MYMICHIGAN MEDICAL CENTER ALMA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MYMICHIGAN MEDICAL CENTER ALMA (EIN 38-1437919)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349306397
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T14:04:49-05:00	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	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	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	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	133090049	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. 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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1077	TotalNbrEmployees
Total Nbr Volunteers	277	TotalNbrVolunteers
Total Gross UBI	200295	TotalGrossUBI
Net Unrelated Business Txbl Income	6838	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	78931	ContributionsGrantsPriorYear
Contributions Grants Current Year	94448	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	112783862	ProgramServiceRevenuePriorYear
Program Service Revenue CY	108983536	ProgramServiceRevenueCY
Investment Income Prior Year	2705513	InvestmentIncomePriorYear
Investment Income Current Year	15836256	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4737290	OtherRevenuePriorYear
Other Revenue Current Year	3110548	OtherRevenueCurrentYear
Total Revenue Prior Year	120305596	TotalRevenuePriorYear
Total Revenue Current Year	128024788	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	54932116	SalariesEtcPriorYear
Salaries Etc Current Year	52773528	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	7133	TotalFundrsngExpCurrentYear
Other Expense Prior Year	63152655	OtherExpensePriorYear
Other Expenses Current Year	66731607	OtherExpensesCurrentYear
Total Expenses Prior Year	118084771	TotalExpensesPriorYear
Total Expenses Current Year	119505135	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2220825	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8519653	RevenuesLessExpensesCY
Total Assets BOY	124029496	TotalAssetsBOY
Total Assets EOY	130957203	TotalAssetsEOY
Total Liabilities BOY	57572485	TotalLiabilitiesBOY
Total Liabilities EOY	56535782	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	66457011	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	74421421	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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	100184514	Expense
Revenue	108983536	Revenue
Description	MIDMICHIGAN MEDICAL CENTER - GRATIOT PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 5,358 PATIENT ADMISSIONS AND 141,075 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2012. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.	Description
Total Program Service Expense	100184514	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	99	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1077	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	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	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 (26 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
MARK BUSH
PRESIDENT	50.00	X	297732	0	67175	X
RAYMOND BOROWICZ
DIRECTOR	2.00	X	0	0	0
KATHLEEN CRUMBAUGH
DIRECTOR	2.00	X	0	0	0
DENNIS DUNLAP
SECRETARY/TR	2.00	X	0	0	0
NANCY GALLAGHER
DIRECTOR	2.00	X	0	0	0
WILLIAM HEINZE
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
VICE CHAIR	2.00	X	0	0	0
DALE WEBURG
DIRECTOR	2.00	X	0	0	0
LAURA BENITEZ
DIRECTOR	2.00	X	0	0	0
MARK SANTAMARIA
PRESIDENT	50.00	X	0	0	0	X
WILLIAM SCHMIDT
DIRECTOR	2.00	X	0	0	0
PRAKASH SAVEPALLI MD
DIRECTOR	2.00	X	0	0	0
VICTOR MORGAN
CFO/INTERIM	50.00		0	162537	27338	X
DEBORAH MILLS
INTERIM CFO	50.00		0	140898	38992	X
ROBIN WHITMORE
VICE PRESIDE	50.00		189804	0	13349		X
BRAD BINSFELD DO
PHYSICIAN	50.00		632541	0	6499			X
MARK MASLOVICH MD
PHYSICIAN	50.00		598017	0	14027			X
JAMES WARE DO
PHYSICIAN	50.00		585948	0	2933			X
DIANE MACDONALD MD
PHYSICIAN	50.00		431177	0	17330			X
GABRIEL ALMEIDA MD
PHYSICIAN	50.00		306719	0	9551			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3041938	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1050280	TotalReportableCompFrmRltdOrgs
Total Other Compensation	514468	TotalOtherCompensation
Number Individuals GT100 K	39	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
SODEXHO FOOD & NUTRITION SERVICES
300 E WARWICK	ALMA	MI	48801	DIETARY MGMT	2158369
GRATIOT MANAGEMENT CO
401 S ST JOHNS ST	ITHACA	MI	48847	STAFFING AGENCY	2119755
ANESTHESIA ASSOC OF ALMA
PO BOX 423	ALMA	MI	48801	PHYSICIAN SVCS	1675078
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	63150	REHAB MGMT	1373070
SIEMENS MEDICAL SOLUTIONS USA
C/O MELLON BANK DEPT 14195	PALATINE	IL	60055	EQUIPMAINT/LAB	896997

