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MYMICHIGAN MEDICAL CENTER ALMA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER ALMA (EIN 38-1437919)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201231369349305828
Schema version
2010v3.7
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)
Timestamp2012-05-15T15:50:11-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN381437919EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER-GRATIOTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDMNameControl
Phone9898393181Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 E WARWICK DRAddressLine1
CityALMACity
StateMIState
ZIP Code488011096ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCINE M PADGETTName
TitleSR. VP & TREASURERTitle
Phone9898393181Phone
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK SANTAMARIANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 E WARWICK DRAddressLine1
CityALMACity
StateMIState
ZIP Code488011096ZIPCode
FieldValueIRS element (for citing)
Gross Receipts130604911GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1091TotalNbrEmployees
Total Nbr Volunteers291TotalNbrVolunteers
Total Gross UBI254666TotalGrossUBI
Net Unrelated Business Txbl Income-3196NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year86580ContributionsGrantsPriorYear
Contributions Grants Current Year78931ContributionsGrantsCurrentYear
Program Service Revenue Prior Year109708133ProgramServiceRevenuePriorYear
Program Service Revenue CY112783862ProgramServiceRevenueCY
Investment Income Prior Year1461064InvestmentIncomePriorYear
Investment Income Current Year2705513InvestmentIncomeCurrentYear
Other Revenue Prior Year3286221OtherRevenuePriorYear
Other Revenue Current Year4737290OtherRevenueCurrentYear
Total Revenue Prior Year114541998TotalRevenuePriorYear
Total Revenue Current Year120305596TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57609659SalariesEtcPriorYear
Salaries Etc Current Year54932116SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year62062743OtherExpensePriorYear
Other Expenses Current Year63152655OtherExpensesCurrentYear
Total Expenses Prior Year119672402TotalExpensesPriorYear
Total Expenses Current Year118084771TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5130404RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2220825RevenuesLessExpensesCY
Total Assets BOY120414001TotalAssetsBOY
Total Assets EOY124029496TotalAssetsEOY
Total Liabilities BOY58023407TotalLiabilitiesBOY
Total Liabilities EOY57572485TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY62390594NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY66457011NetAssetsOrFundBalancesEOY
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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense97563675Expense
Revenue112783862Revenue
DescriptionMIDMICHIGAN MEDICAL CENTER - GRATIOT PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 5,600 PATIENT ADMISSIONS AND 116,806 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2011. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.Description
Total Program Service Expense97563675TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshptrueOfficerEntityWithBsnssRltnshp
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 With1096101NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1091NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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
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 (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD REYNOLDS
DIRECTOR50.00X0683552282389
MARK BUSH
PRESIDENT50.00X357002087184X
RAYMOND BOROWICZ
DIRECTOR2.00X000
KATHLEEN CRUMBAUGH
DIRECTOR2.00X000
DENNIS DUNLAP
SECRETARY/TR2.00X000
NANCY GALLAGHER
DIRECTOR2.00X000
WILLIAM HEINZE
DIRECTOR2.00X000
WILLIAM HENDERSON
CHAIR2.00X000
ERIC HO MD
DIRECTOR2.00X000
C JEFFREY HOLMES MD
DIRECTOR2.00X000
SUNIL RANGWANI MD
DIRECTOR2.00X000
DAVID ROSLUND
DIRECTOR2.00X000
SARAH WASSENAAR DDS
VICE CHAIR2.00X000
DALE WEBURG
DIRECTOR2.00X000
LAURA BENITEZ
DIRECTOR2.00X000
PATRICIA NELSON
DIRECTOR2.00X000
WILLIAM SCHMIDT
DIRECTOR2.00X000
DEBORAH MILLS
CONTROLLER50.00014673937350X
VICTOR MORGAN
CONTROLLER50.00014177623723X
ROBIN WHITMORE
VICE PRESIDE50.00196963020794X
BRAD BINSFELD DO
PHYSICIAN50.0056388305742X
JAMES WARE DO
PHYSICIAN50.0055711302138X
MARK MASLOVICH MD
PHYSICIAN50.00524813013201X
DIANE MACDONALD MD
PHYSICIAN50.00453310015388X
GABRIEL ALMEIDA MD
PHYSICIAN50.0035247308869X
SCOTT CURRIE
FORMER CONTR50.00022390818057X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3005557TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1195975TotalReportableCompFrmRltdOrgs
Total Other Compensation514835TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
