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MYMICHIGAN MEDICAL GROUP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL GROUP (EIN 38-3317788)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349302183
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T09:24:03-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15300 GRATIOT RDAddressLine1
CitySAGINAWCity
StateMIState
ZIP Code486386035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN383317788EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN PHYSICIANS GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDMNameControl
Phone9898393181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12620 W SUGNET ROADAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48640ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCINE M PADGETTName
TitleSR. VP & TREASURERTitle
Phone9898393181Phone
Date Signed2013-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR JAMES BICKNELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12620 W SUGNET ROADAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48640ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71893365GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees749TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year59105684ProgramServiceRevenuePriorYear
Program Service Revenue CY70498802ProgramServiceRevenueCY
Investment Income Prior Year50420InvestmentIncomePriorYear
Investment Income Current Year37328InvestmentIncomeCurrentYear
Other Revenue Prior Year1372990OtherRevenuePriorYear
Other Revenue Current Year1081855OtherRevenueCurrentYear
Total Revenue Prior Year60529094TotalRevenuePriorYear
Total Revenue Current Year71617985TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43936482SalariesEtcPriorYear
Salaries Etc Current Year54549479SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16460159OtherExpensePriorYear
Other Expenses Current Year18540924OtherExpensesCurrentYear
Total Expenses Prior Year60396641TotalExpensesPriorYear
Total Expenses Current Year73090403TotalExpensesCurrentYear
Revenues Less Expenses Prior Year132453RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1472418RevenuesLessExpensesCY
Total Assets BOY11074107TotalAssetsBOY
Total Assets EOY7102644TotalAssetsEOY
Total Liabilities BOY7483259TotalLiabilitiesBOY
Total Liabilities EOY6848709TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3590848NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY253935NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense59923388Expense
Revenue70498802Revenue
DescriptionQUALITY HEALTH CARE SERVICES WERE PROVIDED TO CLARE, GLADWIN, MIDLAND, AND SURROUNDING COUNTIES WITHOUT REGARD TO PATIENTS ABILITY TO PAY. PRIMARY CARE VISITS OF 97,819 AND SPECIALTY CARE VISITS OF 190,793 WERE RECORDED IN FISCAL YEAR 2012.Description
Total Program Service Expense59923388TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees749NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM FELTEN MD
DIRECTOR50.00X765091021444
RICHARD REYNOLDS
DIRECTOR50.00X0746845317274
BRAD BINSFELD DO
DIRECTOR50.00X06325416499
GREGORY ROGERS
DIRECTOR50.00X0508008182503
BRIAN RODGERS
DIRECTOR50.00X0368390117224
JAMES BICKNELL MD
PRESIDENT50.00X338864048736X
JOHN LIEBERMAN DO
DIRECTOR50.00X327159017054
J CHRISTOPHER HOUGH MD
DIRECTOR50.00X326397095241
LYDIA WATSON PINNEY MD
DIRECTOR50.00X310548050697
KATE REGAN MD
DIRECTOR50.00X306642047094
THOMAS CLARINGBOLD DO
CHAIR50.00X297641041832
JEFF ESCHBACH MD
DIRECTOR50.00X281934016542
TERRY BALL DO
DIRECTOR50.00X023525913381
PAUL BERG MD
DIRECTOR50.00X185469030088
MICHAEL STACK MD
DIRECTOR50.00X9404182069792
MONIKA HERDZIK MD
DIRECTOR50.00X130341020236
ADELBERTO ADAN
EXECUTIVE VP50.00025801691846X
ELIZABETH MINBIOLE
SECRETARY/TR50.00014524216230X
JOHN MURPHY DO
DIRECTOR50.00804402047830X
RODNEY DIEHL DO
PHYSICIAN50.00710137021999X
ROBERT JONES MD
PHYSICIAN50.00703583017652X
DENISE STADELMAIER DO
PHYSICIAN50.00647057043433X
MAGED RIZK MD
PHYSICIAN50.00608928018785X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6838234TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2976370TotalReportableCompFrmRltdOrgs
Total Other Compensation1284412TotalOtherCompensation
Number Individuals GT100 K102NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIAN LOCUM649278
AMERICAN HEALTHCARE SERVICES ASSOC
PO BOX 945TRAVERSE CITYMI49685PHYSICIAN LOCUM535146
IBRAHIM H SIDIQI
18152 SNOW AVEDEARBORNMI48124PHYSICIAN LOCUM148632
ASA PARTNERS
21415 CIVIC CENTER DR 211SOUTHFIELDMI48076PHYSICIAN LOCUM131139
JATINDER PAL SINGH
2440 WOODLAND HILLS CTHELLERTOWNPA18055PHYSICIAN LOCUM109376
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHYSICIAN SUBSIDY INCOME6211103206438632064386
MEDICARE/MEDICAID PAYMENTS6211101924013519240135
NET PATIENT REVENUE6211101834410918344109
CONTRACTED CLINICAL SERVICES900099850172850172
FieldValueIRS element (for citing)
Total Program Service Revenue70498802TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17678TotalRevenueColumn
Exclusion$17,678ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities295030Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities262175Securities
Other13205Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities32855Securities
Other-13205Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column19650TotalRevenueColumn
Exclusion$19,650ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AFFILIATE RELATED INCOME561000567434567434
OTHER REVENUE900099471116471116
OUTSIDE INCOME5610004330543305
FieldValueIRS element (for citing)
Total Other Revenue1081855TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column71617985TotalRevenueColumn
Related Or Exempt Function Income71580657RelatedOrExemptFunctionIncome
Exclusion$37,328ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4466087Total
Program Services3729437ProgramServices
