Book Value	4625583	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	223757313	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	235447414	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	235447414	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SELF INSURANCE, DEF COMP, & ACC PEN	Description
Amount	$14,873,564	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	14873564	TotalOfAmounts
Total Revenue	339704865	TotalRevenue
Total Expenses	331048899	TotalExpenses
Excess Or Deficit For Year	8655966	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-4321348	NetUnrealizedGLOnInvestments
Other	$1,552,695	OtherAmount
Total Adjustments	-2768653	TotalAdjustments
Excess Or Deficit Per FS	5887313	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	336075991	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-4321348	NetUnrealizedGainsInvestments
Other Revenues	436421	OtherRevenues
Revenue Not Rptd F990	-3884927	RevenueNotRptdF990
Revenue Subtotal	339960918	RevenueSubtotal
Investment Expenses Not Included	568250	InvestmentExpensesNotIncluded
Other Revenues Not Included	-824303	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-256053	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	339704865	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	332633022	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2153380	OtherExpensesIncluded
Expenses Not Rptd F990	2153380	ExpensesNotRptdF990
Expenses Subtotal	330479642	ExpensesSubtotal
Investment Expenses Not Included2	568250	InvestmentExpensesNotIncluded2
Other Expenses Not Included	1007	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	569257	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	331048899	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	HOSPITAL OPERATIONS SUPPORT 1,657,090 HOSPITAL CAPITAL SUPPORT 6,236,496 SCHOLARSHIP FUNDS 3,678,878 COMMUNITY SERVICE FUNDS 824,516 --------- 12,396,980
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	NET ASSETS RELEASED FROM RESTRICTIONS 564,580 MEDWARE SALES - RECLASSIFIED -1,007 BOOK/TAX DIFFERENCE FROM K-1 -127,152 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 824,303 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -824,303 NET ASSETS RELEASED FROM RESTRICTIONS -1,329,077 MEDWARE SALES - RECLASSIFIED 1,007
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 564,580 MEDWARE SALES - RECLASSIFIED -1,007 BOOK/TAX DIFFERENCE FROM K-1 -127,152
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -824,303
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 824,303 NET ASSETS RELEASED FROM RESTRICTIONS 1,329,077
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	MEDWARE SALES - RECLASSIFIED 1,007

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	1697004	TotalCommunityBenefitExpense
Net Community Benefit Expense	1697004	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	32768256	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15180497	DirectOffsettingRevenue
Net Community Benefit Expense	17587759	NetCommunityBenefitExpense
Percent Of Total Expense	0.05310	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	34465260	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15180497	DirectOffsettingRevenue
Net Community Benefit Expense	19284763	NetCommunityBenefitExpense
Percent Of Total Expense	0.05830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1650	NumberOfActivitiesOrPrograms
Persons Served	107049	PersonsServed
Total Community Benefit Expense	808532	TotalCommunityBenefitExpense
Direct Offsetting Revenue	150514	DirectOffsettingRevenue
Net Community Benefit Expense	658018	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	598	PersonsServed
Total Community Benefit Expense	5445343	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1537971	DirectOffsettingRevenue
Net Community Benefit Expense	3907372	NetCommunityBenefitExpense
Percent Of Total Expense	0.01180	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	54288	TotalCommunityBenefitExpense
Net Community Benefit Expense	54288	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	183	NumberOfActivitiesOrPrograms
Persons Served	12321	PersonsServed
Total Community Benefit Expense	266278	TotalCommunityBenefitExpense
Net Community Benefit Expense	266278	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1845	NumberOfActivitiesOrPrograms
Persons Served	119968	PersonsServed
Total Community Benefit Expense	6574441	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1688485	DirectOffsettingRevenue
Net Community Benefit Expense	4885956	NetCommunityBenefitExpense
Percent Of Total Expense	0.01480	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1847	NumberOfActivitiesOrPrograms
Persons Served	119968	PersonsServed
Total Community Benefit Expense	41039701	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16868982	DirectOffsettingRevenue
Net Community Benefit Expense	24170719	NetCommunityBenefitExpense
Percent Of Total Expense	0.07300	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Total Community Building Expense	9200	TotalCommunityBuildingExpense
Net Community Building Expense	9200	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Building Expense	13489	TotalCommunityBuildingExpense
Net Community Building Expense	13489	NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	696	TotalCommunityBuildingExpense
Net Community Building Expense	696	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	29667	TotalCommunityBuildingExpense
Net Community Building Expense	29667	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Total Community Building Expense	51113	TotalCommunityBuildingExpense
Net Community Building Expense	51113	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Total Community Building Expense	42485	TotalCommunityBuildingExpense
Net Community Building Expense	42485	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	15972	TotalCommunityBuildingExpense
Net Community Building Expense	15972	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	65	NumberOfActivitiesOrPrograms
Total Community Building Expense	162622	TotalCommunityBuildingExpense
Net Community Building Expense	162622	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$7,114,269	BadDebtExpenseAmount
Amount Attributable To	769309	AmountAttributableTo
Amount Reimbursed By Medicare	90697343	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	88206156	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2491187	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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	NPS ASSOCIATES LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.44000	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.56000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
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-MIDLAND	BusinessNameLine1