SODEXHO FOOD & NUTRITION SERVICES
300 E WARWICKALMAMI48801DIETARY MGMT2192134
GRATIOT MANAGEMENT CO
401 S ST JOHNS STITHACAMI48847STAFFING AGENCY2066290
ANESTHESIA ASSOC OF ALMA
PO BOX 423ALMAMI48801PHYSICIAN SVCS1417306
REHABCARE GROUP INC
PO BOX 502096ST LOUISMO63150REHAB MGMT1111805
SIEMENS MEDICAL SOLUTIONS USA
C/O MELLON BANK DEPT 14195PALATINEIL60055EQUIPMAINT/LAB924146
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Government Grants14036GovernmentGrants
All Other Contributions64895AllOtherContributions
Total Contributions78931TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID PAYMENTS6219906908214069082140
NET PATIENT REVENUE6219904314472643144726
REFERENCE LABORATORY541900254666254666
PHYSICIAN SUBSIDY621990190375190375
CONTRACTED CLINICAL SERVICES621990111955111955
FieldValueIRS element (for citing)
Total Program Service Revenue112783862TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1014563TotalRevenueColumn
Related Or Exempt Function Income645231RelatedOrExemptFunctionIncome
Exclusion$369,332ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column3831TotalRevenueColumn
Exclusion$3,831ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real240489Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real240489Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column240489TotalRevenueColumn
Exclusion$240,489ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11958009Securities
Other28425Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities10184185Securities
Other115130Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1773824Securities
Other-86705Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1687119TotalRevenueColumn
Exclusion$1,687,119ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EXEMPT AFFILIATE REVENUE90009918491861849186
REIMBURSED EXPENSES900099874135874135
CAFETERIA/FOOD SERVICE722210621191621191

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1152289TotalRevenueColumn
Related Or Exempt Function Income1152289RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4496801TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column120305596TotalRevenueColumn
Related Or Exempt Function Income117671228RelatedOrExemptFunctionIncome
Unrelated Business Revenue254666UnrelatedBusinessRevenue
Exclusion$2,300,771ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total583568Total
Program Services291784ProgramServices
Management And General291784ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total44744028Total
Program Services37384618ProgramServices
Management And General7359410ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1496975Total
Program Services1224524ProgramServices
Management And General272451ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5101818Total
Program Services4086921ProgramServices
Management And General1014897ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3005727Total
Program Services2484100ProgramServices
Management And General521627ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total84992Total
Management And General84992ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48000Total
Management And General48000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total41397Total
Management And General41397ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16467158Total
Program Services10422893ProgramServices
Management And General6044265ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total631509Total
Program Services455775ProgramServices
Management And General175734ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22084158Total
Program Services20612759ProgramServices
Management And General1471399ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total931509Total
Management And General931509ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3494591Total
Program Services2779685ProgramServices
Management And General714906ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total98293Total
Program Services76194ProgramServices
Management And General22099ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total224111Total
Program Services125109ProgramServices
Management And General99002ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2243305Total
Program Services2243305ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7566356Total
Program Services6372459ProgramServices
Management And General1193897ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total450530Total
Program Services450530ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR UNCOMP SVCS72075897207589
QAAP FEES11792431179243
LICENSES & DUES330369166187164182
PHYSICIAN PRACTICE INVEST6954569545

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total118084771Total
Program Services97563675ProgramServices