Management And General736650ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total42098787Total
Program Services36873999ProgramServices
Management And General5224788ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1543666Total
Program Services1325330ProgramServices
Management And General218336ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3924352Total
Program Services3195078ProgramServices
Management And General729274ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2516587Total
Program Services2115281ProgramServices
Management And General401306ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21920Total
Program Services50ProgramServices
Management And General21870ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19462Total
Management And General19462ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1304Total
Management And General1304ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4801042Total
Program Services3304496ProgramServices
Management And General1496546ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14182Total
Program Services3127ProgramServices
Management And General11055ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1462897Total
Program Services1124609ProgramServices
Management And General338288ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3499672Total
Program Services30382ProgramServices
Management And General3469290ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3110106Total
Program Services2893750ProgramServices
Management And General216356ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total194449Total
Program Services141294ProgramServices
Management And General53155ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total366073Total
Program Services321600ProgramServices
Management And General44473ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total378717Total
Program Services213188ProgramServices
Management And General165529ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total36297Total
Program Services25408ProgramServices
Management And General10889ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES23180422318042
UNCOMPENSATED CARE22635302263530
LICENSES & PERMITS3119031190
ASSOCIATION DUES19902135976305

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2139Total
Management And General2139ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73090403Total
Program Services59923388ProgramServices
Management And General13167015ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4105BOY
EOY4455EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1435913BOY
EOY578371EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3524932BOY
EOY4302333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY617169BOY
EOY936181EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4330839LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3131520LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3857422BOY
EOY1199319EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY252960BOY
EOY9820EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1381606BOY
EOY72165EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11074107BOY
EOY7102644EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7483259BOY
EOY6848709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7483259BOY
EOY6848709EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3590848BOY
EOY253935EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3590848BOY
EOY253935EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11074107BOY
EOY7102644EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1472418ReconcilationRevenueExpenses
Reconcilation Other Changes-1864495ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER-MIDLANDBusinessNameLine1
FieldValueIRS element (for citing)
EIN380833014EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
General ExplanationSCHEDULE A, PART 1, LINE 11H MIDMICHIGAN PHYSICIANS GROUP SPECIFICALLY RECRUITS AND EMPLOYS PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS TO SUPPORT THE HEALTH CARE MISSION OF THE MEDICAL CENTERS LISTED IN PART I, LINE 11H.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7704OtherCostOrOtherBasis
Depreciation6099Depreciation
Book Value1605BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis275917OtherCostOrOtherBasis
Depreciation154737Depreciation
Book Value121180BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4047218OtherCostOrOtherBasis
Depreciation2970684Depreciation
Book Value1076534BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1199319TotalOfBookValueLandBuildings
Total Revenue71617985TotalRevenue
Total Expenses73090403TotalExpenses
Excess Or Deficit For Year-1472418ExcessOrDeficitForYear
Net Unrealized GL On Investments-42465NetUnrealizedGLOnInvestments
Other-$1,822,030OtherAmount
Total Adjustments-1864495TotalAdjustments
Excess Or Deficit Per FS-3336913ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt71587421TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-42465NetUnrealizedGainsInvestments
Revenue Not Rptd F990-42465RevenueNotRptdF990
Revenue Subtotal71629886RevenueSubtotal
Investment Expenses Not Included1304InvestmentExpensesNotIncluded
Other Revenues Not Included-13205OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-11901RevenueNotRptdOnFinStmt
Total Revenue Per Form99071617985TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt73102304TotExpensesEtcAuditedFinclStmt
Other Expenses Included13205OtherExpensesIncluded
Expenses Not Rptd F99013205ExpensesNotRptdF990
Expenses Subtotal73089099ExpensesSubtotal
Investment Expenses Not Included21304InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt1304ExpensesNotRptdOnFinStmt
Total Expenses Per Form99073090403TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 13,205 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -13,205
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BLOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -13,205