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	20	NumberOfContractorsGT100K
All Other Contributions	94448	AllOtherContributions
Total Contributions	94448	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	68201388	68201388
NET PATIENT REVENUE	621990	40263773	40263773
PHYSICIAN SUBSIDY	541900	215590	215590
REFERENCE LABORATORY	621990	200295		200295
CONTRACTED CLINICAL SERVICES	621990	102490	102490

Field	Value	IRS element (for citing)
Total Program Service Revenue	108983536	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7219747	TotalRevenueColumn
Related Or Exempt Function Income	6815700	RelatedOrExemptFunctionIncome
Exclusion	$404,047	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	214571	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	214571	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	214571	TotalRevenueColumn
Exclusion	$214,571	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	4187130	Securities
Other	9494640	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3720846	Securities
Other	1344415	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	466284	Securities
Other	8150225	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	8616509	TotalRevenueColumn
Exclusion	$8,616,509	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REIMBURSED EXPENSES	900099	898983	898983
CAFETERIA/FOOD SERVICE	900099	657564	657564
EXEMPT AFFILIATE REVENUE	722210	470502	470502

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	868928	TotalRevenueColumn
Related Or Exempt Function Income	868928	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2895977	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	128024788	TotalRevenueColumn
Related Or Exempt Function Income	118494918	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	200295	UnrelatedBusinessRevenue
Exclusion	$9,235,127	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	568060	Total
Program Services	284030	ProgramServices
Management And General	284030	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	41545108	Total
Program Services	35509944	ProgramServices
Management And General	6033040	ManagementAndGeneral
Fundraising	2124	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1396897	Total
Program Services	1199850	ProgramServices
Management And General	197003	ManagementAndGeneral
Fundraising	44	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6367032	Total
Program Services	4480920	ProgramServices
Management And General	1885302	ManagementAndGeneral
Fundraising	810	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2896431	Total
Program Services	2413028	ProgramServices
Management And General	483258	ManagementAndGeneral
Fundraising	145	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	197020	Total
Management And General	197020	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	69719	Total
Management And General	69719	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	59025	Total
Management And General	59025	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	21655461	Total
Program Services	16338982	ProgramServices
Management And General	5316479	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	109899	Total
Program Services	27601	ProgramServices
Management And General	82298	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2631809	Total
Program Services	1667189	ProgramServices
Management And General	960610	ManagementAndGeneral
Fundraising	4010	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1673392	Total
Management And General	1673392	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3362274	Total
Program Services	2654017	ProgramServices
Management And General	708257	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	141121	Total
Program Services	105007	ProgramServices
Management And General	36114	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	149333	Total
Program Services	89240	ProgramServices
Management And General	60093	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2204760	Total
Program Services	2204760	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7221137	Total
Program Services	6049697	ProgramServices
Management And General	1171440	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	235621	Total
Program Services	235621	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES	16077188	16077188
PROVISION FOR UNCOMP SVCS	6341796	6341796
PHYSICIAN PRACTICE INVEST	2423170	2423170
QAAP FEES	2046612	2046612