Address Address

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

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
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-MIDLAND	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
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	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DR	MIDLAND	MI	48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
MIDMI MED OFFICES- CAMPUS RIDGE I
4401 CAMPUS RIDGE DR	MIDLAND	MI	48640	REHABILITATION SERVICES & LABORATORY
MIDMI MED OFFICES-CAMPUS RIDGE II
4500 CAMPUS RIDGE DR	MIDLAND	MI	48640	INFUSION CENTER
RIECKER SURGERY CENTER
4400 WELLNESS DR	MIDLAND	MI	48640	AMBULATORY SURGERY
MIDMICHIGAN MEDICAL OFFICES-MIDLAND
4009 ORCHARD DR	MIDLAND	MI	48640	PHYSICIAN OFFICE & LABORATORY
MIDLAND PROFESSIONAL SUITES
555 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES, LAB, RADIOLOGY
ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLY	MIDLAND	MI	48642	REHABILITATION SERVICES
WEST WACKERLY BUILIDING
2524 W WACKERLY	MIDLAND	MI	48640	REHABILITATION SERVICES
MIDMICHIGAN HEALTH PARK-MT PLEASANT
4851 E PICKARD ST	MT PLEASANT	MI	48858	REHAB, LAB, CARDIOLOGY, RADIOLOGY
MIDMICHIGAN MED OFFICES-FREELAND
5694 MIDLAND RD	FREELAND	MI	48623	REHABILITATION SERVICES, LAB, RADIOLOGY
MIDMICHIGAN GRATIOT CANCER CENTER
315 WARWICK DR	ALMA	MI	48801	RADIATION ONCOLOGY
MIDMICHIGAN MEDICAL OFFICES-AUBURN
929 W MIDLAND RD	AUBURN	MI	48611	LABORATORY
MPG CARDIOLOGY
301 W WACKERLY	MIDLAND	MI	48640	CARDIOLOGY DIAGNOSTIC SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BUILDING ACTIVITIES	PART II	MIDMICHIGAN MEDICAL CENTERMIDLAND MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERMIDLAND IS A KEY PARTNER WITH HEALTH AND HUMAN SERVICES COUNCIL IN MIDLAND COLLABORATING AND COORDINATING SERVICES TO ALL CONSTITUENTS IN MIDLAND COUNTY AS WELL AS DEVELOPMENT AND SUPPORT OF THE 211 FIRST CALL FOR HELP PROGRAM EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS ANDOR COMMITTEES PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND THE HOMELESSNESS STUDY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION MIDLAND IS REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS THE COMMUNITY EDUCATION COORDINATOR IN MIDLAND IS A MEMBER OF THE TRIPLE AIM POPULATION HEALTH GROUP OF MIHIA THIS GROUP IS FOCUSING ON A BUILDING DEVELOPMENT ASSETS PROJECT DEVELOPED BY THE SEARCH INSTITUTE IN MINNEAPOLIS MN FOR STUDENTS IN GRADES 612 THE PROJECT STUDY IDENTIFIED CRITICAL DEVELOPMENTAL ASSETS SKILLS AND TECHNIQUES TO HELP YOUTH REDUCE THEIR HEALTH RISKS THEY FOUND THAT PARTICIPATION IN CREATIVE ORGANIZED YOUTH ANDOR FAITHBASED ACTIVITIES MITIGATE RISKTAKING BEHAVIORS ULTIMATELY IMPROVING HEALTH
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 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 25210839 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2012
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
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTER MIDLAND HAS PROVIDED COMMUNITY BENEFITS TO THE AREAS WE SERVE THROUGH DIRECT FINANCIAL ASSISTANCE TO PATIENTS SUBSIDIZED PROGRAMS AND COMMUNITY OUTREACH PROGRAMS INCLUDING HEALTH CARE SCREENINGS AND OTHER PREVENTION PROGRAMS DATA FROM A VARIETY OF LOCAL AND NATIONAL SOURCES IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS SOURCES FOR GENERAL HEALTH DATA FOLLOW CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM BRFSS 20062008 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 VACIINES 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 ADDITIONALLY WE USE DISEASE SPECIFIC DATA FROM NATIONAL ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY THE AMERICAN DIABETES ASSOCIATION WHO COUNTRY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION HEART AND OBESITY PREVENTION INFORMATION NATIONAL CANCER INSTITUTE CANCER STUDIES AND CDC FUNDED STATISTICS ON HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS FOR HEALTH CARE COVERAGE AND FINANCE WE REFER TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS THE US CENSUS BUREAU AND THE 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 ADDITIONALLY THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT IMPROVEMENT COMMITTEE OUTLINES HEALTH HUMAN SERVICE NEEDS AND PRIORITIES
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLAND COMMUNICATES TO PATIENTS AND THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR 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 CENTERMIDLANDS PRIMARY SERVICE AREA IS COMPRISED OF THE 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY PLUS FREELAND AND AUBURN 555 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 659 MIDMICHIGAN MEDICAL CENTER MIDLANDS SECONDARY MARKET IS CLARE COUNTY WITH 96 OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 133 OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY COVENANT ALSO SERVES MIDLANDS PRIMARY SERVICE AREA RECEIVING 109 OF THE INPATIENT MARKET FOLLOWED BY MCLAREN BAY REGION WITH A 58 CAPTURE DEMOGRAPHICS 2012 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 101435 139 67941 52317 39870 397 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 940 17 04 22 19
