﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-16T08:22:37-05:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ANDREWS HOOPER PAVLIK PLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>5300 GRATIOT RD</AddressLine1>
        <City>SAGINAW</City>
        <State>MI</State>
        <ZIPCode>486386035</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>383317788</EIN>
      <Name>
        <BusinessNameLine1>MIDMICHIGAN PHYSICIANS GROUP</BusinessNameLine1>
      </Name>
      <NameControl>MIDM</NameControl>
      <Phone>9898393301</Phone>
      <USAddress>
        <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
        <City>MIDLAND</City>
        <State>MI</State>
        <ZIPCode>48670</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ELIZABETH A MINBIOLE</Name>
      <Title>CORPORATE CONTROLLER</Title>
      <Phone>9898393301</Phone>
      <DateSigned>2011-05-12</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>LAURA M EBEL</Name>
      <Phone>9894975300</Phone>
      <DatePrepared>2011-05-12</DatePrepared>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc5">
      <NameOfPrincipalOfficerPerson>ADELBERTO ADAN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>4005 ORCHARD DR</AddressLine1>
        <City>MIDLAND</City>
        <State>MI</State>
        <ZIPCode>48670</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>48787907</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>WWW.MIDMICHIGAN.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1996</YearFormation>
      <StateLegalDomicile>MI</StateLegalDomicile>
      <ActivityOrMissionDescription>OUR 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>14</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>0</NbrIndependentVotingMembers>
      <TotalNbrEmployees>464</TotalNbrEmployees>
      <TotalNbrVolunteers>60</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>43016859</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>47544315</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1547</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>12453</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1043623</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1178935</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>44062029</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>48735703</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>30825193</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>35596972</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>12666957</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>12653591</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>43492150</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>48250563</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>569879</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>485140</RevenuesLessExpensesCY>
      <TotalAssetsBOY>9295067</TotalAssetsBOY>
      <TotalAssetsEOY>9064432</TotalAssetsEOY>
      <TotalLiabilitiesBOY>6846031</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>5686499</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>2449036</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3377933</NetAssetsOrFundBalancesEOY>
      <MissionDescription>OUR 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>40700616</Expense>
      <Revenue>47544315</Revenue>
      <Description>QUALITY HEALTH CARE SERVICES WERE PROVIDED TO CLARE, GLADWIN, MIDLAND, AND SURROUNDING COUNTIES WITHOUT REGARD TO PATIENTS ABILITY TO PAY. INPATIENT VISITS OF 39,271 AND OUTPATIENT VISITS OF 225,523 WERE RECORDED IN FISCAL YEAR 2010.</Description>
      <TotalProgramServiceExpense>40700616</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc2">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc2">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc2">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc2">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc2">false</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc2">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc2">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc2">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc4">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc6">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc6">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="RetDoc6">true</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc6">true</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc6">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>15</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>464</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>14</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>0</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>MI</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>ELIZABETH A MINBIOLE CONTROLLER</NamePerson>
        <TelephoneNumber>9898393301</TelephoneNumber>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD REYNOLDS</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>716369</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54802</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREGORY ROGERS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>512876</ReportableCompFromRelatedOrgs>
        <OtherCompensation>74652</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANCINE PADGETT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>403821</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59141</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRIAN RODGERS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>377725</ReportableCompFromRelatedOrgs>
        <OtherCompensation>71451</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J CHRISTOPHER HOUGH MD</NamePerson>
        <Title>MED DIRECTOR</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>332430</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53948</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS CLARINGBOLD DO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>327169</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23516</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN MAUGER MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>282837</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25054</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WILLIAM DERY MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>265760</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23146</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KERRY PIERCE MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>261675</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28584</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ADELBERTO ADAN</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>258694</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53420</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LARRY BARCO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>213948</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20447</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID JORDAHL MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>175735</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24210</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H WILLIAM BEEBE DO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>151453</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15305</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHEREE CLARK MD</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>116760</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>2891</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DONALD LYNCH</NamePerson>
