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MYMICHIGAN MEDICAL CENTER MIDLAND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER MIDLAND (EIN 38-0833014)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349300347
Schema version
2009v1.7
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)
Timestamp2011-05-16T08:22:37-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN380833014EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER- MIDLANDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDMNameControl
Phone9898393301Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14005 ORCHARD DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH A MINBIOLEName
TitleCORPORATE CONTROLLERTitle
Phone9898393301Phone
Date Signed2011-05-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2011-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY ROGERSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14005 ORCHARD DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts450886965GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1940YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2425TotalNbrEmployees
Total Nbr Volunteers637TotalNbrVolunteers
Total Gross UBI561641TotalGrossUBI
Net Unrelated Business Txbl Income-19650NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3258306ContributionsGrantsPriorYear
Contributions Grants Current Year3040165ContributionsGrantsCurrentYear
Program Service Revenue Prior Year282651947ProgramServiceRevenuePriorYear
Program Service Revenue CY281858760ProgramServiceRevenueCY
Investment Income Prior Year8594283InvestmentIncomePriorYear
Investment Income Current Year13105864InvestmentIncomeCurrentYear
Other Revenue Prior Year13244584OtherRevenuePriorYear
Other Revenue Current Year12614495OtherRevenueCurrentYear
Total Revenue Prior Year307749120TotalRevenuePriorYear
Total Revenue Current Year310619284TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year191660GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY199585GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year121759737SalariesEtcPriorYear
Salaries Etc Current Year124499936SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year186940TotalFundrsngExpCurrentYear
Other Expense Prior Year160270080OtherExpensePriorYear
Other Expenses Current Year171357616OtherExpensesCurrentYear
Total Expenses Prior Year282221477TotalExpensesPriorYear
Total Expenses Current Year296057137TotalExpensesCurrentYear
Revenues Less Expenses Prior Year25527643RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14562147RevenuesLessExpensesCY
Total Assets BOY480296477TotalAssetsBOY
Total Assets EOY515224741TotalAssetsEOY
Total Liabilities BOY217641464TotalLiabilitiesBOY
Total Liabilities EOY221659829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY262655013NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY293564912NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense247128511Expense
Revenue281858760Revenue
DescriptionMIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 11,254 PATIENT ADMISSIONS AND 298,863 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2010. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense199585Expense
Grants199585Grants
DescriptionMIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.Description
FieldValueIRS element (for citing)
Total Program Service Expense247328096TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
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 OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096176NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2425NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonELIZABETH A MINBIOLE CONTROLLERNamePerson
Telephone Number9898393301TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14005 ORCHARD DRIVEAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD REYNOLDS
DIRECTOR2.00X071636954802
GREGORY ROGERS
PRESIDENT50.00X051287674652X
J CHRISTOPHER HOUGH MD
DIRECTOR2.00X033243053948
LYDIA WATSON PINNEY MD
DIRECTOR2.00X024703829288
JAMES BICKNELL MD
DIRECTOR2.00X15504405369
BOBBIE ARNOLD
DIRECTOR2.00X000
ERIC BLACKHURST
CHAIR2.00X000
PAM BOUNDY
DIRECTOR2.00X000
ROBERT COFFIELD
DIRECTOR2.00X000
CARL ELLINGER
DIRECTOR2.00X000
JIM FABIANO
DIRECTOR2.00X000
MARK GOETHE MD
DIRECTOR2.00X000
JEFF HERMAN MD
DIRECTOR2.00X000
ROBERT LOFIEGO
VICE CHAIR2.00X000
JON LYNCH
DIRECTOR2.00X000
WALLY MAYTON
DIRECTOR2.00X000
RANNY RIECKER
DIRECTOR2.00X000
BILL WEIDEMAN
DIRECTOR2.00X000
LISA ZIETTLOW
DIRECTOR2.00X000
FRANCINE PADGETT
SENIOR VP/TR50.00040382159141X
DONNA RAPP
SENIORVP/SEC50.00038402594203X
KAREN CALKINS
VP50.00275983071067X
WILLIAM DERY MD
MEDICAL DIRE50.00265760023146X
DIANE NOLD
VP50.00262130054805X
ADELBERTO ADAN
VP50.00258694053420X
LOIS ROBERTSON
CRNA50.00272093020664X
JEFFERY HANOVER
CRNA50.00256454023883X
JEFFREY VOIGT
CRNA50.00230401028483X
KENDALL MORRIS
CRNA50.00230025025622X
RICHARD DUDZIK
