STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MYMICHIGAN MEDICAL CENTER ALMA: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER ALMA (EIN 38-1437919)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201141369349300414
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)
EIN381437919EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRATIOT MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGRATNameControl
Phone9898393301Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH A MINBIOLEName
TitleCORPORATE CONTROLLERTitle
Phone9898393301Phone
Date Signed2011-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLAURA M EBELName
Phone9894975300Phone
Date Prepared2011-05-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 E WARWICK DRAddressLine1
CityALMACity
StateMIState
ZIP Code488011096ZIPCode
FieldValueIRS element (for citing)
Gross Receipts125841670GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MIDMICHIGAN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1953YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1172TotalNbrEmployees
Total Nbr Volunteers262TotalNbrVolunteers
Total Gross UBI251786TotalGrossUBI
Net Unrelated Business Txbl Income9614NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year156606ContributionsGrantsPriorYear
Contributions Grants Current Year86580ContributionsGrantsCurrentYear
Program Service Revenue Prior Year112628051ProgramServiceRevenuePriorYear
Program Service Revenue CY109708133ProgramServiceRevenueCY
Investment Income Prior Year912659InvestmentIncomePriorYear
Investment Income Current Year1461064InvestmentIncomeCurrentYear
Other Revenue Prior Year2826902OtherRevenuePriorYear
Other Revenue Current Year3286221OtherRevenueCurrentYear
Total Revenue Prior Year116524218TotalRevenuePriorYear
Total Revenue Current Year114541998TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year59819420SalariesEtcPriorYear
Salaries Etc Current Year57609659SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year22004TotalFundrsngExpCurrentYear
Other Expense Prior Year60734208OtherExpensePriorYear
Other Expenses Current Year62062743OtherExpensesCurrentYear
Total Expenses Prior Year120553628TotalExpensesPriorYear
Total Expenses Current Year119672402TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4029410RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5130404RevenuesLessExpensesCY
Total Assets BOY124276638TotalAssetsBOY
Total Assets EOY120414001TotalAssetsEOY
Total Liabilities BOY57928521TotalLiabilitiesBOY
Total Liabilities EOY58023407TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY66348117NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62390594NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense95974798Expense
Revenue109686323Revenue
DescriptionGRATIOT MEDICAL CENTER PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO GRATIOT AND ISABELLA COUNTIES. 5,850 PATIENT ADMISSIONS AND 117,352 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2010. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.Description
Total Program Service Expense95974798TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss 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 OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096110NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1172NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
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 DRAddressLine1
CityMIDLANDCity
StateMIState
ZIP Code48670ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD REYNOLDS
DIRECTOR2.00X071636954802
MARK BUSH
PRESIDENT50.00X277559054342X
TERENCE MOORE
DIRECTOR2.00X01000000
RAYMOND BOROWICZ
DIRECTOR2.00X000
KATHLEEN CRUMBAUGH
DIRECTOR2.00X000
DENNIS DUNLAP
DIRECTOR2.00X000
NANCY GALLAGHER
DIRECTOR2.00X000
WILLIAM HEINZE
CHAIR2.00X000
WILLIAM HENDERSON
VICE CHAIR2.00X000
ERIC HO MD
DIRECTOR2.00X000
C JEFFREY HOLMES MD
DIRECTOR2.00X000
DON PAVLIK
DIRECTOR2.00X000
SUNIL RANGWANI MD
DIRECTOR2.00X000
DAVID ROSLUND
DIRECTOR2.00X000
SARAH WASSENAAR DDS
SEC/TREAS2.00X000
DALE WEBURG
DIRECTOR2.00X000
FRANK WHITLEY
DIRECTOR2.00X000
DEBORAH MILLS
CONTROLLER50.00012720525231X
MARK MASLOVICH MD
PHYSICIAN50.00671409012334X
ZUBAIR SHAIKH MD
PHYSICIAN50.0066013906166X
JAMES WARE DO
PHYSICIAN50.0055495902094X
BRAD BINSFELD DO
PHYSICIAN50.0050727906198X
ELIE OBEID MD
PHYSICIAN50.00462055014183X
SCOTT CURRIE
FORMER CONTR025275810003X
ROBIN WHITMORE
FORMER KEY E162524016578X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3295924TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1196332TotalReportableCompFrmRltdOrgs