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DLOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 13,205

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
WILLIAM FELTEN MD
7133995000016921021434786535
RICHARD REYNOLDS
52673020000020115293201240731064119
BRAD BINSFELD DO
6055606250207316499639040
GREGORY ROGERS
3354371360003657116320219301690511
BRIAN RODGERS
26605387500148379864618578485614
JAMES BICKNELL MD
2699876750013773248216254387600
JOHN LIEBERMAN DO
257933685546721017044344213
J CHRISTOPHER HOUGH MD
27719035500137077831016931421638
LYDIA WATSON PINNEY MD
2240728530411723324517452361245
KATE REGAN MD
1710711346599122782519269353736
THOMAS CLARINGBOLD DO
245988507708832518216650339473
JEFF ESCHBACH MD
216303650006311016532298476
TERRY BALL DO
1723035708958672513356248640
PAUL BERG MD
1433483585962621461615472215557
MICHAEL STACK MD
6951720721380310335943868181425544782516
MONIKA HERDZIK MD
12887212502191020226150577
ADELBERTO ADAN
20156541500149517030321543349862
ELIZABETH MINBIOLE
12267219000357088947336161472
JOHN MURPHY DO
57267323015715722390823922852232
RODNEY DIEHL DO
6985651000015721021989732136
ROBERT JONES MD
6479675000056161017642721235
DENISE STADELMAIER DO
50336214238713082374119692690490
MAGED RIZK MD
5942361300016921018775627713

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE FOLLOWING PERSON LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. MIDMICHIGAN PHYSICIANS GROUP HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. ONLY AMOUNTS RELATED TO NON-BUSINESS USE ARE TREATED AS TAXABLE INCOME. JAMES BICKNELL, MD - PRESIDENT
NON-FIXED PAYMENTS PROVIDEDSCHEDULE J, PAGE 1, PART I, LINE 7MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE 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 INFORMATIONSCHEDULE J, PART IIION MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES, PHYSICIANS 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. FOR PHYSICIANS, THIRD PARTY MARKET DATA, E.G. MGMA MEDIANS AND PRODUCTIVITY FACTORS ARE ALSO USED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS, ROGERS, RODGERS, BICKNELL 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 O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.
ADDITIONAL INFORMATIONFORM 990PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE 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 MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE 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 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT IMPARTIAL.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONSFORM 990, PAGE 7, PART VIINO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A 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 EXPLANATIONFORM 990, PART XI, LINE 5CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS (42,465) NET ASSET TRANSFERS TO AFFILIATES (1,822,030) ------------ TOTAL CHANGE IN NET ASSETS (1,864,495)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MIDMICHIGAN HEALTH
4000 WELLNESS DRIVEMIDLANDMI48670382459948SUPPORTMI501C311ANAfalse
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4000 WELLNESS DRIVEMIDLANDMI48670380833014HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GRATIOT
300 E WARWICK DRALMAMI48801381437919HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREETCLAREMI48617381518643HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREETGLADWINMI48624386020434HOSPITALMI501C33MIDMI HLTHtrue
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DRMIDLANDMI48642382623324LT CAREMI501C39MIDMI HLTHtrue
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREETGLADWINMI48624382754875LT CAREMI501C39MIDMI HLTHtrue
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397HOME EQUIPMI501C39MIDMI HLTHtrue
MIDMICHIGAN REGIONAL IMAGING
4000 WELLNESS DRIVEMIDLANDMI48670352182295EQUIPMENTMI501C311BMIDMI HLTHtrue
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI501C39MIDMI HLTHtrue
MIDMICHIGAN HEALTH DEV ASSOC
4000 WELLNESS DRIVEMIDLANDMI48670382459947OPERATIONSMI501C2MIDMI HLTHtrue
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI501C311AMIDMI HLTHtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVENUEAddressLine1
Address Line2GOVERNORS SQUARE BLDG 4 2ND FLOORAddressLine2
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
FieldValueIRS element (for citing)
EIN980585596EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (24 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-MIDLAND
F1254884BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J176695BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J2353577BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O1998847BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O71396BOOKS RECORDS
MIDMICHIGAN HEALTH
O619035BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P20643763BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P2428604BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P6782022BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P2388364BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P88436BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P241725BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
F1254884BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J176695BOOKS RECORDS
MIDMICHIGAN HEALTH DEV ASSOC
J2353577BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O1998847BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
O71396BOOKS RECORDS
MIDMICHIGAN HEALTH
O619035BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P20643763BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GRATIOT
P2428604BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P6782022BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P2388364BOOKS RECORDS
MIDMICHIGAN REGIONAL IMAGING
P88436BOOKS RECORDS
MIDMICHIGAN URGENT CARE
P241725BOOKS RECORDS