STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MYMICHIGAN HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN HEALTH (EIN 38-2459948)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201141369349300149
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)
EIN382459948EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN HEALTHBusinessNameLine1
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 PersonRICHARD REYNOLDSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14005 ORCHARD DRAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts70078647GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
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.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees87TotalNbrEmployees
Total Nbr Volunteers203TotalNbrVolunteers
Total Gross UBI-44412TotalGrossUBI
Net Unrelated Business Txbl Income-44412NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11457351ProgramServiceRevenuePriorYear
Program Service Revenue CY12029212ProgramServiceRevenueCY
Investment Income Prior Year-21177845InvestmentIncomePriorYear
Investment Income Current Year43683518InvestmentIncomeCurrentYear
Other Revenue Prior Year69164OtherRevenuePriorYear
Other Revenue Current Year104080OtherRevenueCurrentYear
Total Revenue Prior Year-9651330TotalRevenuePriorYear
Total Revenue Current Year55816810TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6116714SalariesEtcPriorYear
Salaries Etc Current Year6658129SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5718487OtherExpensePriorYear
Other Expenses Current Year6187444OtherExpensesCurrentYear
Total Expenses Prior Year11835201TotalExpensesPriorYear
Total Expenses Current Year12845573TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-21486531RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42971237RevenuesLessExpensesCY
Total Assets BOY487949571TotalAssetsBOY
Total Assets EOY537400159TotalAssetsEOY
Total Liabilities BOY73709352TotalLiabilitiesBOY
Total Liabilities EOY91548631TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY414240219NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY445851528NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8850118Expense
Revenue12073624Revenue
DescriptionTHE HOLDING COMPANY PROVIDES MANAGERIAL ASSISTANCE TO OUR VARIOUS AFFILIATES IN ORDER TO IMPROVE THE QUALITY OF CARE AND PROVIDE SERVICES AT THE LOWEST POSSIBLE COST. EXPERTISE AT THE HOLDING COMPANY LEVEL INCLUDES STRATEGIC PLANNING, TREASURY, INFORMATION RESOURCES, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, MATERIALS MANAGEMENT, AND RISK MANAGEMENT.Description
Total Program Service Expense8850118TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees87NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name 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 (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD REYNOLDS
PRESIDENT50.00XX716369054802
DANIEL SORENSON MD
DIRECTOR2.00X213910023820
JEFFERY ALLEN MD
DIRECTOR2.00X0410750
ERIC BLACKHURST
VICE CHAIR2.00X000
JOAN DAVID
DIRECTOR2.00X000
NANCY GALLAGHER
DIRECTOR2.00X000
LORI GWIZDALA
DIRECTOR2.00X000
WILLIAM HEINZE
DIRECTOR2.00X000
WILLIAM HENDERSON
CHAIR2.00X000
KAREN LANGELAND
DIRECTOR2.00X000
MARY NEELY
DIRECTOR2.00X000
ED ROGERS
DIRECTOR2.00X000
WILLIAM SCHMIDT
DIRECTOR2.00X000
CARL SCHWIND
DIRECTOR2.00X000
ROBERT STAFFORD
DIRECTOR2.00X000
RON VERCH
DIRECTOR2.00X000
LYNN WEIMER
DIRECTOR2.00X000
GREGORY ROGERS
EXECUTIVE VP50.00X512876074652
FRANCINE PADGETT
TREASURER50.00X403821059141
DONNA RAPP
SECRETARY50.00X384025094203
BRIAN RODGERS
SENIOR VP50.00X377725071451
LYNN BRUCHHOF
VP HR50.00301947014585X
THOMAS LIND
VP50.002647002181229996X
SCOTT CURRIE
VP50.00252758010003X
HARLAN GOODRICH
VP50.00247138039270X
CHANDRA MORSE
VP50.00210379023123X
JEFFREY WAGNER
VP50.00208412034077X
TERENCE MOORE
FORMER PRESI10000000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4194060TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs62887TotalReportableCompFrmRltdOrgs