Management And General20521096ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4741BOY
EOY5091EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY958899BOY
EOY3628732EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14560928BOY
EOY17441059EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY57419BOY
EOY29038EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1022528BOY
EOY1114795EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3444661BOY
EOY3103271EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis129118038LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec60109661LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY73549375BOY
EOY69008377EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5441969BOY
EOY3888620EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY18205429BOY
EOY22657840EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2782064BOY
EOY2798128EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY10000BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY375988BOY
EOY354545EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY120414001BOY
EOY124029496EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12438832BOY
EOY12243996EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42137962BOY
EOY41743233EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3446613BOY
EOY3585256EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY58023407BOY
EOY57572485EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY62390594BOY
EOY66457011EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62390594BOY
EOY66457011EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY120414001BOY
EOY124029496EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2220825ReconcilationRevenueExpenses
Reconcilation Other Changes1845592ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1433689OtherCostOrOtherBasis
Book Value1433689BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis55160241OtherCostOrOtherBasis
Depreciation19434954Depreciation
Book Value35725287BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3825023OtherCostOrOtherBasis
Depreciation2395289Depreciation
Book Value1429734BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67149997OtherCostOrOtherBasis
Depreciation38279418Depreciation
Book Value28870579BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1549088OtherCostOrOtherBasis
Book Value1549088BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69008377TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value22657840BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities22657840TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF-INSURANCE, DEFERRED COMP$3,285,256
LONG-TERM CAPITAL LEASE$300,000
FieldValueIRS element (for citing)
Total Of Amounts3585256TotalOfAmounts
Total Revenue120305596TotalRevenue
Total Expenses118084771TotalExpenses
Excess Or Deficit For Year2220825ExcessOrDeficitForYear
Net Unrealized GL On Investments1845592NetUnrealizedGLOnInvestments
Total Adjustments1845592TotalAdjustments
Excess Or Deficit Per FS4066417ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt121615984TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1845592NetUnrealizedGainsInvestments
Revenue Not Rptd F9901845592RevenueNotRptdF990
Revenue Subtotal119770392RevenueSubtotal
Investment Expenses Not Included41397InvestmentExpensesNotIncluded
Other Revenues Not Included493807OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt535204RevenueNotRptdOnFinStmt
Total Revenue Per Form990120305596TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt118144115TotExpensesEtcAuditedFinclStmt
Other Expenses Included14036OtherExpensesIncluded
Expenses Not Rptd F99014036ExpensesNotRptdF990
Expenses Subtotal118130079ExpensesSubtotal
Investment Expenses Not Included241397InvestmentExpensesNotIncluded2
Other Expenses Not Included-86705OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-45308ExpensesNotRptdOnFinStmt
Total Expenses Per Form990118084771TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8RELEASED FROM RESTRICTION FOR CAPITAL 14,036 RELEASED FROM RESTRICTIONS -14,036 INCOME FROM CONSOLIDATED SUBSIDIARIES -580,512 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 86,705 RELEASED FROM RESTRICTIONS -14,036 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -86,705
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DRELEASED FROM RESTRICTION FOR CAPITAL 14,036 RELEASED FROM RESTRICTIONS -14,036
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BINCOME FROM CONSOLIDATED SUBSIDIARIES 580,512 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -86,705
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DRELEASED FROM RESTRICTIONS 14,036
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BLOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -86,705