CRNA50.00227791044074X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2434375TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2596559TotalReportableCompFrmRltdOrgs
Total Other Compensation697505TotalOtherCompensation
Number Individuals GT100 K91NumberIndividualsGT100K
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
SKANSKA USA BUILDING INC
14776 COLLECTIONS CENTER DRCHICAGOIL60693CONSTRUCTION28011164
CERNER CORP
PO BOX 412702KANSAS CITYMO641412702SOFTWARESUPPORT5337601
MIDLAND EMERGENCY RM CORP
2000 DILLOWAY DRMIDLANDMI48640ER PHYSICIANS4491654
DELOITTE CONSULTING LLP
PO BOX 7247 6447PHILADELPHIAPA191706447CONSULTING2656194
THREE RIVERS CONSTRUCTION INC
PO BOX 1467MIDLANDMI48641CONSTRUCTION2640672
FieldValueIRS element (for citing)
Number Of Contractors GT100 K56NumberOfContractorsGT100K
Government Grants2551659GovernmentGrants
All Other Contributions488506AllOtherContributions
Total Contributions3040165TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE, NET621990149784390149784390
MEDICARE/MEDICAID PAYMENTS621990131325023131325023
LABORATORY OPERATIONS621500561641561641
CONTRACTED CLINICAL SERVICES621990187706187706
FieldValueIRS element (for citing)
Total Program Service Revenue281858760TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6419083TotalRevenueColumn
Related Or Exempt Function Income742231RelatedOrExemptFunctionIncome
Exclusion$5,676,852ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column184767TotalRevenueColumn
Exclusion$184,767ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real29816Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29816Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29816TotalRevenueColumn
Exclusion$29,816ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities146708285Securities
Other61410Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities139707728Securities
Other559953Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7000557Securities
Other-498543Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6502014TotalRevenueColumn
Exclusion$6,502,014ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
AFFILIATE RELATED INCOME90009984470678447067
JOINT VENTURE RELATED INCOME90009920634482063448
CAFETERIA/FOOD SERVICE7222101135971$1,135,971

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column938193TotalRevenueColumn
Related Or Exempt Function Income500316RelatedOrExemptFunctionIncome
Exclusion$437,877ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue12584679TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column310619284TotalRevenueColumn
Related Or Exempt Function Income293050181RelatedOrExemptFunctionIncome
Unrelated Business Revenue561641UnrelatedBusinessRevenue
Exclusion$13,967,297ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total199585Total
Program Services199585ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1304514Total
Program Services299673ProgramServices
Management And General1004841ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total95559819Total
Program Services76295387ProgramServices
Management And General19156368ManagementAndGeneral
Fundraising108064Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7212127Total
Program Services5718687ProgramServices
Management And General1485363ManagementAndGeneral
Fundraising8077Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total13541777Total
Program Services10742906ProgramServices
Management And General2783696ManagementAndGeneral
Fundraising15175Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6881699Total
Program Services5449029ProgramServices
Management And General1424470ManagementAndGeneral
Fundraising8200Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total202944Total
Program Services2080ProgramServices
Management And General200864ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170380Total
Management And General170380ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total531036Total
Management And General531036ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total59603600Total
Program Services51416382ProgramServices
Management And General8144672ManagementAndGeneral
Fundraising42546Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total939199Total
Program Services580650ProgramServices
Management And General357861ManagementAndGeneral
Fundraising688Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55980454Total
Program Services52203762ProgramServices
Management And General3774060ManagementAndGeneral
Fundraising2632Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total669072Total
Program Services216821ProgramServices
Management And General452251ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4330334Total
Program Services1098744ProgramServices
Management And General3231590ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total261242Total
Program Services172542ProgramServices
Management And General88672ManagementAndGeneral
Fundraising28Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total353333Total
Program Services279438ProgramServices