Total Other Compensation186265TotalOtherCompensation
Number Individuals GT100 K49NumberIndividualsGT100K
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
SKANSKA USA BUILDING INC
14776 COLLECTIONS CENTER DRCHICAGOIL60693CONSTRUCTION2695489
SODEXHO FOOD & NUTRITION SERVICES
300 E WARWICKALMAMI48801DIETARY MGMT2284863
GRATIOT MANAGEMENT CO
401 S ST JOHNS STITHACAMI48847STAFFING AGENCY2220856
SIEMENS MEDICAL SOLUTIONS USA
C/O MELLON BANK DEPT 14195PALATINEIL60055EQUIPMAINT/LAB1782917
ANESTHESIA ASSOC OF ALMA
PO BOX 423ALMAMI48801PHYSICIAN SVCS1341304
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions86580AllOtherContributions
Total Contributions86580TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MEDICARE/MEDICAID PAYMENTS6219907160076371600763
NET PATIENT REVENUE6219903773754937737549
LABORATORY OPERATIONS541900251786251786
PHYSICIAN SUBSIDY621990118035118035
FieldValueIRS element (for citing)
Total Program Service Revenue109708133TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column904507TotalRevenueColumn
Related Or Exempt Function Income461912RelatedOrExemptFunctionIncome
Exclusion$442,595ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column12015TotalRevenueColumn
Exclusion$12,015ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real202298Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real202298Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column202298TotalRevenueColumn
Exclusion$202,298ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities11810462Securities
Other33752Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11246896Securities
Other52776Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities563566Securities
Other-19024Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column544542TotalRevenueColumn
Exclusion$544,542ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
AFFLIATE RELATED INCOME900099627377627377
REIMBURSED EXPENSES900099612835612835
CAFETERIA/FOOD SERVICE722210607596607596

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1236115TotalRevenueColumn
Related Or Exempt Function Income1236115RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3083923TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column114541998TotalRevenueColumn
Related Or Exempt Function Income113002182RelatedOrExemptFunctionIncome
Unrelated Business Revenue251786UnrelatedBusinessRevenue
Exclusion$1,201,450ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total277029Total
Program Services110812ProgramServices
Management And General166217ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45845120Total
Program Services36708662ProgramServices
Management And General9121974ManagementAndGeneral
Fundraising14484Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1486279Total
Program Services1186991ProgramServices
Management And General299045ManagementAndGeneral
Fundraising243Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6859130Total
Program Services4753963ProgramServices
Management And General2102808ManagementAndGeneral
Fundraising2359Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3142101Total
Program Services2471488ProgramServices
Management And General669539ManagementAndGeneral
Fundraising1074Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total123747Total
Management And General123747ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75261Total
Management And General75261ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total43926Total
Management And General43926ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16481244Total
Program Services10390773ProgramServices
Management And General6090471ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total694249Total
Program Services501275ProgramServices
Management And General192974ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22051761Total
Program Services20529508ProgramServices
Management And General1518409ManagementAndGeneral
Fundraising3844Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total865076Total
Management And General865076ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3254192Total
Program Services2583992ProgramServices
Management And General670200ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158842Total
Program Services120947ProgramServices
Management And General37895ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total157989Total
Program Services71987ProgramServices