Total Other Compensation515398TotalOtherCompensation
Number Individuals GT100 K30NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE & TOUCHE LLP
4205 COLLECTION CENTER DRCHICAGOIL60693AUDIT258000
M JENNINGS CONSULTING
70 BARR RDMALVERNPA19355CONSULTING237935
SULLIVAN COTTER & ASSOC
3011 W GRAND BLVD SUITE 2800DETROITMI48202CONSULTING207589
ROCKY BAY COMMUNICATIONS
5118 HIGHRIDGE CTMIDLANDMI48640CONSULTING171208
PROFESSIONAL RESEARCH CONSULTANTS
11326 P STOMAHANE68137CONSULTING156937
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
SUBSIDIARY RELATED INCOME5610001207362412073624
512(B)(17) INCOME524126-44412-44412
FieldValueIRS element (for citing)
Total Program Service Revenue12029212TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column42983197TotalRevenueColumn
Related Or Exempt Function Income41831038RelatedOrExemptFunctionIncome
Exclusion$1,152,159ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14713721Securities
Other248437Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities14011619Securities
Other250218Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities702102Securities
Other-1781Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column700321TotalRevenueColumn
Exclusion$700,321ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER90009980080$80,080
MANAGEMENT FEES9000992400024000
FieldValueIRS element (for citing)
Total Other Revenue104080TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55816810TotalRevenueColumn
Related Or Exempt Function Income53928662RelatedOrExemptFunctionIncome
Unrelated Business Revenue-44412UnrelatedBusinessRevenue
Exclusion$1,932,560ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2975828Total
Program Services1487914ProgramServices
Management And General1487914ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2788797Total
Program Services2143570ProgramServices
Management And General645227ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total239480Total
Program Services179610ProgramServices
Management And General59870ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total398607Total
Program Services298955ProgramServices
Management And General99652ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total255417Total
Program Services191563ProgramServices
Management And General63854ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total270848Total
Management And General270848ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61543Total
Program Services46157ProgramServices
Management And General15386ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total42680Total
Program Services42680ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total120927Total
Management And General120927ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1794591Total
Program Services1474765ProgramServices
Management And General319826ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3301068Total
Program Services2640854ProgramServices
Management And General660214ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total151500Total
Program Services115698ProgramServices
Management And General35802ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total75583Total
Program Services60162ProgramServices
Management And General15421ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total181035Total
Program Services135776ProgramServices
Management And General45259ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total67494Total
Program Services32414ProgramServices
Management And General35080ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total62075Total
Management And General62075ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total48091Total
Management And General48091ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10009Total
Management And General10009ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12845573Total
Program Services8850118ProgramServices
Management And General3995455ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1056043BOY
