2012-05-15T15:47:28-05:00 2011-06-30 ANDREWS HOOPER PAVLIK PLC 5300 GRATIOT RD SAGINAW MI 486386035 990 2010-07-01 382459948 MIDMICHIGAN HEALTH MIDM 9898393181 4000 WELLNESS DRIVE MIDLAND MI 48670 FRANCINE M PADGETT 9898393181 2012-05-14 true LAURA M EBEL 9894975300 2012-05-15 2010 2016-02-24 21:20:13Z X RICHARD REYNOLDS 4000 WELLNESS DRIVE MIDLAND MI 48670 112548904 false X WWW.MIDMICHIGAN.ORG X 1982 MI TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. 17 14 82 187 52248 6052 0 12029212 11708132 43683518 85491634 104080 53630 55816810 97253396 0 0 6658129 6343397 0 0 6187444 6642860 12845573 12986257 42971237 84267139 537400159 622630576 91548631 55669093 445851528 566961483 TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. false false 9578036 11708133 THE HOLDING COMPANY PROVIDES ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT AND RISK MANAGEMENT. 9578036 true false false true false false false false false false true true true false true false false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true true false true X 30 0 true 82 true true true true CJ false false false false false false false false X 17 14 true false false false true true true true true false true true true true true true true true true true true true MI X FM PADGETT SR VP TREASURER 9898393181 4000 WELLNESS DR MIDLAND MI 48670 X RICHARD REYNOLDS 50.00 X X 683552 0 282389 JEFFERY ALLEN MD 7.00 X 0 15150 351 ERIC BLACKHURST 2.00 X 0 0 0 JOAN DAVID 2.00 X 0 0 0 NANCY GALLAGHER 2.00 X 0 0 0 BOBBIE ARNOLD 2.00 X 0 0 0 WILLIAM HEINZE 2.00 X 0 0 0 WILLIAM HENDERSON 2.00 X 0 0 0 PHIL CAFFREY 2.00 X 0 0 0 BOB DENOOYER 2.00 X 0 0 0 ED ROGERS 2.00 X 0 0 0 MARGUERITTE KUHN MD 2.00 X 0 0 0 CARL SCHWIND 2.00 X 0 0 0 RANNY REICKER 2.00 X 0 0 0 RON VERCH 2.00 X 0 0 0 DON SHEETS 2.00 X 0 0 0 BILL WEIDEMAN 2.00 X 0 0 0 GREGORY ROGERS 50.00 X 472605 0 163937 FRANCINE PADGETT 50.00 X 380411 0 101461 DONNA RAPP 50.00 X 376228 0 127147 BRIAN RODGERS 50.00 X 349030 0 98736 LYNN BRUCHHOF 50.00 X 282813 0 38455 HARLAN GOODRICH 50.00 X 243765 0 43461 SCOTT CURRIE 50.00 X 223908 0 18057 DANIEL SORENSON MD 50.00 X 220833 0 47267 CHANDRA MORSE 50.00 X 214199 0 36744 CHRISTINE CHESNY 50.00 X 201695 0 44800 TERENCE MOORE 50.00 X 100137 0 0 3749176 15150 1002805 26 true true false DELOITTE & TOUCHE LLP 4205 COLLECTION CENTER DR CHICAGO IL 60693 AUDIT 330500 FOSTER SWIFT COLLINS SMITH PC 313 S WASHINGTON SQ LANSING MI 48933 LEGAL 162398 CURRIE KENDALL PLC 6024 EASTMAN AVE MIDLAND MI 486402518 LEGAL 131814 PROFESSIONAL RESEARCH CONSULTANTS 11326 P ST OMAHA NE 68137 CONSULTING 128613 BADER & ASSOCIATES 10050 EAST CALLE DE CIELO CIR SCOTTSDALE AZ 85258 CONSULTING 119443 8 EXEMPT AFFILIATE REVENUE 561000 11655884 11655884 512(B)(17) INCOME 524126 52248 52248 11708132 82827549 82016634 810915 17959593 15295508 2664085 2664085 2664085 OTHER 900099 29630 29630 EXEMPT JOINT VENTURE REVENUE 900099 24000 24000 53630 97253396 93696518 52248 3504630 2662482 1331241 1331241 2095036 1621447 473589 917686 688265 229421 427194 320395 106799 240999 180749 60250 32224 32224 102582 76936 25646 52120 52120 116210 116210 5789632 5029273 760359 13591 10873 2718 144860 110500 34360 58185 46276 11909 183329 137497 45832 52643 24584 28059 31918 31918 56672 56672 8894 8894 12986257 9578036 3408221 0 207557 9103562 11887887 6474187 442200 250445 195927 191755 23384801 14018508 48854729 64272033 451943878 527486347 925380 1084184 537400159 622630576 12394540 8000536 79154091 47668557 91548631 55669093 X 445833169 566947124 18359 14359 445851528 566961483 537400159 622630576 X 84267139 36842816 X false true true X false X X X false false false MIDMICHIGAN MEDICAL CENTER - MIDLAND 380833014 3 false true true 0 9 THE AMOUNT OF SUPPORT PROVIDED TO THE SUPPORTED ORGANIZATIONS IS EQUAL TO THE PROGRAM SERVICE EXPENSE REPORTED ON FORM 990, PART IX. MIDMICHIGAN HEALTH IS LISTED IN THE GOVERNING DOCUMENTS OF EACH OF THE SUPPORTED ORGANIZATIONS AS THE SOLE MEMBER OF THE ORGANIZATION. THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC. false false false false false false false false false false true 52120 false false 52120 false false false false false SCHEDULE C, PART II-B, LINE 1I MIDMICHIGAN HEALTH CONTRACTS WITH THE FREDRICK GROUP TO MONITOR HEALTHCARE LEGISLATION AND EVALUATE THE POTENTIAL IMPACT OF THE LEGISLATION ON