        <Title>SEC/TREAS</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>110048</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7009</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GEORGE ZAINEA MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>712733</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17953</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN MURPHY DO</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>691218</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28057</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL WOLAK PHD MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>626968</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13136</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DENISE STADELMAIER DO</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>520246</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28896</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID RODEN MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>411212</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13146</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TRICIA SOMMER</NamePerson>
        <Title>FORMER CONTR</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>142671</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19043</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MELISSA MCAFEE</NamePerson>
        <Title>FORMER CONTR</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>118407</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16888</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4610436</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>3120319</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>639782</TotalOtherCompensation>
      <NumberIndividualsGT100K>70</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MEDICAL DIRECTOR ASSOCIATES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 277185</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN LOCUM</DescriptionOfServices>
        <Compensation>663470</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WEATHERBY LOCUMS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 972633</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75397</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN LOCUM</DescriptionOfServices>
        <Compensation>530819</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MISYS HEALTHCARE SYSTEMS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 751585</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>28275</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE SUPPOR</DescriptionOfServices>
        <Compensation>400813</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>VISTA STAFFING SOLUTIONS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>FILE 50834</AddressLine1>
            <City>LOS ANGELES</City>
            <State>CA</State>
            <ZIPCode>900740834</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN LOCUM</DescriptionOfServices>
        <Compensation>331249</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>COMPHEALTH MEDICAL STAFFING INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 972651</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75397</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN LOCUM</DescriptionOfServices>
        <Compensation>217490</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>20494650</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>20494650</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHYSICIAN SUBSIDY INCOME</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>15993162</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15993162</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICARE/MEDICAID PAYMENTS</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>10110545</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>10110545</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACTED CLINICAL SERVICES</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>945958</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>945958</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>47544315</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>25502</TotalRevenueColumn>
        <ExclusionAmount>25502</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>39155</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>37286</Securities>
        <Other>14918</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1869</Securities>
        <Other>-14918</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-13049</TotalRevenueColumn>
        <ExclusionAmount>-13049</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>AFFILIATE RELATED INCOME</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>967624</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>967624</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>211311</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>211311</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>1178935</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>48735703</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>48723250</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>12453</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1685847</Total>
        <ProgramServices>1685847</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>28465974</Total>
        <ProgramServices>24672273</ProgramServices>
        <ManagementAndGeneral>3793701</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1281678</Total>
        <ProgramServices>1017018</ProgramServices>
        <ManagementAndGeneral>264660</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2589893</Total>
        <ProgramServices>2167208</ProgramServices>
        <ManagementAndGeneral>422685</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1573580</Total>
        <ProgramServices>1300251</ProgramServices>
        <ManagementAndGeneral>273329</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>5774</Total>
        <ManagementAndGeneral>5774</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>140220</Total>
        <ManagementAndGeneral>140220</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>345</Total>
        <ManagementAndGeneral>345</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>3403322</Total>
        <ProgramServices>2706289</ProgramServices>
        <ManagementAndGeneral>697033</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>151308</Total>
        <ProgramServices>12358</ProgramServices>