Management And General86002ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2247914Total
Program Services2247914ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8058622Total
Program Services6728297ProgramServices
Management And General1330325ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total657677Total
Program Services549419ProgramServices
Management And General108258ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR UNCOMP SVCS55459585545958
QAAP FEES13643671364367
LICENSES & DUES281918108445173473

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total119672402Total
Program Services95974798ProgramServices
Management And General23675600ManagementAndGeneral
Fundraising22004Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4641BOY
EOY4741EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4592949BOY
EOY958899EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16681766BOY
EOY14560928EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY121676BOY
EOY57419EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY867974BOY
EOY1022528EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3930659BOY
EOY3444661EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis127569684LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec54020309LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY78688693BOY
EOY73549375EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7038630BOY
EOY5441969EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9214464BOY
EOY18205429EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2718500BOY
EOY2782064EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY20000BOY
EOY10000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY396686BOY
EOY375988EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY124276638BOY
EOY120414001EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10446268BOY
EOY12438832EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY42653579BOY
EOY42137962EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4828674BOY
EOY3446613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY57928521BOY
EOY58023407EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY66348117BOY
EOY62390594EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66348117BOY
EOY62390594EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124276638BOY
EOY120414001EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis54703154OtherCostOrOtherBasis
Depreciation17028255Depreciation
Book Value37674899BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3825023OtherCostOrOtherBasis
Depreciation2152574Depreciation
Book Value1672449BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67222114OtherCostOrOtherBasis
Depreciation34839480Depreciation
Book Value32382634BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis385704OtherCostOrOtherBasis
Book Value385704BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings73549375TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER FINANCIAL INVESTMENTSDescription
Book Value18205429BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities18205429TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
SELF-INSURANCE, DEFERRED COMP$3,112,549
LONG-TERM CAPITAL LEASE$334,064
FieldValueIRS element (for citing)
Total Of Amounts3446613TotalOfAmounts
Total Revenue114541998TotalRevenue
Total Expenses119672402TotalExpenses
Excess Or Deficit For Year-5130404ExcessOrDeficitForYear
Net Unrealized GL On Investments839392NetUnrealizedGLOnInvestments
Other$333,489OtherAmount
Total Adjustments1172881TotalAdjustments
Excess Or Deficit Per FS-3957523ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt114947677TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments839392NetUnrealizedGainsInvestments
Revenue Not Rptd F990839392RevenueNotRptdF990
Revenue Subtotal114108285RevenueSubtotal
Investment Expenses Not Included43926InvestmentExpensesNotIncluded
Other Revenues Not Included389787OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt433713RevenueNotRptdOnFinStmt
Total Revenue Per Form990114541998TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt119647500TotExpensesEtcAuditedFinclStmt
Expenses Subtotal119647500ExpensesSubtotal
Investment Expenses Not Included243926InvestmentExpensesNotIncluded2
Other Expenses Not Included-19024OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt24902ExpensesNotRptdOnFinStmt