Management And General73895ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5165163Total
Program Services3919615ProgramServices
Management And General1245175ManagementAndGeneral
Fundraising373Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16026474Total
Program Services12161786ProgramServices
Management And General3863531ManagementAndGeneral
Fundraising1157Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total553376Total
Management And General553376ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
UNCOMPENSATED SERVICES1402051214020512
PHYSICIAN PRACTICE SUBSID1255049712550497

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total296057137Total
Program Services247328096ProgramServices
Management And General48542101ManagementAndGeneral
Fundraising186940Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7619BOY
EOY7969EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8949513BOY
EOY1143255EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY282BOY
EOY504EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28296894BOY
EOY35255930EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY864028BOY
EOY845737EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1619391BOY
EOY1751624EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9337930BOY
EOY10715594EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis293892456LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec132636693LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY124707664BOY
EOY161255763EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY159119504BOY
EOY74902551EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY141730744BOY
EOY223686544EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2460932BOY
EOY2731724EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3201976BOY
EOY2927546EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY480296477BOY
EOY515224741EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27656432BOY
EOY37297475EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY160455106BOY
EOY157802042EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY11400000BOY
EOY10450000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY18129926BOY
EOY16110312EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY217641464BOY
EOY221659829EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY239340587BOY
EOY269854539EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11606172BOY
EOY11817681EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11708254BOY
EOY11892692EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY262655013BOY
EOY293564912EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY480296477BOY
EOY515224741EOY
FieldValueIRS element (for citing)
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance11708254BeginningOfYearBalance
Contributions3425Contributions
Investment Earnings Or Losses181013InvestmentEarningsOrLosses
End Of Year Balance11892692EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance11531535BeginningOfYearBalance
Contributions5164Contributions
Investment Earnings Or Losses171555InvestmentEarningsOrLosses
End Of Year Balance11708254EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
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 Basis1153467OtherCostOrOtherBasis
Book Value1153467BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis97754693OtherCostOrOtherBasis
Depreciation53392579Depreciation
Book Value44362114BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6240044OtherCostOrOtherBasis
Depreciation3973938Depreciation
Book Value2266106BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111199377OtherCostOrOtherBasis
Depreciation75270176Depreciation
Book Value35929201BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis77544875OtherCostOrOtherBasis
Book Value77544875BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings161255763TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value223686544BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities223686544TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSELF INSURANCE, DEF COMP, & ACC PENDescription
Amount$16,110,312Amount
FieldValueIRS element (for citing)
Total Of Amounts16110312TotalOfAmounts
Total Revenue310619284TotalRevenue
Total Expenses296057137TotalExpenses
Excess Or Deficit For Year14562147ExcessOrDeficitForYear
Net Unrealized GL On Investments16881091NetUnrealizedGLOnInvestments
Other-$533,339OtherAmount
Total Adjustments16347752TotalAdjustments
Excess Or Deficit Per FS30909899ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt328081548TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments16881091NetUnrealizedGainsInvestments
Other Revenues613666OtherRevenues
Revenue Not Rptd F99017494757RevenueNotRptdF990
Revenue Subtotal310586791RevenueSubtotal
Investment Expenses Not Included531036InvestmentExpensesNotIncluded
Other Revenues Not Included-498543OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt32493RevenueNotRptdOnFinStmt