        <ManagementAndGeneral>138950</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2840457</Total>
        <ProgramServices>2540959</ProgramServices>
        <ManagementAndGeneral>299498</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1145100</Total>
        <ProgramServices>12508</ProgramServices>
        <ManagementAndGeneral>1132592</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>2683137</Total>
        <ProgramServices>2513715</ProgramServices>
        <ManagementAndGeneral>169422</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>81310</Total>
        <ProgramServices>61741</ProgramServices>
        <ManagementAndGeneral>19569</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>230878</Total>
        <ProgramServices>185739</ProgramServices>
        <ManagementAndGeneral>45139</ManagementAndGeneral>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>288560</Total>
        <ProgramServices>221493</ProgramServices>
        <ManagementAndGeneral>67067</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>386858</Total>
        <ProgramServices>318951</ProgramServices>
        <ManagementAndGeneral>67907</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>UNCOMPENSATED CARE</Description>
        <Total>1187306</Total>
        <ProgramServices>1187306</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ASSOCIATION DUES</Description>
        <Total>64211</Total>
        <ProgramServices>54818</ProgramServices>
        <ManagementAndGeneral>9393</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>LICENSES &amp; PERMITS</Description>
        <Total>42392</Total>
        <ProgramServices>42142</ProgramServices>
        <ManagementAndGeneral>250</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>2413</Total>
        <ManagementAndGeneral>2413</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>48250563</Total>
        <ProgramServices>40700616</ProgramServices>
        <ManagementAndGeneral>7549947</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3445</BOY>
        <EOY>3830</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>3135706</BOY>
        <EOY>2393520</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>2163611</BOY>
        <EOY>3694806</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>253824</BOY>
        <EOY>252816</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>5530151</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2810691</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1227711</BOY>
        <EOY>2719460</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>2256152</BOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>134981</BOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>119637</BOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>9295067</BOY>
        <EOY>9064432</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4468988</BOY>
        <EOY>5686499</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>2377043</BOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>6846031</BOY>
        <EOY>5686499</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2449036</BOY>
        <EOY>3377933</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2449036</BOY>
        <EOY>3377933</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>9295067</BOY>
        <EOY>9064432</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </Name>
        <EIN>380833014</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>3</TotalNumberOfSupportedOrgs>
      <GeneralExplanation>SCHEDULE A, PART 1, LINE 11H MIDMICHIGAN PHYSICIANS GROUP SPECIFICALLY RECRUITS AND EMPLOYS PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS TO SUPPORT THE HEALTH CARE MISSION OF THE MEDICAL CENTERS LISTED IN PART I, LINE 11H.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Buildings>
        <OtherCostOrOtherBasis>9254</OtherCostOrOtherBasis>
        <Depreciation>5643</Depreciation>
        <BookValue>3611</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>253936</OtherCostOrOtherBasis>
        <Depreciation>120070</Depreciation>
        <BookValue>133866</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>4625454</OtherCostOrOtherBasis>
        <Depreciation>2684978</Depreciation>
        <BookValue>1940476</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>641507</OtherCostOrOtherBasis>
        <BookValue>641507</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>2719460</TotalOfBookValueLandBuildings>
      <TotalRevenue>48735703</TotalRevenue>
      <TotalExpenses>48250563</TotalExpenses>
      <ExcessOrDeficitForYear>485140</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>24830</NetUnrealizedGLOnInvestments>
      <OtherAmount>418927</OtherAmount>
      <TotalAdjustments>443757</TotalAdjustments>
      <ExcessOrDeficitPerFS>928897</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>48775106</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>24830</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>24830</RevenueNotRptdF990>
      <RevenueSubtotal>48750276</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>345</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-14918</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-14573</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>48735703</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>48265136</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>14918</OtherExpensesIncluded>
      <ExpensesNotRptdF990>14918</ExpensesNotRptdF990>
      <ExpensesSubtotal>48250218</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>345</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>345</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>48250563</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGES - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XI, LINE 8</ReturnReference>
        <Explanation>LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 14,918 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -14,918</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>REVENUE AMOUNTS INCLUDED ON RETURN - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XII, LINE 4B</ReturnReference>
        <Explanation>LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -14,918</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XIII, LINE 2D</ReturnReference>
        <Explanation>LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 14,918</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD REYNOLDS</NamePerson>
        <CompBasedOnRelatedOrgs>482757</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>225000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>8612</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>39526</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15276</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>771171</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY ROGERS</NamePerson>