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	OUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION VALUES AND VISION MIDLAND PARTNERS WITH SCHOOLS BUSINESSES AND HEALTH CARE AGENCIES IN OUR SERVICE AREA TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE THERE ARE ACTIVE COMMUNITY MEMBER BOARDS WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS WE PARTNER ON NEEDED HEALTH INITIATIVES WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS HHS TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES THROUGH THE LOOK GOOD FEEL BETTER PROGRAM COSPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY WE OFFER SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS MIDLAND PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNINGWALKING EVENTS MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUNWALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983 MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS FITNESS OR EXERCISE RELATED EVENTS FROM MIDLAND REACHED MORE THAN 1100 PEOPLE AT A COST OF OVER 8500 IN THE CURRENT YEAR
AFFILIATED HEALTH CARE INFORMATION	PART VI	59 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 HEALTH CARE INSURANCE HEALTH OUTCOMES INCLUDING HEART DISEASE CANCER AND DIABETES HEALTH CARE BEHAVIORS INCLUDING SMOKING CESSATION HEALTHY DIET PHYSICAL ACTIVITY AND HEALTHY WEIGHT MATERNAL AND INFANT HEALTH INCLUDING BIRTH WEIGHTS AND BREASTFEEDING WOMENS HEALTH CONFERENCES IN GLADWIN ALMA AND MIDLAND CHALLENGED ATTENDEES TO TAKE CHARGE OF THEIR HEALTH SET GOALS AND ESTABLISH ACTIONS FOR POSITIVE CHANGE THE MARCH CONFERENCES FEATURED ADVICE FROM MIDMICHIGAN HEALTH PROVIDERS AND THE WOMENS GUIDE TO LIVING WELL PARTICIPANTS RECEIVED FOLLOWUP CALLS A FEW MONTHS LATER TO SEE IF CHANGED BEHAVIORS HAD BECOME HEALTHY HABITS IN AN EFFORT TO IMPROVE BREASTFEEDING DURATION RATES ADDITIONAL BREASTFEEDING SUPPORT VIA BREASTFEEDING FACILITATORS AND SCHOLARSHIPS FOR THOSE WHO COULD NOT AFFORD BREASTFEEDING PREPARATION CLASS WERE PROVIDED HEALTH SCREENINGS PROVIDED A 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 EVENTS INCLUDED SCREENINGS FOR SKIN AND ORAL CANCER STROKE AND OSTEOPOROSIS AND KNOW YOUR NUMBERS TOTAL LIPID PROFILE BLOOD GLUCOSE BLOOD PRESSURE WEIGHT BODY MASS INDEX AND WAIST CIRCUMFERENCE MIDMICHIGAN SCREENED 13374 PEOPLE AT 428 EVENTS IN OUR SERVICE AREA THIS YEAR AT A COST OF 184588 IN AN EFFORT TO ADDRESS INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASING PHYSICAL ACTIVITY AMONG CHILDREN MIDMICHIGAN HEALTH AND THE GREAT LAKES LOONS CREATED LOU ES FIT CLUB AND THE FITNESS WATCH PROJECT THE GOAL IS TO INCREASE KIDS MODERATEINTENSITY ACTIVITY FOR BETTER PHYSICAL FITNESS AND LESS CHILDHOOD OBESITY CHILDREN 6 TO 12 JOIN FREE TO ENJOY EVENTS AND RECEIVE A MONTHLY EMAIL NEWSLETTER ABOUT BEING HEALTHY AND ACTIVE AT THE DOW DIAMOND FITNESS POSTERS AT LOU ES LOOKOUT DEMONSTRATE EIGHT EXERCISES THAT KIDS CAN DO ANYWHERE FOR EVERY 60 MINUTES OF MODERATEINTENSITY ACTIVITY THE FITNESS WATCH PROVIDES A REWARD CODE STUDENTS CAN EXCHANGE FOR FUN PRIZES SIXHUNDRED STUDENTS FROM FOUR MIDLAND ELEMENTARY SCHOOLS USED LOU ES ACTIVITY WATCH FOR SIX MONTHS AND AT LEAST 50 PERCENT IMPROVED THEIR FITNESS LEVELS 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 ON SOME OF THESE PROGRAMS MIDMICHIGAN MEDICAL CENTERGLADWIN LAUNCHED THE GLADWIN COUNTY ADOLESCENT HEALTH COUNCIL TO IMPROVE ADOLESCENT HEALTH BY PARTNERING WITH COMMUNITY STAKEHOLDERS ADOLESCENTS ARE MORE SUCCESSFUL IN MAKING HEALTHY CHOICES WHEN FAMILIES PARTICIPATE SO THIS YEARS PROGRAM EXPANDED THE HOSPITALS YOUTH HEALTH FAIRS TO INCLUDE FAMILY FITNESS FOLLOWUP NIGHTS FEATURING HEALTHY LIVING AND NUTRITION EDUCATION GOALSETTING AND PHYSICAL TRAINING CHALLENGES WITH PRIZES HEALTH PROFESSIONALS ALSO MET WITH PARENTS WHO HAD QUESTIONS ABOUT THEIR STUDENTS HEALTH FAIR SCREENING RESULTS
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 CENTERMIDLAND LINE NUMBER 1 PART V LINE 11H	PART V LINE 11H	PATIENT RELIGIOUS BELIEF PREVENT HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY
MIDMICHIGAN MEDICAL CENTERMIDLAND LINE NUMBER 1 PART V LINE 13G	PART V LINE 13G	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 CENTERMIDLAND LINE NUMBER 1 PART V LINE 21	PART V LINE 21	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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (34 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS- NORTHERN	2	3200
SCHOLARSHIPS-MIDMI CC	8	5450
SCHOLARSHIPS-ANDREWS UNIV	1	2200
SCHOLARSHIPS-U OF DETROIT	1	2000
SCHOLARSHIPS-LINCOLN MEM	1	2900
SCHOLARSHIPS-CENTRAL MI U	26	53000
SCHOLARSHIPS-U OF QUEENSL	1	2900
SCHOLARSHIPS-KIRTLAND COM	2	1000
SCHOLARSHIPS-MARYMOUNT U.	1	1000
SCHOLARSHIPS-COLUMBIA UNI	1	2250
SCHOLARSHIPS-CONCORDIA U.	1	1250
SCHOLARSHIPS-DELTA COLLEG	3	2100
SCHOLARSHIPS-IN WESLEYAN	1	1700
SCHOLARSHIPS-INDIANA UNIV	1	2900
SCHOLARSHIPS-AT STILL UNI	1	2900
SCHOLARSHIPS-ALBANY MED C	1	2900
SCHOLARSHIPS-SPRING ARBOR	1	1700
SCHOLARSHIPS-U OF TEXAS	1	2900
SCHOLARSHIPS-DAVENPORT U.	3	3200
SCHOLARSHIPS-U OF PITTS	1	2000
SCHOLARSHIPS-MIDWESTERN U	1	2200
SCHOLARSHIPS-UNIV OF IN	1	2200
SCHOALRSHIPS-RUSH MED COL	1	2900
SCHOLARSHIPS-FERRIS STATE	9	16250
SCHOLARSHIPS-GRAND VALLEY	3	3950
SCHOLARSHIPS-MAYO CLINIC	3	6100
SCHOLARSHIPS-MSU	13	33800
SCHOLARSHIPS-OAKLAND UNIV	1	2900
SCHOLARSHIPS-OHIO STATE U	1	2900
SCHOLARSHIPS-UNIV OF IOWA	1	2500
SCHOLARSHIPS-SVSU	20	27050
SCHOLARSHIPS- U OF M	9	19150
SCHOLARSHIPS-WAYNE STATE	5	14500
SCHOLARSHIPS-WESTERN MI	1	1500