Total Revenue Per Form990310619284TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt296938395TotExpensesEtcAuditedFinclStmt
Other Expenses Included1412294OtherExpensesIncluded
Expenses Not Rptd F9901412294ExpensesNotRptdF990
Expenses Subtotal295526101ExpensesSubtotal
Investment Expenses Not Included2531036InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt531036ExpensesNotRptdOnFinStmt
Total Expenses Per Form990296057137TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4HOSPITAL OPERATIONS SUPPORT 1,644,346 HOSPITAL CAPITAL SUPPORT 5,792,933 SCHOLARSHIP FUNDS 3,678,778 COMMUNITY SERVICE FUNDS 776,635 ---------- TOTAL 11,892,692
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8NET ASSETS RELEASED FROM RESTRICTIONS 913,751 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -300,085 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 498,543 NET ASSETS RELEASED FROM RESTRICTIONS -913,751 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -498,543
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 913,751 NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL -300,085
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BLOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -498,543
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 913,751 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 498,543

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 BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense1459641TotalCommunityBenefitExpense
Net Community Benefit Expense1459641NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense29568274TotalCommunityBenefitExpense
Direct Offsetting Revenue13842369DirectOffsettingRevenue
Net Community Benefit Expense15725905NetCommunityBenefitExpense
Percent Of Total Expense0.05310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense31027915TotalCommunityBenefitExpense
Direct Offsetting Revenue13842369DirectOffsettingRevenue
Net Community Benefit Expense17185546NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs2665NumberOfActivitiesOrPrograms
Persons Served229163PersonsServed
Total Community Benefit Expense927580TotalCommunityBenefitExpense
Direct Offsetting Revenue131839DirectOffsettingRevenue
Net Community Benefit Expense795741NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs56NumberOfActivitiesOrPrograms
Persons Served753PersonsServed
Total Community Benefit Expense4631263TotalCommunityBenefitExpense
Direct Offsetting Revenue1659701DirectOffsettingRevenue
Net Community Benefit Expense2971562NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Total Community Benefit Expense27188TotalCommunityBenefitExpense
Net Community Benefit Expense27188NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs332NumberOfActivitiesOrPrograms
Persons Served114017PersonsServed
Total Community Benefit Expense311124TotalCommunityBenefitExpense
Net Community Benefit Expense311124NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs3061NumberOfActivitiesOrPrograms
Persons Served343933PersonsServed
Total Community Benefit Expense5897155TotalCommunityBenefitExpense
Direct Offsetting Revenue1791540DirectOffsettingRevenue
Net Community Benefit Expense4105615NetCommunityBenefitExpense
Percent Of Total Expense0.01390PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs3063NumberOfActivitiesOrPrograms
Persons Served343933PersonsServed
Total Community Benefit Expense36925070TotalCommunityBenefitExpense
Direct Offsetting Revenue15633909DirectOffsettingRevenue
Net Community Benefit Expense21291161NetCommunityBenefitExpense
Percent Of Total Expense0.07190PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense3582TotalCommunityBuildingExpense
Net Community Building Expense3582NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Building Expense6505TotalCommunityBuildingExpense
Direct Offsetting Revenue3300DirectOffsettingRevenue
Net Community Building Expense3205NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense2617TotalCommunityBuildingExpense
Net Community Building Expense2617NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs8NumberOfActivitiesOrPrograms
Total Community Building Expense43478TotalCommunityBuildingExpense
Net Community Building Expense43478NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served17PersonsServed
Total Community Building Expense4205TotalCommunityBuildingExpense
Net Community Building Expense4205NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served17PersonsServed
Total Community Building Expense60387TotalCommunityBuildingExpense
Direct Offsetting Revenue3300DirectOffsettingRevenue
Net Community Building Expense57087NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,521,403BadDebtExpenseAmount
Amount Attributable To276408AmountAttributableTo
Amount Reimbursed By Medicare89657980AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare95213175CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5555195MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospital