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	132270	Total
Program Services	35862	ProgramServices
Management And General	96408	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	119505135	Total
Program Services	100184514	ProgramServices
Management And General	19313488	ManagementAndGeneral
Fundraising	7133	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5091	BOY
EOY	5491	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3628732	BOY
EOY	1042432	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	24	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	17441059	BOY
EOY	19934273	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	29038	BOY
EOY	5030	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1114795	BOY
EOY	975021	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3103271	BOY
EOY	3285895	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	124663824	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	61145272	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	69008377	BOY
EOY	63518552	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	3888620	BOY
EOY	4825464	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	22657840	BOY
EOY	35500884	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	2798128	BOY
EOY	1531207	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	354545	BOY
EOY	332930	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	124029496	BOY
EOY	130957203	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	12243996	BOY
EOY	10401092	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	41743233	BOY
EOY	41329613	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
EOY	458205	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3585256	BOY
EOY	4346872	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	57572485	BOY
EOY	56535782	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66457011	BOY
EOY	74415981	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	5440	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66457011	BOY
EOY	74421421	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	124029496	BOY
EOY	130957203	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8519653	ReconcilationRevenueExpenses
Reconcilation Other Changes	-555243	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	true	IncludedOnFS
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	1433689	OtherCostOrOtherBasis
Book Value	1433689	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56844854	OtherCostOrOtherBasis
Depreciation	23000301	Depreciation
Book Value	33844553	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3816595	OtherCostOrOtherBasis
Depreciation	2592574	Depreciation
Book Value	1224021	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62393399	OtherCostOrOtherBasis
Depreciation	35552397	Depreciation
Book Value	26841002	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	175287	OtherCostOrOtherBasis
Book Value	175287	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	63518552	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER FINANCIAL INVESTMENTS	Description
Book Value	35500884	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	35500884	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	LT 3RD PARTY PAY, ASSET RETIRE OBLG	Description
Amount	$4,346,872	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4346872	TotalOfAmounts
Total Revenue	128024788	TotalRevenue
Total Expenses	119505135	TotalExpenses
Excess Or Deficit For Year	8519653	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-555243	NetUnrealizedGLOnInvestments
Total Adjustments	-555243	TotalAdjustments
Excess Or Deficit Per FS	7964410	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	113020632	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-555243	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-555243	RevenueNotRptdF990
Revenue Subtotal	113575875	RevenueSubtotal
Investment Expenses Not Included	59025	InvestmentExpensesNotIncluded
Other Revenues Not Included	14389888	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	14448913	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	128024788	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	119483578	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	119483578	ExpensesSubtotal
Investment Expenses Not Included2	59025	InvestmentExpensesNotIncluded2
Other Expenses Not Included	-37468	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	21557	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	119505135	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 37,468 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -37,468

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	339308	TotalCommunityBenefitExpense
Net Community Benefit Expense	339308	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	15678277	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10003124	DirectOffsettingRevenue
Net Community Benefit Expense	5675153	NetCommunityBenefitExpense
Percent Of Total Expense	0.04750	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	16017585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10003124	DirectOffsettingRevenue
Net Community Benefit Expense	6014461	NetCommunityBenefitExpense
Percent Of Total Expense	0.05030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	145	NumberOfActivitiesOrPrograms
Persons Served	8062	PersonsServed
Total Community Benefit Expense	299847	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7005	DirectOffsettingRevenue
Net Community Benefit Expense	292842	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	168	PersonsServed
Total Community Benefit Expense	266075	TotalCommunityBenefitExpense
Net Community Benefit Expense	266075	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	27	NumberOfActivitiesOrPrograms
Persons Served	3758	PersonsServed
Total Community Benefit Expense	41663	TotalCommunityBenefitExpense
Net Community Benefit Expense	41663	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	176	NumberOfActivitiesOrPrograms
Persons Served	11988	PersonsServed
Total Community Benefit Expense	607585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7005	DirectOffsettingRevenue
Net Community Benefit Expense	600580	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	178	NumberOfActivitiesOrPrograms
Persons Served	11988	PersonsServed
Total Community Benefit Expense	16625170	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10010129	DirectOffsettingRevenue
Net Community Benefit Expense	6615041	NetCommunityBenefitExpense
Percent Of Total Expense	0.05540	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Total Community Building Expense	10542	TotalCommunityBuildingExpense
Net Community Building Expense	10542	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Total Community Building Expense	147407	TotalCommunityBuildingExpense
Net Community Building Expense	147407	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	14326	TotalCommunityBuildingExpense
Net Community Building Expense	14326	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Total Community Building Expense	4604	TotalCommunityBuildingExpense
Net Community Building Expense	4604	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Total Community Building Expense	11796	TotalCommunityBuildingExpense
Net Community Building Expense	11796	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	105638	TotalCommunityBuildingExpense
Net Community Building Expense	105638	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	45	NumberOfActivitiesOrPrograms
Total Community Building Expense	294313	TotalCommunityBuildingExpense
Net Community Building Expense	294313	NetCommunityBuildingExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$3,037,428	BadDebtExpenseAmount
Amount Attributable To	388365	AmountAttributableTo
Amount Reimbursed By Medicare	35091056	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	34087943	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	1003113	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
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	28	NumberOfOtherFacilities