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	Identifier
Return Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	ReturnReference
Explanation	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
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	false	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 (16 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	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
526730	200000	20115	293201	24073	1064119
GREGORY ROGERS
335437	136000	36571	163202	19301	690511
JAMES BICKNELL MD
269987	67500	1377	32482	16254	387600
J CHRISTOPHER HOUGH MD
277190	35500	13707	78310	16931	421638
KERRY PIERCE MD
166474	98286	999	36357	21777	323893
FRANCINE PADGETT
287276	100000	33848	96626	25741	543491
DONNA RAPP
268448	87500	26614	126824	14679	524065
WILLIAM DERY MD
						242740	32858	8542	52400	18772	355312
ADELBERTO ADAN
						201565	41500	14951	70303	21543	349862
DIANE NOLD
						187121	58000	2569	54119	21397	323206
MICHELLE WOOD
						168887	51000	3011	79733	10263	312894
JEFFERY HANOVER
						261143	3214	7890	18709	15064	306020
LOIS ROBERTSON
						247428	3025	11420	20855	19468	302196
ARTURAS KLUGAS MD
						208623	32858	19032	10	15378	275901
SASHA SAVAGE MD
						208088	32858	13448	21518	20611	296523
KELLY HILL MD
						213724	34858	1782	31139	7647	289150