        <CompBasedOnRelatedOrgs>335798</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>148000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>29078</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>57737</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16915</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>587528</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRANCINE PADGETT</NamePerson>
        <CompBasedOnRelatedOrgs>261834</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>110000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>31987</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>42007</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>17134</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>462962</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRIAN RODGERS</NamePerson>
        <CompBasedOnRelatedOrgs>259670</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>110000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>8055</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>59965</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>11486</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>449176</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>J CHRISTOPHER HOUGH MD</NamePerson>
        <BaseCompensationFilingOrg>286030</BaseCompensationFilingOrg>
        <BonusFilingOrg>35000</BonusFilingOrg>
        <OtherCompensationFilingOrg>11400</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>40885</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13063</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>386378</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS CLARINGBOLD DO</NamePerson>
        <BaseCompensationFilingOrg>261871</BaseCompensationFilingOrg>
        <BonusFilingOrg>64758</BonusFilingOrg>
        <OtherCompensationFilingOrg>540</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9527</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13989</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>350685</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN MAUGER MD</NamePerson>
        <BaseCompensationFilingOrg>167585</BaseCompensationFilingOrg>
        <BonusFilingOrg>114737</BonusFilingOrg>
        <OtherCompensationFilingOrg>515</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10020</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15034</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>307891</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM DERY MD</NamePerson>
        <CompBasedOnRelatedOrgs>223875</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>38667</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>3218</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10789</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>12357</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>288906</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KERRY PIERCE MD</NamePerson>
        <BaseCompensationFilingOrg>170782</BaseCompensationFilingOrg>
        <BonusFilingOrg>89667</BonusFilingOrg>
        <OtherCompensationFilingOrg>1226</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>11176</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17408</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>290259</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ADELBERTO ADAN</NamePerson>
        <CompBasedOnRelatedOrgs>203335</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>50000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>5359</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>38355</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15065</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>312114</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LARRY BARCO</NamePerson>
        <CompBasedOnRelatedOrgs>191356</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>22592</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>5304</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>15143</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>234395</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID JORDAHL MD</NamePerson>
        <BaseCompensationFilingOrg>132149</BaseCompensationFilingOrg>
        <BonusFilingOrg>43234</BonusFilingOrg>
        <OtherCompensationFilingOrg>352</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5274</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18936</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>199945</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>H WILLIAM BEEBE DO</NamePerson>
        <BaseCompensationFilingOrg>128784</BaseCompensationFilingOrg>
        <BonusFilingOrg>20472</BonusFilingOrg>
        <OtherCompensationFilingOrg>2197</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5180</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>10125</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>166758</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GEORGE ZAINEA MD</NamePerson>
        <BaseCompensationFilingOrg>451624</BaseCompensationFilingOrg>
        <BonusFilingOrg>245430</BonusFilingOrg>
        <OtherCompensationFilingOrg>15679</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17943</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>730686</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN MURPHY DO</NamePerson>
        <BaseCompensationFilingOrg>398136</BaseCompensationFilingOrg>
        <BonusFilingOrg>292221</BonusFilingOrg>
        <OtherCompensationFilingOrg>861</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>7727</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20330</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>719275</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL WOLAK PHD MD</NamePerson>
        <BaseCompensationFilingOrg>619931</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>7037</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13126</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>640104</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DENISE STADELMAIER DO</NamePerson>
        <BaseCompensationFilingOrg>399336</BaseCompensationFilingOrg>
        <BonusFilingOrg>120319</BonusFilingOrg>
        <OtherCompensationFilingOrg>591</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10080</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18816</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>549142</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID RODEN MD</NamePerson>
        <BaseCompensationFilingOrg>309118</BaseCompensationFilingOrg>
        <BonusFilingOrg>93054</BonusFilingOrg>
        <OtherCompensationFilingOrg>9040</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>10</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13136</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>424358</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TRICIA SOMMER</NamePerson>
        <CompBasedOnRelatedOrgs>118168</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>24000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>503</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10481</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>8562</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>161714</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MELISSA MCAFEE</NamePerson>