Total Expenses Per Form990119672402TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8INCOME FROM CONSOLIDATED SUBSIDIARIES -408,811 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 19,024 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -19,024
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BINCOME FROM CONSOLIDATED SUBSIDIARIES 408,811 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -19,024
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BLOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -19,024

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense520744TotalCommunityBenefitExpense
Net Community Benefit Expense520744NetCommunityBenefitExpense
Percent Of Total Expense0.00440PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense14724832TotalCommunityBenefitExpense
Direct Offsetting Revenue12875971DirectOffsettingRevenue
Net Community Benefit Expense1848861NetCommunityBenefitExpense
Percent Of Total Expense0.01540PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense15245576TotalCommunityBenefitExpense
Direct Offsetting Revenue12875971DirectOffsettingRevenue
Net Community Benefit Expense2369605NetCommunityBenefitExpense
Percent Of Total Expense0.01980PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs215NumberOfActivitiesOrPrograms
Persons Served39789PersonsServed
Total Community Benefit Expense538856TotalCommunityBenefitExpense
Direct Offsetting Revenue20910DirectOffsettingRevenue
Net Community Benefit Expense517946NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served408PersonsServed
Total Community Benefit Expense562412TotalCommunityBenefitExpense
Net Community Benefit Expense562412NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs37NumberOfActivitiesOrPrograms
Persons Served250PersonsServed
Total Community Benefit Expense23304TotalCommunityBenefitExpense
Net Community Benefit Expense23304NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs257NumberOfActivitiesOrPrograms
Persons Served40447PersonsServed
Total Community Benefit Expense1124572TotalCommunityBenefitExpense
Direct Offsetting Revenue20910DirectOffsettingRevenue
Net Community Benefit Expense1103662NetCommunityBenefitExpense
Percent Of Total Expense0.00920PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs259NumberOfActivitiesOrPrograms
Persons Served40447PersonsServed
Total Community Benefit Expense16370148TotalCommunityBenefitExpense
Direct Offsetting Revenue12896881DirectOffsettingRevenue
Net Community Benefit Expense3473267NetCommunityBenefitExpense
Percent Of Total Expense0.02900PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served1790PersonsServed
Total Community Building Expense24324TotalCommunityBuildingExpense
Net Community Building Expense24324NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served10PersonsServed
Total Community Building Expense58TotalCommunityBuildingExpense
Net Community Building Expense58NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Building Expense1057TotalCommunityBuildingExpense
Net Community Building Expense1057NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense27782TotalCommunityBuildingExpense
Net Community Building Expense27782NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs18NumberOfActivitiesOrPrograms
Persons Served2000PersonsServed
Total Community Building Expense53221TotalCommunityBuildingExpense
Net Community Building Expense53221NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,703,394BadDebtExpenseAmount
Amount Attributable To258079AmountAttributableTo
Amount Reimbursed By Medicare33891988AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare34407170CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-515182MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (34 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeCritical Access HospitalCriticalAccessHospital
GRATIOT MEDICAL CENTER
300 E WARWICK DRIVEALMAMI48801X
GRATIOT PSYCHIATRIC UNIT
300 E WARWICK DRIVEALMAMI48801
GRATIOT MEDICAL REHAB UNIT
300 E WARWICK DRIVEALMAMI48801
FAMILY MEDICAL CARE - BRECKENRIDGE
302 W CHESTNUTBRECKENRIDGEMI48615
FAMILY MEDICAL CARE - ST LOUIS
224 N MILL STST LOUISMI48880
URGENT CARE (THE WALK-IN CLINIC)
321 E WARWICK DRIVEALMAMI48801
GREAT LAKES RENAL NETWORK-ALMA
330 E WARWICK DRIVEALMAMI48801
GREAT LAKES RENAL NETWORK - GREENVI
101 S GREENVILLE WEST DRIVEGREENVILLEMI48838
GREAT LAKES RENAL NETWORK-MT PLEASA
404 S CRAPOMT PLEASANTMI48858
REGIONAL DIALYSIS SERVICES-WEST BRA
599 COURT STREETWEST BRANCHMI48661
REGIONAL DIALYSIS SERVICES-GLADWIN
673 QUARTER STREETGLADWINMI48624
REGIONAL DIALYSIS SERVICES-BAY CITY
3250 E MIDLAND RDBAY CITYMI48706