Other Facilities OtherFacilities (28 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
GREAT LAKES RENAL NETWORK - ALMA
330 E WARWICK DRIVE	ALMA	MI	48801	DIALYSIS CENTER-CEASED OPERATIONS 2/1/12
GREAT LAKES RENAL NET-GREENVILLE
101 S GREENVILLE WEST DRIVE	GREENVILLE	MI	48838	DIALYSIS CENTER-CEASED OPERATIONS 2/1/12
GREAT LAKES RENAL NET-MT PLEASANT
404 S CRAPO	MT PLEASANT	MI	48858	DIALYSIS CENTER-CEASED OPERATIONS 2/1/12
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 - MT PLEASANT
1621 E BROOMFIELD STE B	MT PLEASANT	MI	48858	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
GRATIOT NEUROLOGY AT MT PLEASANT
1750 E BELLOWS STE E	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
GRATIOT NEUROLOGY AT MT PLEASANT
315 E WARWICK DRIVE STE F	ALMA	MI	48801	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
DR ANNU MOHAN
211 S CRAPO STE A	MT PLEASANT	MI	48858	REGIONAL HEALTH CLINIC
MONTCALM HEALTH SERVICES
1021 E MAIN ST	EDMORE	MI	48829	REGIONAL HEALTH CLINIC
BROOMFIELD VISITING PHYSICIANS
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
1970 ASHLAND DRIVE	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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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 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 HEALTHY CHILDRENS INITIATIVE OF GRATIOT COUNTY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION GRATIOT IS 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 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 2064861 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2012
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MIDMICHIGAN MEDICAL CENTERGRATIOT DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN MEDICAL CENTERGRATIOTS COLLECTION POLICY STATES THAT COLLECTION ACTIONS WILL ONLY BEGIN IF THERE HAS BEEN NO PAYMENT OR NO PAYMENT ARRANGEMENTS HAVE BEEN MADE PAYMENT ARRANGEMENTS INCLUDE CHARITY CARE AND OTHER FORMS OF FINANCIAL ASSISTANCE SO NO COLLECTIONS WOULD TAKE PLACE IF THE PATIENT WAS KNOWN TO QUALIFY
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTER GRATIOT 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
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 MOST OF ISABELLA AND GRATIOT COUNTIES COUNTY 762 OF THEIR DISCHARGES ORIGINATED IN THESE ZIP CODES AND THEIR INPATIENT MARKET SHARE IS 374 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 84 MARKET SHARE MCLAREN CENTRAL MICHIGAN LOCATED IN ISABELLA COUNTY RECEIVES 250 INPATIENT MARKET SHARE THE LOW INCOME POPULATION GROUP IN ISABELLA COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA GRATIOT COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA AS WELL AS A LOW INCOME POPULATION GROUP DESIGNATED HEALTHCARE PROVIDER SHORTAGE AREA DEMOGRAPHICS 2012 OVER AVERAGE MEDIAN NUMBER OF MEDIAN POPULATION 65 YEARS INCOME INCOME HOUSEHOLDS AGE 113543 119 47233 37142 40692 311 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 894 12 24 41 37
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 GRATIOT 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 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 IN PARTNERSHIP WITH THE HEALTHY CHILDRENS INITIATIVE OF GRATIOT COUNTY THE HOSPITAL PROVIDES SCHOOL HEALTH FAIRS WHICH PROVIDED STUDENTS BLOOD PRESSURE EYE AND BODY MASS INDEX SCREENINGS AS WELL AS TAUGHT THE BENEFITS OF PHYSICAL ACTIVITY HAND HYGIENE EAR HEALTH AND NUTRITION 959 STUDENTS FROM GRATIOT COUNTY SCHOOLS WERE SCREENED THESE COLLABORATIONS BETWEEN GRATIOT AND LOCAL SCHOOLS BENEFIT STUDENTS PARENTS AND TEACHERS RESULTING IN MEASURABLE IMPROVEMENT IN THE HEALTH STATUS OF OUR CHILDREN
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 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
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 11H	PART V LINE 11H	PATIENT RELIGIOUS BELIEF PREVENT HIMHER FROM PARTICIPATING DIRECTLY WITH AN INSURANCE COMPANY
MIDMICHIGAN MEDICAL CENTERGRATIOT 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 CENTERGRATIOT 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 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 (10 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	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg
RICHARD REYNOLDS
526730	200000	20115	293201	24073	1064119
MARK BUSH
						181208	116524	60141	7034	364907
VICTOR MORGAN
129901	23000	9636	25481	1857	189875
DEBORAH MILLS
115228	18500	7170	23038	15954	179890
ROBIN WHITMORE
						157242	9562	9516	3833	203153	23000
BRAD BINSFELD DO
						605560	20731		6499	639040	6250
MARK MASLOVICH MD
						472500	15985	25	14002	612044	109532
JAMES WARE DO
						563549	18232		2933	588881	4167
DIANE MACDONALD MD
						415536	12308	15	17315	448507	3333
GABRIEL ALMEIDA MD
						285949	20770	75	9476	316270