EOY207557EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8884792BOY
EOY11887887EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis389699LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec193772LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY132825BOY
EOY195927EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY24349675BOY
EOY23384801EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY38005938BOY
EOY48854729EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY415038008BOY
EOY451943878EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY482290BOY
EOY925380EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY487949571BOY
EOY537400159EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9026543BOY
EOY12394540EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY64682809BOY
EOY79154091EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73709352BOY
EOY91548631EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY414220860BOY
EOY445833169EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19359BOY
EOY18359EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY414240219BOY
EOY445851528EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY487949571BOY
EOY537400159EOY
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDMICHIGAN MEDICAL CENTER - MIDLANDBusinessNameLine1
FieldValueIRS element (for citing)
EIN380833014EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs
General ExplanationTHE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE AS FOLLOWS: (1) TO OWN, OPERATE, ACQUIRE, ESTABLISH, SPONSOR, DEVELOP AND MAINTAIN HOSPITALS, HEALTH CARE RELATED FACILITIES, HEALTH PROMOTION AND EDUCATION PROGRAMS, AND OTHER ACTIVITES DESIGNED TO PROVIDE FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND TO FURTHER THE GENERAL HEALTH AND WELL BEING OF THE PUBLIC WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ECONOMIC CONDITION. (2) TO DEVELOP AND IMPLEMENT MANAGEMENT SYSTEMS AND POLICIES WHICH WILL CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES. (3) TO CARRY OUT AND CONDUCT THE HEREIN STATED PURPOSES AND ACTIVITIES DIRECTLY OR THROUGH ONE OR MORE SUBSIDIARY ORGANIZATIONS OR JOINTLY IN CONJUNCTION WITH ONE OR MORE OTHER ORGANIZATIONS ENGAGED IN HEALTH CARE ACTIVITIES FOR MEMBERS OF THE PUBLIC.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$42,680DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB42680TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationMIDMICHIGAN HEALTH CONTRACTS WITH KHEDER & ASSOCIATES AND FREDRICK GROUP TO MONITOR HEALTHCARE LEGISLATION AND EVALUATE THE POTENTIAL IMPACT OF THE LEGISLATION ON OUR HEALTH SYSTEM.Explanation

Schedule D IRS990ScheduleD

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1976OtherCostOrOtherBasis
Depreciation672Depreciation
Book Value1304BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis30548OtherCostOrOtherBasis
Depreciation25037Depreciation
Book Value5511BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis254675OtherCostOrOtherBasis
Depreciation168063Depreciation
Book Value86612BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis102500OtherCostOrOtherBasis
Book Value102500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings195927TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value48854729BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities48854729TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (15 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MIDMICHIGAN MEDICAL CENTER-MIDLAND293564912C
GRATIOT MEDICAL CENTER62390594C
MIDMICHIGAN MEDICAL CENTER-CLARE24009376C
MIDMICHIGAN MEDICAL CENTER-GLADWIN23105930C
MIDMICHIGAN HEALTH DEVELOPMENT ASSOC18388742C
MIDMICHIGAN VISITING NURSE ASSOC12563921C
MIDMICHIGAN REGIONAL IMAGING3828582C
MIDMICHIGAN PHYSICIANS GROUP3377933C
MIDMICHIGAN GLADWIN PINES3035969C
MIDMICHIGAN STRATFORD VILLAGE3006875C
REGIONAL DIALYSIS SERVICES2140622C
MIDMICHIGAN HEALTH NETWORK1121414C
MIDMICHIGAN URGENT CARE889052C
THUMB AREA DIALYSIS399956C