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent150XPcent150
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense467035TotalCommunityBenefitExpense
Net Community Benefit Expense467035NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14668667TotalCommunityBenefitExpense
Direct Offsetting Revenue11123563DirectOffsettingRevenue
Net Community Benefit Expense3545104NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense15135702TotalCommunityBenefitExpense
Direct Offsetting Revenue11123563DirectOffsettingRevenue
Net Community Benefit Expense4012139NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense124494TotalCommunityBenefitExpense
Direct Offsetting Revenue26599DirectOffsettingRevenue
Net Community Benefit Expense97895NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense583379TotalCommunityBenefitExpense
Net Community Benefit Expense583379NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense20040TotalCommunityBenefitExpense
Net Community Benefit Expense20040NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense727913TotalCommunityBenefitExpense
Direct Offsetting Revenue26599DirectOffsettingRevenue
Net Community Benefit Expense701314NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense15863615TotalCommunityBenefitExpense
Direct Offsetting Revenue11150162DirectOffsettingRevenue
Net Community Benefit Expense4713453NetCommunityBenefitExpense
Percent Of Total Expense0.03990PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense24559TotalCommunityBuildingExpense
Net Community Building Expense24559NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense24559TotalCommunityBuildingExpense
Net Community Building Expense24559NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,191,780BadDebtExpenseAmount
Amount Attributable To348204AmountAttributableTo
Amount Reimbursed By Medicare35209053AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare33561693CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1647360MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER-GRATIOTBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 E WARWICK DRIVEAddressLine1
CityALMACity
StateMIState
ZIP Code48801ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER-GRATIOTBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities24NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
GREAT LAKES RENAL NETWORK - ALMA
330 E WARWICK DRIVEALMAMI48801DIALYSIS CENTER
GREAT LAKES RENAL NETWORK-GREENVILL
101 S GREENVILLE WEST DRIVEGREENVILLEMI48838DIALYSIS CENTER
GREAT LAKES RENAL NETWORK-MT PLEASA
404 S CRAPOMT PLEASANTMI48858DIALYSIS CENTER
URGENT CARE - ALMA
321 E WARWICK DRIVEALMAMI48801REGIONAL HEALTH CLINIC
BROADWAY HEALTH SERVICES
411 W BROADWAY STE AMT PLEASANTMI48858REGIONAL HEALTH CLINIC
CENTER FOR OBGYN - ALMA
315 E WARWICK DRIVE STE DALMAMI48801REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE-BRECKENRIDGE
302 W CHESTNUTBRECKENRIDGEMI48615REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - ST LOUIS
224 N MILL STST LOUISMI48880REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - MT PLEASANT
1621 E BROOMFIELD STE BMT PLEASANTMI48858REGIONAL HEALTH CLINIC
FAMILY MEDICAL CARE - VESTABURG
8776 EAST HOWARD CITY-EDMORE ROADVESTABURGMI48891REGIONAL HEALTH CLINIC
GRATIOT HEALTH PARTNERS
1750 E BELLOWS STE BMT PLEASANTMI48858REGIONAL HEALTH CLINIC
GRATIOT NEUROLOGY AT MT PLEASANT
1750 E BELLOWS STE EMT PLEASANTMI48858REGIONAL HEALTH CLINIC
GRATIOT NEUROLOGY AT MT PLEASANT
315 E WARWICK DRIVE STE FALMAMI48801REGIONAL HEALTH CLINIC
ITHACA FAMILY PRACTICE
820 N PINE RIVERITHACAMI48847REGIONAL HEALTH CLINIC
MEDICAL HEMATOLOGYONCOLOGY UNIT
315 WARWICK DRIVE STE CALMAMI48801REGIONAL HEALTH CLINIC
DR ANNU MOHAN
211 S CRAPO STE AMT PLEASANTMI48858REGIONAL HEALTH CLINIC
MONTCALM HEALTH SERVICES
1021 E MAIN STEDMOREMI48829REGIONAL HEALTH CLINIC
BROOMFIELD VISITING PHYSICIANS
1621 E BROOMFIELD STE AMT PLEASANTMI48858REGIONAL HEALTH CLINIC
ITHACA OBGYN
121 NORTH PINE RIVERITHACAMI48847REGIONAL HEALTH CLINIC
MT PLEASANT VISITING PHYSICIANS
211 S CRAPO STE JMT PLEASANTMI48858REGIONAL HEALTH CLINIC
DR ELIE OBEID
411 W BROADWAY STE BMT PLEASANTMI48858REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
7320 N ALGER STE GALMAMI48801REGIONAL HEALTH CLINIC
PEDIATRIC SPECIALTY CENTER
1621 E BROOMFIELD STE CMT PLEASANTMI48858REGIONAL HEALTH CLINIC
PLEASANT WOMEN'S CARE
1970 ASHLAND DRIVEMT PLEASANTMI48858REGIONAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
COMMUNITY BUILDING ACTIVITIESPART IIMIDMICHIGAN 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 EXPLANATIONPART III LINE 4OTHER 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 IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE
MEDICARE EXPLANATIONPART III LINE 8THE 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 3065095 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2011
COLLECTION PRACTICES EXPLANATIONPART III LINE 9BMIDMICHIGAN 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 MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 000 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE
NEEDS ASSESSMENTPART VIMIDMICHIGAN MEDICAL CENTERGRATIOT WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THE COMMUNITY SERVED 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 SYSTEMBRFSS 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 VACCINES AND IMMUNIZATIONS MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MDCH VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS 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 ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED BASED UPON HIGHER THAN AVERAGE STROKE RATES WE PROVIDE LOWCOST STROKE SCREENINGS TARGETED AT THOSE WHO ARE AT HIGHEST RISK FOR DEVELOPING A STROKE AND PEOPLE WHO ARE LESS LIKELY TO BE GETTING REGULAR CARE FROM A DOCTOR
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VIMIDMICHIGAN 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 INFORMATIONPART VIMIDMICHIGAN MEDICAL CENTERGRATIOTS PRIMARY SERVICE AREA IS COMPRISED OF 15 ZIP CODES WHICH CAPTURE ALL OF ISABELLA COUNTY AND MOST OF GRATIOT COUNTY 800 OF THEIR DISCHARGES ORIGINATED IN THESE AREAS AND THEIR INPATIENT MARKET SHARE IS 408 MIDMICHIGAN MEDICAL CENTERMIDLAND ALSO SERVES THIS COMMUNITY RECEIVING A 75 MARKET SHARE MCLAREN CENTRAL MICHIGAN LOCATED IN ISABELLA COUNTY RECEIVES 237 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 2011 OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE 110249 116 47874 39717 313 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 895 14 20 37 34
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSEPART VIOUR 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 903 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 INFORMATIONPART VI59 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 AS HEALTH INDICATORS SHOW INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASING PHYSICAL ACTIVITY AMONG CHILDREN HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH THEM ABOUT REGULAR EXERCISE GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS ON SOME OF THESE PROGRAMS ONE OF THE MANY PROGRAMS OFFERED BY MIDMICHIGAN MEDICAL CENTERGLADWIN FITTED KIDS FOR NEW BIKE HELMETS 3107 CHILDREN AGES NEWBORN THROUGH MIDDLE SCHOOL LEARNED HEALTHY OPTIONS DURING HEALTH FAIRS THROUGHOUT THE REGION PROGRAMS FOCUSED ON PERIPHERAL VASCULAR DISEASE STROKE AND BLOOD PRESSURE HELPED PEOPLE IN OUR AREA IDENTIFY AND TREAT CONDITIONS RELATED TO HEART DISEASE THEY LEARNED HOW TO EAT BETTER EXERCISE MORE AND MODIFY LIFESTYLE CHOICES TO LOWER THEIR RISK 1300 PEOPLE PARTICIPATED IN ACTIVITIES RELATED TO HEART DISEASE PREVENTION AT A COST OF 66000 AT COMMUNITY RUNS AND OTHER ACTIVITIES WHICH OFTEN INCLUDE KIDS TRIATHLON OR RUNWALK EVENTS MIDMICHIGAN EXPERTS HELP PEOPLE REACH FOR A MORE ACTIVE LIFESTYLE AT ASSOCIATED HEALTH FAIRS FOR MIDLAND COMMUNITY CENTERS 2011 DOW RUNWALK MIDMICHIGAN HELD PRERACE CLASSES TO TEACH HEALTHY EXERCISE AND EMPLOYEES AND FAMILIES CONTINUED THE RUN OR WALK WITH YOUR DOC TRADITION MORE THAN 25 FITNESS OR EXERCISE RELATED EVENTS FROM MIDMICHIGAN REACHED MORE THAN 6000 PEOPLE LAST YEAR AT A COST TO MIDMICHIGAN OF 57000 THE 8TH ANNUAL FUN DAY IN THE PARK IN CLARE IS ONE OF DOZENS OF EVENTS WHERE PEOPLE GET TO KNOW THE COMMUNITY AND LEARN SAFETY ADVICE AND INFORMATION ABOUT DEVELOPING HEALTHY HABITS 3854 COMMUNITY OUTREACH EVENTS SUCH AS EDUCATIONAL PROGRAMS AND SCREENINGS WERE PROVIDED TO 101853 PEOPLE BY PHYSICIANS AND OTHER HEALTH CARE EXPERTS FROM MIDMICHIGAN HEALTH LAST YEAR A VARIETY OF CLINICALLY PROVEN WEIGHT LOSS AND WEIGHT MANAGEMENT APPROACHES ARE OFFERED BY MIDMICHIGAN HEALTH THESE INCLUDE THE WOW PROGRAM THE AM I HUNGRY PROGRAM AND HEALTH COACHING PROGRAMS AT MIDMICHIGAN MEDICAL CENTERS IN MIDLAND AND ALMA 2 SHAMROCK SHRINKDOWN INDIVIDUAL WEIGHTLOSS COMPETITIONS HELPED CLOSE TO 100 PEOPLE FROM THE CLARE AREA IMPROVE THEIR HEALTH THE THREEMONTH PROGRAMS WERE COMMUNITY COLLABORATIONS WITH THE CITY OF CLARE PARKS AND RECREATION DEPARTMENT
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILEDPART VIMICHIGAN
ADDITIONAL INFORMATIONPART VIPART 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (11 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RICHARD REYNOLDS
4976761750001087625788724502965941
MARK BUSH
2557108275018542775659619444186
DEBORAH MILLS
1115722750076672248614864184089
VICTOR MORGAN
1036572500013119173806343165499
ROBIN WHITMORE
150107376509206996410830217757
BRAD BINSFELD DO
51260133000182825742569625
JAMES WARE DO
543314137992138559251
MARK MASLOVICH MD