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4005 ORCHARD DRMIDLANDMI48670XX
CENTER FOR WOMEN'S HEALTH
2600 MCCANDLESS DRMIDLANDMI48640
MIDMI MED OFFICES-CAMPUS RIDGE I
4401 CAMPUS RIDGE DRMIDLANDMI48640
MIDMI MED OFFICES-CAMPUS RIDGE II
4500 CAMPUS RIDGE DRMIDLANDMI48640
RIECKER SURGERY CENTER
4400 WELLNESS DRMIDLANDMI48640
MIDMICHIGAN MEDICAL OFFICES-MIDLAND
4009 ORCHARD DRMIDLANDMI48640
MIDLAND PROFESSIONAL SUITES
555 W WACKERLYMIDLANDMI48640
ORTHOPEDIC CLINIC BUILDING
7101 W WACKERLYMIDLANDMI48642
WEST WACKERLY BUILDING
2524 W WACKERLYMIDLANDMI48640
HANGTIME
1321 E WACKERLYMIDLANDMI48640
MIDMICHIGAN HEALTH PARK-MT PLEASANT
4851 E PICKARD STMT PLEASANTMI48858
MIDMICHIGAN MED OFFICES-FREELAND
5694 MIDLAND RDFREELANDMI48623
MIDMICHIGAN GRATIOT CANCER CENTER
315 WARWICK DRALMAMI48801
MIDMICHIGAN MEDICAL OFFICES-AUBURN
929 W MIDLAND RDAUBURNMI48611

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteOTHER 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 COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. 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: OUR COLLECTIONS AGENTS INACTIVATE ACCOUNTS WHEN THEY FIND THERE ARE NO ASSETS AND/OR NO EMPLOYMENT. THIS CRITERIA WAS USED TO ESTIMATE HOW MANY ACCOUNTS IN BAD DEBT MIGHT HAVE QUALIFIED FOR CHARITY CARE. OUR ORGANIZATION PROVIDES MEDICAL CARE TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THIS INCLUDES THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT CHOOSE NOT TO PARTICIPATE IN THE PROGRAM, AND THOSE WHO CHOOSE FOR ANY NUMBER OF OTHER REASONS NOT TO PAY. THESE PERSONS CAN BE SERVED REPEATEDLY WITHIN OUR SYSTEM AND ARE NEVER TURNED AWAY EVEN IF IT IS REASONABLY ASSURED THAT PAYMENT WILL NEVER BE RECEIVED.BadDebtFootnote
Shortfall As Community BenefitTHE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES 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 COST-TO-CHARGE RATIO METHOD. THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 26,402,263 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2010.ShortfallAsCommunityBenefit
Debt Collection PolicyMIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. MIDMICHIGAN HEALTH'S COLLECTION POLICY STATES THAT THE PURPOSE OF THE POLICY "IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE (PER FINANCIAL AID/CHARITY CARE POLICY) AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY." MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. ALL INTEREST FEES CHARGED DURING THIS TIME PERIOD ARE PAID BY MIDMICHIGAN HEALTH.DebtCollectionPolicy
Needs AssessmentMIDMICHIGAN MEDICAL CENTER-MIDLAND (MIDLAND) WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENTS 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 SYSTEM(BRFSS) 2006-2008 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 COUNTY AND REGIONAL DIABETES DATA; AMERICAN HEART ASSOCIATION (HEART AND OBESITY PREVENTION INFORMATION); NATIONAL CANCER INSTITUTE CANCER STUDIES; AND CDC FUNDED STATISTICS ON HIV/AIDS; LUNG CANCER; SEXUALLY TRANSMITTED DISEASES; NATIONAL CENTER FOR HEALTH STATISTICS-MENTAL 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 U.S. CENSUS BUREAU AND THE KAISER FAMILY FOUNDATION. WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS. FOR EXAMPLE, THROUGH MIDLAND COUNTY UNITED WAY A BRFS IS ACCOMPLISHED EVERY 6 YEARS. MIDMICHIGAN MEDICAL CENTER-MIDLAND PROVIDES 4,000 OF FUNDING FOR THIS NEEDS SURVEY. THE MIDMICHIGAN COMMUNITY ACTION AGENCY COMMUNITY NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS, AND INCLUDES CLARE, GLADWIN, AND MIDLAND COUNTIES (THIS SURVEY ADDRESSES HEALTH CARE COST, INCLUDING PRESCRIPTION MEDICATIONS, AFFORDABLE PREVENTATIVE HEALTH CARE, AND TRANSPORTATION TO SERVICES). ADDITIONALLY, THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT & IMPROVEMENT COMMITTEE OUTLINES HEALTH & HUMAN SERVICE NEEDS & PRIORITIES. (ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED: BASED UPON HIGHER THAN AVERAGE STROKE RATES, WE PROVIDE LOW-COST 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).NeedsAssessment
Patient Education AssistanceMIDMICHIGAN MEDICAL CENTER-MIDLAND COMMUNICATES TO PATIENTS AND THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST 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 FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS.PatientEducationAssistance
Community InformationMIDMICHIGAN MEDICAL CENTER-MIDLAND'S PRIMARY SERVICE AREA IS COMPRISED OF 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY, PLUS FREELAND AND AUBURN. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS THE ONLY HOSPITAL IN MIDLAND COUNTY. DEMOGRAPHICS -------------------------------------------------------------------------- 2010 % OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE -------------------------------------------------------------------------- 98,251 14.1% 70,470 37,970 39.7 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 93.4% 1.8% 0.4% 2.1% 2.3%CommunityInformation