REGIONAL DIALYSIS SERVICES-MIDLAND
4901 JEFFERSONMIDLANDMI48640
DIALYSIS SERVICES OF GAYLORD
1989 WALDEN DRIVEGAYLORDMI49735
ALPENA DIALYSIS SERVICES
1501 W CHISHOLMALPENAMI49707
THUMB AREA DIALYSIS CENTER
6757 MAIN STREETCASS CITYMI48726
BROADWAY HEALTH SERVICES
411 W BROADWAY STE AMT PLEASANTMI48858
CENTER FOR OBGYN-ALMA
315 E WARWICK DRIVE STE DALMAMI48801
FAMILY MEDICAL CARE-MT PLEASANT
1621 E BROOMFIELD STE BMT PLEASANTMI48858
FAMILY MEDICAL CARE-VESTABURG
8776 EAST HOWARD CITY-EDMORE ROADVESTABURGMI48891
GRATIOT HEALTH PARTNERS
1750 E BELLOWS STE BMT PLEASANTMI48858
GRATIOT NEUROLOGY AT MT PLEASANT
1750 E BELLOWS STE EMT PLEASANTMI48858
GRATIOT NEUROLOGY AT MT PLEASANT
315 E WARWICK DRIVE STE FALMAMI48801
ITHACA FAMILY PRACTICE
820 N PINE RIVERITHACAMI48847
MEDICAL HEMATOLOGYONCOLOGY UNIT
315 WARWICK DRIVE STE CALMAMI48801
DR ANNU MOHAN
211 S CRAPO STE AMT PLEASANTMI48858
MONTCALM HEALTH SERVICES
1021 E MAIN STEDMOREMI48829
BROOMFIELD VISITING PHYSICIANS
1621 E BROOMFIELD STE AMT PLEASANTMI48858
ITHACA OBGYN
121 NORTH PINE RIVERITHACAMI48847
MT PLEASANT VISITING PHYSICIANS
211 S CRAPO STE JMT PLEASANTMI48858
DR ELIE OBEID
411 W BROADWAY STE BMT PLEASANTMI48858
PEDIATRIC SPECIALTY CENTER
7320 N ALGER STE GALMAMI48801
PEDIATRIC SPECIALTY CENTER
1621 E BROOMFIELD STE CMT PLEASANTMI48858
PLEASANT WOMEN'S CARE
1970 ASHLAND DRIVEMT PLEASANTMI48858

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteOTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED, BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE. THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE: UNCOMPENSATED SERVICES, AT COSTREPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED. LINE 2 COSTING METHODOLOGY: AN AVERAGE COST-TO-CHARGE RATIO IS APPLIED TO THE CHARGE WRITE-OFF. THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME, UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE, THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES. THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE. LINE 3: OUR COLLECTIONS AGENTS INACTIVATE ACCOUNTS WHEN THEY FIND THERE ARE NO ASSETS AND/OR NO EMPLOYMENT. THIS CRITERIA WAS USED TO ESTIMATE HOW MANY ACCOUNTS IN BAD DEBT MIGHT HAVE QUALIFIED FOR CHARITY CARE. OUR ORGANIZATION PROVIDES MEDICAL CARE TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. THIS INCLUDES THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE, THOSE WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE BUT CHOOSE NOT TO PARTICIPATE IN THE PROGRAM, AND THOSE WHO CHOOSE FOR ANY NUMBER OF OTHER REASONS NOT TO PAY. THESE PERSONS CAN BE SERVED REPEATEDLY WITHIN OUR SYSTEM AND ARE NEVER TURNED AWAY EVEN IF IT IS REASONABLY ASSURED THAT PAYMENT WILL NEVER BE RECEIVED.BadDebtFootnote
Shortfall As Community BenefitTHE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NON-BENEFICIARIES AND NON-BENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES. WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICARIES, IT BECOMES A COMMUNITY BURDEN. THEREFORE, THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III, SECTION B. THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COST-TO-CHARGE RATIO METHOD. THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 7,536,391 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30, 2010.ShortfallAsCommunityBenefit
Debt Collection PolicyGRATIOT MEDICAL CENTER DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. GRATIOT MEDICAL CENTER'S COLLECTION POLICY STATES THAT COLLECTION ACTIONS WILL ONLY BEGIN IF "THERE HAS BEEN NO PAYMENT OR NO PAYMENT ARRANGEMENTS HAVE BEEN MADE." PAYMENT ARRANGEMENTS INCLUDE CHARITY CARE AND OTHER FORMS OF FINANCIAL ASSISTANCE, SO NO COLLECTIONS WOULD TAKE PLACE IF THE PATIENT WAS KNOWN TO QUALIFY. MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 0.00% INTEREST OVER 12-36 MONTHS DEPENDING ON THE PATIENT BALANCE. ALL INTEREST FEES CHARGED DURING THIS TIME PERIOD ARE PAID BY MIDMICHIGAN HEALTH.DebtCollectionPolicy