4613695900544392513176538014
DIANE MACDONALD MD
419832334781515373468698
GABRIEL ALMEIDA MD
28459367880758794361342
SCOTT CURRIE
175898404387572134754582241965

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 MAKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO SENSURE 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 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 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 AND BUSH 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancingCUSIP NumberCUSIPNumber
2003-CNTY OF GRATIOT HOSP FIN AUTH
3860048532003-05-015000000CAPITAL PROJECTSfalsefalsefalse
2006-MI STATE HOSP FIN AUTH
3828894172006-11-0732496000CAPITAL PROJECTSfalsefalsefalse59465HEB8
2009-MI STATE HOSP FIN AUTH
3828894172009-06-175000000CAPITAL PROJECTSfalsefalsefalse59465HLF1

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterest
50000001888649811342004falsefalsetruetrue
32496000187653313841462009falsefalsetruetrue1577036
50000007406648912532011falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
falsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue0.000100.00010
falsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE KReturnReference
Explanation2003CNTY OF GRATIOT HOSP FIN AUTH IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THESE BOND ISSUES COLUMNS AB AND C THEREFORE FORM 8038T IS NOT REQUIREDExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANESTESIA ASSOCIATES OF ALMA PC
BUSINESS1674016FEES FOR SERVICESfalse
GRATIOT MANAGEMENT COMPANY
BUSINESS2210775FEES FOR SERVICESfalse
FAMILY HEALTH PSYCH COUNS CEN PC
BUSINESS784534FEES FOR SERVICESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.
ADDITIONAL INFORMATIONFORM 990PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSIP 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
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTSFORM 990, PAGE 6, PART VI, LINE 4THE NAME OF THE ORGANIZATION CHANGED IN THE CURRENT YEAR.
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. UPON REVIEW BY THEIR PROFESSIONALS,INCLUDING 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 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 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 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 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 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 5NET UNREALIZED GAIN ON INVESTMENTS 1,845,592

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 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-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
MIDMICHIGAN VNA DBA MIDMI HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397HOME CAREMI501C39MIDMI HLTHtrue
MIDMICHIGAN PHYSICIANS GROUP
2620 W SUGNET ROADMIDLANDMI48640383317788MED OFFICEMI501C311AMIDMI HLTHtrue
MIDMICHIGAN REGIONAL IMAGING
2618 N SAGINAWMIDLANDMI48670352182295EQUIPMENTMI501C311BMIDMI HLTHtrue
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI501C39MIDMI HLTHtrue
MIDMICHIGAN HEALTH DEVELOPMENT ASSO
4000 WELLNESS DRIVEMIDLANDMI48670382459947FACILITIESMI501C2MIDMI HLTHtrue
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI501C311AMIDMI HLTHtrue
AUXILIARY-MIDMICHIGAN MED CTR-GRAT
300 E WARWICK DRIVEALMAMI48801382312831AUXILIARYMI501C311DNAfalse

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 AVEAddressLine1
Address Line2GOVERNORS SQUARE BUILDING 4 2ND FLAddressLine2
CityGRAND CAYMANCity
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
Postal CodeKY1-1102PostalCode
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 OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MIDMICHIGAN MEDICAL CENTER-MIDLAND
G160271BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J77677BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O1381356BOOKS RECORDS
MIDMICHIGAN HEALTH
O1720920BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O176692BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P53867BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P190375BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P1180627BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
P512771BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
R466667BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
G160271BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J77677BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O1381356BOOKS RECORDS
MIDMICHIGAN HEALTH
O1720920BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
O176692BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P53867BOOKS RECORDS
MIDMICHIGAN MEDICAL CENTER-CLARE
P190375BOOKS RECORDS
MIDMICHIGAN PHYSICIANS GROUP
P1180627BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
P512771BOOKS RECORDS
REGIONAL DIALYSIS SERVICES
R466667BOOKS RECORDS