OUR HEALTH SYSTEM. false false false false false false false false false false 1976 751 1225 30548 27074 3474 409676 222620 187056 191755 OTHER FINANCIAL INVESTMENTS 64272033 F 64272033 MIDMICHIGAN MEDICAL CENTER-MIDLAND 354135903 C MIDMICHIGAN MEDICAL CENTER-GRATIOT 66457011 C MIDMICHIGAN MEDICAL CENTER-GLADWIN 29448018 C MIDMICHIGAN MEDICAL CENTER-CLARE 26118567 C MIDMICHIGAN HEALTH DEVELOPMENT ASSOC 18214017 C MIDMICHIGAN VISITING NURSE ASSOC 14397325 C MIDMICHIGAN REGIONAL IMAGING 3837605 C MIDMICHIGAN PHYSICIANS GROUP 3590848 C MIDMICHIGAN GLADWIN PINES 3151665 C MIDMICHIGAN STRATFORD VILLAGE 2990875 C REGIONAL DIALYSIS SERVICES 2254468 C MIDMICHIGAN HEALTH NETWORK 1385183 C MIDMICHIGAN URGENT CARE 962416 C THUMB AREA DIALYSIS 294946 C ISOMM 127500 C MIDMICHIGAN ASSURANCE GROUP 120000 C 527486347 ACCRUED PENSION/RETIREMENT BENEFITS 28732298 DEFERRED COMP, SELF INS, OTHER 18936259 47668557 97253396 12986257 84267139 7646111 29196705 36842816 121109955 22134536 7646111 4000 7650111 14484425 116210 82652761 82768971 97253396 11862411 -1007636 -1007636 12870047 116210 116210 12986257 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 NET ASSETS RELEASED FROM RESTRICTIONS 4,000 RECLASSED AFFILIATE EXPENSE -1,007,636 INCOME FROM CONSOLIDATED SUBSIDIARIES -81,592,876 CONTROLLED FOREIGN CORPORATION INCOME -52,249 RECLASSED AFFILIATE EXPENSE 1,007,636 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS 4,000 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B RECLASSED AFFILIATE EXPENSE 1,007,636 INCOME FROM CONSOLIDATED SUBSIDIARIES 81,592,876 CONTROLLED FOREIGN CORPORATION INCOME 52,249 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D RECLASSED AFFILIATE EXPENSE -1,007,636 X true true X X X X X true true false false false false false true false RICHARD REYNOLDS 497676 175000 10876 257887 24502 965941 GREGORY ROGERS 325466 115000 32139 146011 17926 636542 FRANCINE PADGETT 266743 80000 33668 78093 23368 481872 DONNA RAPP 260251 90000 25977 114694 12453 503375 BRIAN RODGERS 256759 80000 12271 82366 16370 447766 LYNN BRUCHHOF 213735 60376 8702 31979 6476 321268 HARLAN GOODRICH 136940 5000 101825 35970 7491 287226 SCOTT CURRIE 175898 40438 7572 13475 4582 241965 DANIEL SORENSON MD 175807 45026 35413 11854 268100 CHANDRA MORSE 158834 53474 1891 31828 4916 250943 CHRISTINE CHESNY 156667 43750 1278 30235 14565 246495 TERENCE MOORE 63137 37000 100137 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. BRUCHHOF, LYNN - VP HUMAN RESOURCES ROGERS, GREGORY - EXEC VICE PRES PADGETT, FRANCINE - TREASURER RODGERS, BRIAN - SENIOR VICE PRES RAPP, DONNA - SECRETARY MORSE, CHANDRA - VICE PRESIDENT REYNOLDS, RICHARD - PRESIDENT SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 HARLAN GOODRICH 69,228 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 APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICERS AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEWED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS PRIOR TO PAYMENT. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE, PRIMARILY IN THE MIDWEST AND REGIONALLY, BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS, ROGERS, PADGETT, RAPP, RODGERS AND BRUCHHOF ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2010. 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. JERAMIE SODERBER FAMILY MEMBER 69121 EMPLOYMENT false 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. FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES FORM 990, PART V, LINE 4B CAYMAN ISLANDS, OTHER COUNTRY ADDITIONAL INFORMATION FORM 990, PART VI LINE 2 - THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: BOBBIE ARNOLD, ERIC BLACKHURST, RICHARD REYNOLDS, AND DON SHEETS. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A AT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION. 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 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 SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION WILL BE REVIEWED BY THE COMPENSATION COMMITTEE. FORM 990, INCLUDING ALL SCHEDULES, WILL BE MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN PRIOR TO FILING. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE SVP AND TREASURER. THE RESULTS OF THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ("THE POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT IMPARTIAL. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE 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 OFFICERS 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 PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 UNREALIZED INVESTMENT RETURN 7,646,111 PENSION FAS 158 ADJUSTMENT 29,248,954 512(B)(17) INCOME (52,249) ----------- 36,842,816 MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DR MIDLAND MI 48670 380833014 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA MI 48801 381437919 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-CLARE 703 NORTH MCEWAN STREET CLARE MI 48617 381518643 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN MI 48624 386020434 HOSPITAL MI 501C3 3 MIDMI HLTH true MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND MI 48642 382623324 LT CARE MI 501C3 9 MIDMI HLTH true MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN MI 48624 382754875 LT CARE MI 501C3 9 MIDMI HLTH true MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND MI 48640 381459397 CARE/EQUIP 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 2618 N SAGINAW MIDLAND MI 48670 352182295 EQUIPMENT MI 501C3 11B MIDMI HLTH true MIDMICHIGAN URGENT CARE 3009 N SAGINAW RD MIDLAND MI 48640 205064848 AMBULATORY MI 501C3 9 MIDMI HLTH true MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DR MIDLAND MI 48670 382459947 OPERATIONS MI 501C2 MIDMI HLTH true REGIONAL DIALYSIS SERVICES PO BOX 188 ALMA MI 48801 383120704 DIALYSIS MI 501C3 11A MIDMI HLTH true MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVE GOVERNORS SQUARE BLDG 4 2ND FLOOR GRAND CAYMAN CJ 980585596 INSURANCE CJ MIDMI HLTH C CORP 100 100 1.00000 false false false false false false false false false true false false false false true true false true MIDMICHIGAN MEDICAL CENTER-MIDLAND O 228041 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 6777324 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1720920 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 645804 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 411348 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 153492 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 59592 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 54072 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 335232 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 345780 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 113796 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC R 1000000 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING R 4870000 BOOKS RECORDS REGIONAL DIALYSIS SERVICES R 466667 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 228041 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 6777324 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1720920 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 645804 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 411348 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 153492 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 59592 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 54072 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 335232 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 345780 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 113796 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC R 1000000 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING R 4870000 BOOKS RECORDS REGIONAL DIALYSIS SERVICES R 466667 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND O 228041 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-MIDLAND P 6777324 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GRATIOT P 1720920 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-CLARE P 645804 BOOKS RECORDS MIDMICHIGAN MEDICAL CENTER-GLADWIN P 411348 BOOKS RECORDS MIDMI VNA DBA MIDMICHIGAN HOME CARE P 153492 BOOKS RECORDS MIDMICHIGAN GLADWIN PINES P 59592 BOOKS RECORDS MIDMICHIGAN STRATFORD VILLAGE P 54072 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING P 335232 BOOKS RECORDS MIDMICHIGAN PHYSICIANS GROUP P 345780 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC P 113796 BOOKS RECORDS MIDMICHIGAN HEALTH DEV ASSOC R 1000000 BOOKS RECORDS MIDMICHIGAN REGIONAL IMAGING R 4870000 BOOKS RECORDS REGIONAL DIALYSIS SERVICES R 466667 BOOKS RECORDS