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. ADAN, ADELBERTO VP NOLD, DIANE VP
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 COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICERS AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEWED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS PRIOR TO PAYMENT.
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 UTILIZED 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 FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE, PRIMARILY IN THE MIDWEST AND REGIONALLY, BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B REYNOLDS, ROGERS, PADGETT, BICKNELL, RAPP AND ADAN ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2011. 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)

Business Name Line2IssuerName/BusinessNameLine2	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MSHFA - 2006A
MICHIGAN STATE HOSPITAL FINANCING A	382889417	59465HEB8	2006-11-07	40078400	CAPITAL PROJECTS	false	false	false
MSHFA - 2009A
	382889417	59465HLF1	2009-06-17	77220000	CAPITAL PROJECTS	false	false	false
MICHIGAN FINANCE AUTH-SERIES D
	800596186		2011-06-09	12763800	CAPITAL PROJECTS	false	false	true

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

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	Refunding EscrowRefundingEscrow
40883565	231439	40652126	2009	false	false	true	true
77220000	1143877	67735440	2011	false	false	true	true	7805078
12763800	26670	3157830	2011	true	false	true	true		9579299

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false	0.00010	0.00010	true
false	false	false	false	false	false	0.00020	0.00020	true
false	false	false	false	false	false	0.00010	0.00010	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	false	false	false	false	false
false	false	false	false	false	false
false	true	false	false	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	MSHFA 2006A DUE TO BOND PREMIUMS PART 1 LINE A COLUMN E DOES NOT MATCH PART II LINE 3 COLUMN A
ADDITIONAL INFORMATION	SCHEDULE K	MSHFA 2006A MSHFA 2009A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUES IN COLUMNS A B THEREFORE FORM 8038T IS NOT REQUIRED MICHIGAN FINANCE AUTHSERIES D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS THEREFORE NO ARBITRAGE REBATE CALCULATION IS REQUIRED