MIDMICHIGAN ASSURANCE GROUP120000C
FieldValueIRS element (for citing)
Total Of Book Value Program Related451943878TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION/RETIREMENT BENEFITS$59,783,873
DEFERRED COMP, SELF INS, OTHER$19,370,218
FieldValueIRS element (for citing)
Total Of Amounts79154091TotalOfAmounts
Total Revenue55816810TotalRevenue
Total Expenses12845573TotalExpenses
Excess Or Deficit For Year42971237ExcessOrDeficitForYear
Net Unrealized GL On Investments4493592NetUnrealizedGLOnInvestments
Other-$15,853,520OtherAmount
Total Adjustments-11359928TotalAdjustments
Excess Or Deficit Per FS31611309ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17944959TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4493592NetUnrealizedGainsInvestments
Other Revenues45412OtherRevenues
Revenue Not Rptd F9904539004RevenueNotRptdF990
Revenue Subtotal13405955RevenueSubtotal
Investment Expenses Not Included120927InvestmentExpensesNotIncluded
Other Revenues Not Included42289928OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt42410855RevenueNotRptdOnFinStmt
Total Revenue Per Form99055816810TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11880151TotExpensesEtcAuditedFinclStmt
Other Expenses Included-844495OtherExpensesIncluded
Expenses Not Rptd F990-844495ExpensesNotRptdF990
Expenses Subtotal12724646ExpensesSubtotal
Investment Expenses Not Included2120927InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt120927ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012845573TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8NET ASSETS RELEASED FROM RESTRICTIONS 1,000 RECLASSED AFFILIATE EXPENSE -847,276 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 1,781 INCOME FROM CONSOLIDATED SUBSIDIARIES -41,444,433 NET ASSETS RELEASED FROM RESTRICTIONS -1,000 RECLASSED AFFILIATE EXPENSE 847,276 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -1,781
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 1,000
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BRECLASSED AFFILIATE EXPENSE 847,276 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -1,781 INCOME FROM CONSOLIDATED SUBSIDIARIES 41,444,433
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS 1,000 RECLASSED AFFILIATE EXPENSE -847,276 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 1,781

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 PaymenttrueSeverancePayment
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 (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
RICHARD REYNOLDS
48275722500086123952615276771171
DANIEL SORENSON MD
180910330001185911961237730
GREGORY ROGERS
335798148000290785773716915587528
FRANCINE PADGETT
261834110000319874200717134462962
DONNA RAPP
25959410000024431860668137478228
BRIAN RODGERS
25967011000080555996511486449176
LYNN BRUCHHOF
2212317000010716104134172316532
THOMAS LIND
10044116425920710731429272421523289445152723784
SCOTT CURRIE
182021600001073758784125262761
HARLAN GOODRICH
2057263000011412322417029286408
CHANDRA MORSE
163563450001816196623461233502
JEFFREY WAGNER
1543014500091111678517292242489
TERENCE MOORE
100000100000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE OR EXPENSE EXPLANATIONSCHEDULE J, PAGE 1, PART I, LINE 1ATHE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. - LYNN BRUCHHOF, VP HUMAN RESOURCES - DONNA RAPP, SECRETARY - RICHARD REYNOLDS, PRESIDENT - GREGORY ROGERS, EXECUTIVE VICE PRESIDENT - BRIAN RODGERS, SENIOR VICE PRESIDENT
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4THOMAS LIND 150,000 0 0
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, PADGETT, RAPP, RODGERS AND BRUCHHOF 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 O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIESFORM 990, PART V, LINE 4BCAYMAN ISLANDS, OTHER COUNTRY