Community Building ActivitiesMIDMICHIGAN MEDICAL CENTER-MIDLAND (MIDLAND) EMPLOYEES CONTRIBUTED 923 HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. MIDMICHIGAN MEDICAL CENTER-MIDLAND IS A KEY PARTNER WITH HEALTH AND HUMAN SERVICES COUNCIL IN MIDLAND, COLLABORATING AND COORDINATING SERVICES TO ALL CONSTITUENTS IN MIDLAND COUNTY AS WELL AS DEVELOPMENT AND SUPPORT OF THE 211 - FIRST CALL FOR HELP PROGRAM. EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND, THE HOMELESSNESS STUDY, BEHAVIORAL RISK FACTOR SURVEY (FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED), ACCESS TO CARE, AND SUBSTANCE ABUSE PREVENTION. MIDLAND IS REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS. THE COMMUNITY EDUCATION COORDINATOR FOR MIDLAND IS CO-CHAIR OF THE "HEALTHY CITIES" GROUP OF MIHIA. THE HEALTHY CITIES GROUP IS A COLLABORATION OF BUSINESS, COMMUNITY RECREATION, CITY GOVERNMENT, PUBLIC HEALTH AND PUBLIC SCHOOLS IN MIDLAND WHOSE GOAL IS TO PROVIDE ACCESSIBLE, AFFORDABLE EQUITY IN HEALTH AND EFFECTIVE PROGRAMS, SERVICES AND ENVIRONMENTAL SUPPORT TO IMPROVE INDIVIDUAL HEALTH STATUS, RESULTING IN OPTIMAL HEALTH OUTCOMES FOR ALL RESIDENTS.CommunityBuildingActivities
Other InformationOUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. MIDLAND PARTNERS WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES IN OUR SERVICE AREA TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. THERE ARE ACTIVE COMMUNITY MEMBER BOARDS WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS. WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, HHS, TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. THROUGH THE LOOK GOOD FEEL BETTER PROGRAM, CO-SPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY, WE OFFER SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS. MIDLAND PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNING/WALKING EVENTS. MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUN/WALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983. MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS. FITNESS OR EXERCISE RELATED EVENTS FROM MIDLAND REACHED MORE THAN 100 PEOPLE AT A COST OF OVER 12,000 IN THE CURRENT YEAR.OtherInformation
Affiliated Health Care System6.1 MILLION WAS PROVIDED BY MIDMICHIGAN HEALTH FOR COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES IN FISCAL 2010 THROUGH COMMUNITY EDUCATION PROGRAMS, FREE OR LOW COST HEALTH CARE SCREENINGS, HEALTH FAIRS AND PHYSICIAN/PROVIDER EXPERTISE. LOW-COST HEALTH FAIRS CLOSE TO HOME ARE MORE IMPORTANT THAN EVER WHEN TIMES GET TOUGH. THESE POPULAR EVENTS OFFER SCREENING FOR DIABETES, HIGH BLOOD PRESSURE, CHOLESTEROL, OSTEOPOROSIS AND OTHER HEALTH CONCERNS, ENABLING PHYSICIANS AND OTHER HEALTH PROVIDERS TO REACH CITIZENS BEFORE THEY BECOME PATIENTS. 125 HEALTH FAIRS HELD THROUGHOUT THE REGION DREW 11,444 PEOPLE LAST YEAR. MIDMICHIGAN HEALTH HAS A UNIQUE PARTNERSHIP WITH THE GREAT LAKES LOONS, A MINOR LEAGUE BASEBALL TEAM LOCATED IN MIDLAND, MI. PARTNERS SINCE THE TEAM BEGAN IN 2007, MIDMICHIGAN HEALTH SPONSORS A NUMBER OF HEALTH AND WELLNESS RELATED EVENTS AND ACTIVITIES THROUGHOUT THE SEASON INCLUDING OFFERING HEALTHY STADIUM MENU OPTIONS, GOOD FOR YOU LIFESTYLE EDUCATION AND HEALTH SCREENINGS AT SEVERAL LOONS GAMES LAST YEAR. THE TRAINING ROOM, A WEEKLY LOONS RADIO SHOW, WAS LAUNCHED IN 2008. THE SHOW FOCUSES ON THE LATEST ADVANCES IN MEDICAL SCIENCE AND SPORTS MEDICINE, TIPS TO IMPROVE HEALTH AND ATHLETIC PERFORMANCE, AND FEATURES INTERVIEWS WITH MEDICAL EXPERTS FROM MIDMICHIGAN. MORE THAN 110 MEN'S HEALTH TOPICS WERE EXPLORED BY AS MANY MIDMICHIGAN SPECIALISTS. EMPLOYEES OF GRATIOT MEDICAL CENTER SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE CHILDHOOD OBESITY PREVENTION INITIATIVE IN ALMA. GRATIOT MEDICAL CENTER HAS ALSO BEEN INVOLVED WITH THE MAPLE SYRUP RUN AND FESTIVAL SINCE 2000 AND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS. IN PARTNERSHIP WITH THE ALMA SCHOOLS INITIATIVE, GRATIOT MEDICAL CENTER PROVIDED INDOOR FITNESS TRAILS TO INCREASE ACTIVITY LEVELS OF STUDENTS AND ULTIMATELY PREVENT CHILDHOOD OBESITY. ADDITIONALLY, SCHOOL HEALTH FAIRS PROVIDED STUDENTS BLOOD SUGAR, CHOLESTEROL, BLOOD PRESSURE AND BODY MASS INDEX CHECKS, AND TAUGHT THE BENEFITS OF EXERCISE TO BUILD CARDIOVASCULAR AND MUSCLE STRENGTH. THESE COLLABORATIONS BETWEEN GRATIOT MEDICAL CENTER AND LOCAL SCHOOLS BENEFIT STUDENTS, PARENTS AND TEACHERS, RESULTING IN MEASURABLE IMPROVEMENT IN THE HEALTH STATUS OF OUR CHILDREN. 705 STUDENTS ATTENDED HEALTH FAIRS IN ALMA, ASHLEY, BRECKENRIDGE, SHEPHERD AND ST. LOUIS. PARTNERING ALSO ALLOWS US TO OFFER SPECIALIZED PROGRAMS TO TRADITIONALLY UNDER-SERVED GROUPS, E.G. CHILDREN'S MENTAL HEALTH. CAMP WARM HEARTS, A JOINT VENTURE BETWEEN MIDMICHIGAN HOME CARE AND HOSPICE OF HELPING HANDS, PROVIDES A WEEKEND WINTER CAMP FOR CHILDREN, 5 TO 15, WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. THE CAMP HAS HOSTED 214 CHILDREN ACROSS 12 COUNTIES THROUGHOUT THE MIDDLE OF MICHIGAN THROUGHOUT THE PAST FIVE YEARS.AffiliatedHealthCareSystem