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MIDLAND EMERGENCY ROOM CORPORATION
BUSINESS	5400299	FEES FOR SERVICES	false
ROBIN NELSON
FAMILY MEMBER	110217	EMPLOYMENT	false
PAUL NOLD
FAMILY MEMBER	38946	EMPLOYMENT	false
ANDREW WOLFORD
FAMILY MEMBER	56756	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. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
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.
ADDITIONAL INFORMATION	FORM 990, PART VI	LINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, AND RICHARD REYNOLDS.
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 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 WILL BE REVIEWED BY THE COMPENSATION COMMITTEE. FORM 990, INCLUDING ALL SCHEDULES, WILL BE 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 PRIOR TO FILING. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE SVP AND TREASURER. THE RESULTS OF THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS.
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 IMPARTIAL.
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 REVEIWED 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 CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS (4,321,348) FAS 158 LIABILITY ADJUSTMENT (450,209) TRANSFER OF NET ASSETS TO RELATED TAX EXEMPT ENTITY 2,130,056 BOOK/TAX DIFFERENCE FROM K-1 (127,152) ------------ TOTAL CHANGE IN NET ASSETS (2,768,653)

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-GRATIOT
300 E WARWICK DR	ALMA	MI	48801	381437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREET	CLARE	MI	48617	381518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREET	GLADWIN	MI	48624	386020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	true
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DR	MIDLAND	MI	48642	382623324	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREET	GLADWIN	MI	48624	382754875	LT CARE	MI	501C3	9	MIDMI HLTH	true
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RD	MIDLAND	MI	48640	381459397	HOME CARE	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET RD	MIDLAND	MI	48640	383317788	MED OFFICE	MI	501C3	11A	MIDMI HLTH	true
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVE	MIDLAND	MI	48670	352182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	true
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RD	MIDLAND	MI	48640	205064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	true
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRIVE	MIDLAND	MI	48670	382459947	OPERATIONS	MI	501C2		MIDMI HLTH	true
REGIONAL DIALYSIS SERVICES
PO BOX 608	ALMA	MI	48801	383120704	DIALYSIS	MI	501C3	11A	MIDMI HLTH	true
MIDMI MED CENTER-MIDLAND VOLUNTEERS
4000 WELLNESS DRIVE	MIDLAND	MI	48670	061723993	SUPPORT	MI	501C3	11A	NA	false

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

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
Sale Of Assets To Other Org	true	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	true	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 (125 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN HEALTH
F	332059	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
G	1254884	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
G	75073	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
I	77229	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
I	176695	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	51690	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
J	6975045	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J	1259420	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O	228276	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	10129846	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	20643763	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
O	240936	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	4667852	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	3691041	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	2026552	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P	380183	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P	87374	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P	85126	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P	78912	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	1998847	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P	251700	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P	66195	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
R	218447	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
R	89579	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	1822030	BOOKS RECORDS
MIDMICHIGAN HEALTH
F	332059	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
G	1254884	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
G	75073	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
I	77229	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
I	176695	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	51690	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
J	6975045	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J	1259420	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O	228276	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	10129846	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	20643763	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
O	240936	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	4667852	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	3691041	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	2026552	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P	380183	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P	87374	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P	85126	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P	78912	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	1998847	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P	251700	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P	66195	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
R	218447	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
R	89579	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	1822030	BOOKS RECORDS
MIDMICHIGAN HEALTH
F	332059	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
G	1254884	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
G	75073	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
I	77229	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
I	176695	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	51690	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
J	6975045	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J	1259420	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O	228276	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	10129846	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	20643763	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
O	240936	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	4667852	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	3691041	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	2026552	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P	380183	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P	87374	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P	85126	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P	78912	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	1998847	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P	251700	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P	66195	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
R	218447	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
R	89579	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	1822030	BOOKS RECORDS
MIDMICHIGAN HEALTH
F	332059	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
G	1254884	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
G	75073	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
I	77229	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
I	176695	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	51690	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
J	6975045	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J	1259420	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O	228276	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	10129846	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	20643763	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
O	240936	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	4667852	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	3691041	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	2026552	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P	380183	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P	87374	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P	85126	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P	78912	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	1998847	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P	251700	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P	66195	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
R	218447	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
R	89579	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	1822030	BOOKS RECORDS
MIDMICHIGAN HEALTH
F	332059	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
G	1254884	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
G	75073	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
I	77229	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
I	176695	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
J	51690	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
J	6975045	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J	1259420	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O	228276	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	10129846	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	20643763	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
O	240936	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P	4667852	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	3691041	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	2026552	BOOKS RECORDS
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P	380183	BOOKS RECORDS
MIDMICHIGAN GLADWIN PINES
P	87374	BOOKS RECORDS
MIDMICHIGAN STRATFORD VILLAGE
P	85126	BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P	78912	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P	1998847	BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
P	251700	BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P	66195	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
R	218447	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
R	89579	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
R	1822030	BOOKS RECORDS