        <CompBasedOnRelatedOrgs>102954</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>15000</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>453</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>7849</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>9039</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>135295</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-FIXED PAYMENTS PROVIDED</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 7</ReturnReference>
        <Explanation>MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES, PHYSICIANS AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE, PRIMARILY IN THE MIDWEST AND REGIONALLY. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. FOR PHYSICIANS, THIRD PARTY MARKET DATA, E.G. MGMA MEDIANS AND PRODUCTIVITY FACTORS ARE ALSO USED TO DETERMINE COMPARABILITY. PART I, LINE 4B - REYNOLDS, ROGERS, PADGETT, RODGERS 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>OUR 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 PROVIDE ACCESS TO A COMPREHENSIVE, REGIONAL NETWORK OF PHYSICIANS AND MID-LEVEL PROVIDERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CLASSES OF MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ELECTION OF MEMBERS AND THEIR RIGHTS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DECISIONS SUBJECT TO APPROVAL OF MEMBERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 7B</ReturnReference>
        <Explanation>THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>THE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>ALL 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>ALL OFFICERS AND KEY EMPLOYEE COMPENSATION (INCLUDING PHYSICIANS) IS REVIEWED ANNUALLY BY THE INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGE IN FINANCIAL REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PAGE 11, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE MIDMICHIGAN HEALTH CONSOLIDATED FINANCIAL STATEMENTS ARE REVIEWED BY THE MIDMICHIGAN HEALTH AUDIT COMMITTEE PRIOR TO ISSUANCE OF THE AUDIT REPORT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE O</ReturnReference>
        <Explanation>FORM 990, PART I, LINES 3 &amp; 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. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>382459948</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>380833014</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GRATIOT MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 E WARWICK DR</AddressLine1>
          <City>ALMA</City>
          <State>MI</State>
          <ZIPCode>48801</ZIPCode>
        </AddressUS>
        <EIN>381437919</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>703 NORTH MCEWAN STREET</AddressLine1>
          <City>CLARE</City>
          <State>MI</State>
          <ZIPCode>48617</ZIPCode>
        </AddressUS>
        <EIN>381518643</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-GLADWIN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>515 QUARTER STREET</AddressLine1>
          <City>GLADWIN</City>
          <State>MI</State>
          <ZIPCode>48624</ZIPCode>
        </AddressUS>
        <EIN>386020434</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN STRATFORD VILLAGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2121 ROCKWELL DR</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48642</ZIPCode>
        </AddressUS>
        <EIN>382623324</EIN>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN GLADWIN PINES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>449 QUARTER STREET</AddressLine1>
          <City>GLADWIN</City>
          <State>MI</State>
          <ZIPCode>48624</ZIPCode>
        </AddressUS>
        <EIN>382754875</EIN>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMI VNA DBA MIDMICHIGAN HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3007 N SAGINAW RD</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EIN>381459397</EIN>
        <PrimaryActivities>HOME EQUIP</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN REGIONAL IMAGING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2618 N SAGINAW</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>352182295</EIN>
        <PrimaryActivities>EQUIPMENT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN URGENT CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3009 N SAGINAW RD</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48640</ZIPCode>
        </AddressUS>
        <EIN>205064848</EIN>
        <PrimaryActivities>AMBULATORY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDMICHIGAN HEALTH DEV ASSOC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4005 ORCHARD DRIVE</AddressLine1>
          <City>MIDLAND</City>
          <State>MI</State>
          <ZIPCode>48670</ZIPCode>
        </AddressUS>
        <EIN>382459947</EIN>
        <PrimaryActivities>OPERATIONS</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>REGIONAL DIALYSIS SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 188</AddressLine1>
          <City>ALMA</City>
          <State>MI</State>
          <ZIPCode>48801</ZIPCode>
        </AddressUS>
        <EIN>383120704</EIN>
        <PrimaryActivities>DIALYSIS</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MIDMICHIGAN ASSURANCE GROUP LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 23 LIME TREE BAY AVENUE</AddressLine1>
          <AddressLine2>GOVERNORS SQUARE BLDG 4 2ND FLOOR</AddressLine2>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980585596</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>MIDMI HLTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>true</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>846206</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>302216</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-GLADWIN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>60443</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1627792</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>174175</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN HEALTH DEV ASSOC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>2326083</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1573124</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>75057</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN HEALTH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>401135</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-MIDLAND</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>13046796</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>GRATIOT MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>181540</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-CLARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>2785694</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN MEDICAL CENTER-GLADWIN</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>743471</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDMICHIGAN REGIONAL IMAGING</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>106832</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>