Reports Filed With StatesMIReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (28 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
SCHOLARSHIPS-U OF PHOENIX44800
SCHOLARSHIPS-MIDMI CC810000
SCHOLARSHIPS-WALDEN UNIV11485
SCHOLARSHIPS-U OF TOLEDO13300
SCHOLARSHIPS-LAKESUPERIOR35400
SCHOLARSHIPS-CENTRAL MI U616800
SCHOLARSHIPS-KIRTLAND COM22500
SCHOLARSHIPS-ALBANY MED C13300
SCHOLARSHIPS-NWEST MI COL11300
SCHOLARSHIPS-U OF DETROIT12800
SCHOLARSHIPS-DELTA COLLEG22600
SCHOLARSHIPS-MI STATE UNI13300
SCHOLARSHIPS-ROSS MED EDU11200
SCHOLARSHIPS-LINCOLN MEM13200
SCHOLARSHIPS-IN WESLEYAN22900
SCHOLARSHIPS-INDIANA UNIV13300
SCHOLARSHIPS-INDEPENDENCE11200
SCHOLARSHIPS-UNIV OF NC12700
SCHOLARSHIPS-GONZAGA UNIV12800
SCHOLARSHIPS-FERRIS STATE2033500
SCHOLARSHIPS-GRAND VALLEY25600
SCHOLARSHIPS-MSU514500
SCHOLARSHIPS-OHIO STATE U12800
SCHOLARSHIPS-SVSU1631400
SCHOLARSHIPS- U OF M920900
SCHOLARSHIPS-WAYNE STATE39900
SCHOLARSHIPS-DAVENPORT U23400
SCHOLARSHIPS-WESTERN MI12700

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationTHE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS. ALL OF THE SCHOLARSHIPS REPORTED IN PART III ARE FOR STUDENTS PURSUING HEALTH CARE CAREERS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
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 (16 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
48275722500086123952615276771171
GREGORY ROGERS
335798148000290785773716915587528
J CHRISTOPHER HOUGH MD
28603035000114004088513063386378
LYDIA WATSON PINNEY MD
2071383867412261428914999276326
JAMES BICKNELL MD
13520215000484233692000160413
FRANCINE PADGETT
261834110000319874200717134462962
DONNA RAPP
25959410000024431860668137478228
KAREN CALKINS
19622868336114195874812319347050
WILLIAM DERY MD
2238753866732181078912357288906
DIANE NOLD
1947826500023483783816967316935
ADELBERTO ADAN
2033355000053593835515065312114
LOIS ROBERTSON
25986682511402493015734292757
JEFFERY HANOVER
24653282590971040613477280337
JEFFREY VOIGT
21472682514850266801803258884
KENDALL MORRIS
216417543081781191613706255647
RICHARD DUDZIK
22503282519343252711547271865

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ANOLD, VICE PRESIDENT, RECEIVED PAYMENT FOR COUNTRY CLUB DUES WHICH ARE INCLUDED IN TAXABLE WAGES.
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. THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO AND ALL OPERATING OFFICERS AND REVIEWED COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS APPROVED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS. BEGINNING IN FISCAL 2011 ALL COMPENSATION WILL BE APPROVED BY THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS.
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. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B REYNOLDS, ROGERS, BICKNELL, PADGETT, RAPP, AND ADAN ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2009. 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 (2 entries)

Business Name Line2IssuerName/BusinessNameLine2Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
MSHFA - 2006A
MICHIGAN STATE HOSPITAL FINANCING AU38288941759465HEB82006-11-0781240000CAPITAL PROJECTSfalsefalse
MSHFA - 2009A
38288941759465HLF12009-06-1785220000CAPITAL PROJECTSfalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
81240000716330805236702009falsefalsetruetrue
63817195174010562077089falsefalsefalsetrue21597077

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalse0.000900.00090true
falsefalsefalsefalsefalse0.000900.00090true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KRISTEN CALKINS
FAMILY MEMBER45213EMPLOYMENTfalse
MICHAEL ROGERS
FAMILY MEMBER46886EMPLOYMENTfalse
MIDLAND EMERGENCY ROOM CORPORATION
BUSINESS4599287FEES FOR SERVICESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICESFORM 990, PAGE 2, PART III, LINE 3MIDMICHIGAN MEDICAL CENTER - MIDLAND CLOSED THE INPATIENT REHAB UNIT ON JANUARY 6, 2010 DUE TO DECLINING VOLUMES. INPATIENT REHABILITATION SERVICES ARE STILL OFFERED THROUGH GRATIOT MEDICAL CENTER.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIESFORM 990, PART V, LINE 4BCAYMAN ISLANDS
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 11THE 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 SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE CORPORATE CONTROLLER AND THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 WILL BE REVIEWED BY THE AUDIT AND COMPENSATION COMMITTEES. FORMS WILL BE MADE AVAILABLE ON A SECURE WEBSITE WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE CORPORATE CONTROLLER OR SVP AND TREASURER. THE RESULTS OF ALL THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, 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. BEGINNING IN FISCAL 2011, THE SIGNED FORMS WILL BE REVIEWED BY THE NEWLY ESTABLISHED GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL CEO AND OPERATING OFFICER COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN TAKEN FOR APPROVAL AND IS ACCEPTED OR LOWERED 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.