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE MEMBERS OF THE CORPORATION SHALL BE AT LEAST 115 NATURAL PERSONS, THE MAJORITY OF WHOM SHALL RESIDE IN MIDLAND COUNTY, MICHIGAN. MEMBERS OF THE CORPORATION SHALL BE DRAWN FROM THE BROAD CROSS SECTION OF THE CITIZENS OF THE COMMUNITIES SERVED BY THE CORPORATION AND ITS AUXILIARY SERVICES AND SUBSIDIARY INSTITUTIONS WITH PARTICULAR EMPHASIS BEING GIVEN TO THOSE INDIVIDUALS WHO HAVE DEMONSTRATED POSITIVE AND CONSTRUCTIVE INTEREST IN THE PURPOSES OF THE CORPORATION AS EXPRESSED IN THE ARTICLES OF INCORPORATION AND BYLAWS AND IN THE PROMOTION OF HEALTH CARE IN THE COMMUNITIES SERVED BY THE CORPORATION. FINAL CORPORATE AUTHORITY NECESSARY OR INCIDENTAL TO THE ADMINISTRATION OF ANY OF THE PURPOSES OF THE CORPORATION SHALL BE VESTED IN THE MEMBERS OF THE CORPORATION, EXCEPT WHERE DELEGATED TO THE BOARD OF DIRECTORS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AAT LEAST 60 DAYS PRIOR TO THE ANNUAL MEETING, THE CHAIRMAN OF THE BOARD OF DIRECTORS WILL APPOINT A NOMINATING COMMITTEE COMPRISED OF AT LEAST TWO MEMBERS OF THE BOARD OF DIRECTORS AND THREE MEMBERS OF THE CORPORATION AT LARGE. THE NOMINATING COMMITTEE SHALL PREPARE A LIST OF NOMINEES FOR ELECTION TO THE BOARD OF DIRECTORS AND SUBMIT THE LIST TO THE MEMBERS AT THE ANNUAL MEETING. THE NOMINATING COMMITTEE SHALL ALSO, AT THE DIRECTION OF THE BOARD, RECOMMEND TO THE MEMBERS OF THE CORPORATION AT THE ANNUAL MEETING, ANY INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS, EX OFFICIO OR NON-EX OFFICIO, TOGETHER WITH A LIST OF NOMINEES FOR THE ADDITIONAL DIRECTORS, IF AN INCREASE IS RECOMMENDED. THE MEMBERS OF THE CORPORATION, AT THE SAME ANNUAL MEETING, SHALL VOTE ON THE RECOMMENDED INCREASE OR DECREASE IN DIRECTORS AND ON THE LIST OF NOMINEES FOR SUCH NEW DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BONE OF THE PURPOSES OF THE ANNUAL MEETING OF THE CORPORATION SHALL BE THE ELECTION OF A BOARD OF DIRECTORS. THE AMENDMENT OF ARTICLES OF INCORPORATION AND BYLAWS SHALL BE BY A MAJORITY VOTE OF ALL MEMBERS PRESENT AT ANY REGULAR OR SPECIAL MEETING. ALL OTHER BASIC CORPORATE CHANGE MATTERS, INCLUDING BUT NOT LIMITED TO ESTABLISHMENT, MERGER, CONSOLIDATION, ACQUISITION, AFFILIATION, DISSOLUTION, OR TERMINATION OF ANY OF THE CORPORATION'S HEALTH CARE FACILITIES, SHALL ALSO REQUIRE A MAJORITY VOTE OF ALL MEMBERS OF THE CORPORATION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE 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 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 BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL OFFICERS AND KEY EMPLOYEE COMPENSATION 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 1, 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 VI, LINE 2 THE FOLLOWING OFFICERS AND DIRECTORS HAVE BUSINESS RELATIONSHIPS THROUGH ANOTHER FOR-PROFIT ENTITY DUE TO THE SMALL SIZE AND LIMITED RESOURCES OF OUR COMMUNITY: JEFFERY ALLEN, MD AND DANIEL SORENSON, MD; ERIC BLACKHURST, RICHARD REYNOLDS, AND WILLIAM SCHMIDT; LORI GWIZDALA AND ROBERT STAFFORD. 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 ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4005 ORCHARD DRIVEMIDLANDMI48670380833014HOSPITALMI5013MIDMI HLTH
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 RDMIDLANDMI48640381459397CARE/EQUIPMI5019MIDMI 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 188ALMAMI48801383120704DIALYSISMI50111AMIDMI HLTH

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVEAddressLine1
Address Line2GOVERNORS SQUARE 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
Share Of Total Income100ShareOfTotalIncome
Share Of EOY Assets100ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O255780
MIDMICHIGAN MEDICAL CENTER-MIDLAND
P6818500
GRATIOT MEDICAL CENTER
P1824575
MIDMICHIGAN MEDICAL CENTER-CLARE
P760956
MIDMICHIGAN MEDICAL CENTER-GLADWIN
P466435
MIDMI VNA DBA MIDMICHIGAN HOME CARE
P172524
MIDMICHIGAN GLADWIN PINES
P62928
MIDMICHIGAN STRATFORD VILLAGE
P62928
MIDMICHIGAN REGIONAL IMAGING
P269916
MIDMICHIGAN PHYSICIANS GROUP
P401135
MIDMICHIGAN HEALTH DEV ASSOC
P131016
REGIONAL DIALYSIS SERVICES
R166666
MIDMICHIGAN HEALTH DEV ASSOC
R1400000
MIDMICHIGAN REGIONAL IMAGING
R3200000