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 70,805 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 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 APPROVES COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICER AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEW 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 IS A PARTICIPANT 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)

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
386004853	2003-05-01	5000000	CAPITAL PROJECTS	false	false	false
2006-MI STATE HOSP FIN AUTH
382889417	2006-11-07	32496000	CAPITAL PROJECTS	false	false	false	59465HEB8
2009-MI STATE HOSP FIN AUTH
382889417	2009-06-17	5000000	CAPITAL PROJECTS	false	false	false	59465HLF1

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
5000000	18866	4981134	2004	false	false	true	true
33148835	187653	31384146	2009	false	false	true	true	1577036
5000000	74066	4891253	2011	false	false	true	true

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
false	false	false	false	false	false	true
false	false	false	false	false	false	true	0.00150	0.00150
false	false	false	false	false	false	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	false	false	false	false	false

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 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 COLUMEN E DOES NOT MATCH PART II LINE 3 COLUMN B
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	1553648	FEES FOR SERVICES	false
ALISON DUNLAP
FAMILY	56560	EMPLOYMENT	false
DENNIS DUNLAP SON
FAMILY	31350	EMPLOYMENT	false
FAMILY HEALTH PSYCH COUNS CEN PC
BUSINESS	791581	FEES FOR SERVICES	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 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 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.
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 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 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 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 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 CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS (555,243)

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

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	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-MIDLAND
F	75073	BOOKS RECORDS
MIDMICHIGAN HLTH DEVELOPMENT ASSOC
F	84772	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
I	51690	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J	77229	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O	4667852	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	2412893	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	2428604	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	216385	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	62240	BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
P	318317	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
F	75073	BOOKS RECORDS
MIDMICHIGAN HLTH DEVELOPMENT ASSOC
F	84772	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
I	51690	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J	77229	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O	4667852	BOOKS RECORDS
MIDMICHIGAN HEALTH
O	2412893	BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O	2428604	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P	216385	BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P	62240	BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
P	318317	BOOKS RECORDS