CHANGE IN FINANCIAL REVIEW PROCESSFORM 990, PAGE 11, PART XI, LINE 2CTHE MIDMICHIGAN HEALTH CONSOLIDATED FINANCIAL STATEMENTS ARE REVIEWED BY THE MIDMICHIGAN HEALTH AUDIT COMMITTEE PRIOR TO ISSUANCE OF THE AUDIT REPORT.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART 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. FORM 990, PART VII, SECTION A - NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. 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. SCHEDULE K, PART IV, LINE 1 - ARBITRAGE CALCULATIONS WERE PERFORMED BY TAX COUNSEL AND FILED ON DAC. THE CALCULATIONS PROVED NO TAX WAS DUE AND THEREFORE RETURNS WERE NOT REQUIRED TO BE FILED. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.

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/BusinessNameLine1
MIDMICHIGAN HEALTH
4005 ORCHARD DRIVEMIDLANDMI48670382459948SUPPORTMI50111ANA
GRATIOT MEDICAL CENTER
300 E WARWICK DRALMAMI48801381437919HOSPITALMI5013MIDMI HLTH
MIDMICHIGAN MEDICAL CENTER-CLARE
703 NORTH MCEWAN STREETCLAREMI48617381518643HOSPITALMI5013MIDMI HLTH
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 QUARTER STREETGLADWINMI48624386020434HOSPITALMI5013MIDMI HLTH
MIDMICHIGAN STRATFORD VILLAGE
2121 ROCKWELL DRMIDLANDMI48642382623324LT CAREMI5019MIDMI HLTH
MIDMICHIGAN GLADWIN PINES
449 QUARTER STREETGLADWINMI48624382754875LT CAREMI5019MIDMI HLTH
MIDMI VNA DBA MIDMICHIGAN HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397HOME CAREMI5019MIDMI HLTH
MIDMICHIGAN PHYSICIANS GROUP
4005 ORCHARD DRIVEMIDLANDMI48670383317788MED OFFICEMI50111AMIDMI HLTH
MIDMICHIGAN REGIONAL IMAGING
2618 N SAGINAWMIDLANDMI48670352182295EQUIPMENTMI5019MIDMI HLTH
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI5019MIDMI HLTH
MIDMICHIGAN HEALTH DEV ASSOC
4005 ORCHARD DRIVEMIDLANDMI48670382459947OPERATIONSMI501MIDMI HLTH
REGIONAL DIALYSIS SERVICES
PO BOX 608ALMAMI48801383120704DIALYSISMI50111AMIDMI HLTH
MIDMI MED CENTER-MIDLAND VOLUNTEERS
4005 ORCHARD DRIVEMIDLANDMI48670061723993SUPPORTMI50111ANA

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 OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
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 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 OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MIDMICHIGAN HEALTH DEV ASSOC
B814785
MIDMICHIGAN PHYSICIANS GROUP
B1627792
GRATIOT MEDICAL CENTER
B333489
MIDMICHIGAN PHYSICIANS GROUP
C846206
MIDMICHIGAN REGIONAL IMAGING
G139377
GRATIOT MEDICAL CENTER
I72648
MIDMICHIGAN PHYSICIANS GROUP
I174175
MIDMICHIGAN REGIONAL IMAGING
J6724440
MIDMICHIGAN HEALTH DEV ASSOC
J1528324
MIDMICHIGAN MEDICAL CENTER-CLARE
O172247
MIDMICHIGAN HEALTH
O6818500
MIDMICHIGAN PHYSICIANS GROUP
O13046796
GRATIOT MEDICAL CENTER
P1465551
MIDMICHIGAN MEDICAL CENTER-CLARE
P2390023
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P1320900
MIDMICHIGAN HEALTH
P255780
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P427820
MIDMICHIGAN GLADWIN PINES
P112505
MIDMICHIGAN STRATFORD VILLAGE
P126838
MIDMICHIGAN REGIONAL IMAGING
P116899
MIDMICHIGAN PHYSICIANS GROUP
P1573124
MIDMICHIGAN HEALTH DEV ASSOC
P276851
MIDMICHIGAN URGENT CARE
P116337