Needs AssessmentGRATIOT MEDICAL CENTER WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENT TO ASSESS THE NEEDS OF THE COMMUNITY SERVED. DATA FROM A VARIETY OF LOCAL AND NATIONAL SOURCES IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES, AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS. SOURCES FOR GENERAL HEALTH DATA FOLLOW: CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM(BRFSS) 2006-2008 COMBINED ADULT AND YOUTH COUNTY HEALTH RANKINGS (UNIVERSITY OF WISCONSIN DATA) CDC DATA AND STATISTICS (USED FOR GENERAL AND AGE SPECIFIC AND HEALTH CONDITION DATA SUCH AS AGING, TOBACCO USE, VACCINES AND IMMUNIZATIONS) MICHIGAN DEPARTMENT OF COMMUNITY HEALTH (MDCH) VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS ADDITIONALLY WE USE DISEASE SPECIFIC DATA FROM NATIONAL ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY, THE AMERICAN DIABETES ASSOCIATION; WHO COUNTRY AND REGIONAL DIABETES DATA; AMERICAN HEART ASSOCIATION (HEART AND OBESITY PREVENTION INFORMATION); NATIONAL CANCER INSTITUTE CANCER STUDIES; AND CDC FUNDED STATISTICS ON HIV/AIDS; LUNG CANCER; SEXUALLY TRANSMITTED DISEASES; NATIONAL CENTER FOR HEALTH STATISTICS-MENTAL DISORDERS FOR HEALTH CARE COVERAGE AND FINANCE, WE REFER TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES - RESEARCH, STATISTICS AND DATA SYSTEMS; NATIONAL CENTER FOR HEALTH STATISTICS; THE U.S. CENSUS BUREAU AND THE KAISER FAMILY FOUNDATION. WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS. (ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED: BASED UPON HIGHER THAN AVERAGE STROKE RATES, WE PROVIDE LOW-COST STROKE SCREENINGS TARGETED AT THOSE WHO ARE AT HIGHEST RISK FOR DEVELOPING A STROKE AND PEOPLE WHO ARE LESS LIKELY TO BE GETTING REGULAR CARE FROM A DOCTOR).NeedsAssessment
Patient Education AssistanceGRATIOT MEDICAL CENTER COMMUNICATES TO PATIENTS AND THE PUBLIC THE AVAILABILITY OF FINANCIAL ASSISTANCE AND CHARITY CARE THROUGH INFORMATIONAL BROCHURES AT REGISTRATION AREAS AND THROUGH PATIENT ACCOUNTING COUNSELORS. PATIENT ACCOUNTING COUNSELORS ARE TRAINED TO HELP PATIENTS OBTAIN FREE OR LOW-COST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS. ADDITIONALLY, SOCIAL WORKERS PROVIDE INFORMATION, BOTH WRITTEN AND VERBAL, ABOUT PROGRAMS FOR ASSISTANCE. THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOW-UP OR EXPEDITED APPLICATIONS. THEY PROVIDE MEDICAID APPLICATIONS, PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS.PatientEducationAssistance
Community InformationGRATIOT MEDICAL CENTER'S PRIMARY SERVICE AREA IS COMPRISED OF 15 ZIP CODES WHICH CAPTURE ALL OF ISABELLA COUNTY AND MOST OF GRATIOT COUNTY. GRATIOT MEDICAL CENTER IS THE ONLY HOSPITAL IN GRATIOT COUNTY. CENTRAL MICHIGAN COMMUNITY HOSPITAL IS A COMPETING HOSPITAL LOCATED IN ISABELLA COUNTY. THE LOW INCOME POPULATION GROUP IN ISABELLA COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED POPULATION AS WELL AS A DESIGNATED SINGLE COUNTY HEALTHCARE PROVIDER SHORTAGE AREA. GRATIOT COUNTY IS A DESIGNATED MEDICALLY UNDERSERVED AREA AS WELL AS A LOW INCOME POPULATION GROUP DESIGNATED HEALTHCARE PROVIDER SHORTAGE AREA. DEMOGRAPHICS --------------------------------------------------------------------------- 2010 % OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE --------------------------------------------------------------------------- 110,683 11.6% 49,835 39,688 31.1 RACE --------------------------------------------------------------------------- PERCENT WHITE/ PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK --------------------------------------------------------------------------- 89.8% 1.5% 1.9% 3.4% 3.4%CommunityInformation
Community Building ActivitiesGRATIOT MEDICAL CENTER (GRATIOT) EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS, CIVIC ORGANIZATIONS, ADVISORY COMMITTEES, COALITIONS, AND WORK GROUPS. EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE CHILDHOOD OBESITY PREVENTION INITIATIVE IN ALMA, BEHAVIORAL RISK FACTOR SURVEY (FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED), ACCESS TO CARE, AND SUBSTANCE ABUSE PREVENTION. GRATIOT IS REPRESENTED ON THE CHAMBER OF COMMERCE, WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS.CommunityBuildingActivities
Other InformationOUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION, VALUES, AND VISION. GRATIOT PARTNERS WITH SCHOOLS, BUSINESSES AND HEALTH CARE AGENCIES IN OUR SERVICE AREA TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. THERE ARE ACTIVE COMMUNITY MEMBER BOARDS WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS. WE PARTNER ON NEEDED HEALTH INITIATIVES, WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS, HHS, TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES. GRATIOT MEDICAL CENTER HAS ALSO BEEN INVOLVED WITH THE MAPLE SYRUP RUN AND FESTIVAL SINCE 2000 AND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS. IN PARTNERSHIP WITH THE ALMA SCHOOLS INITIATIVE, GRATIOT PROVIDED INDOOR FITNESS TRAILS TO INCREASE ACTIVITY LEVELS OF STUDENTS AND ULTIMATELY PREVENT CHILDHOOD OBESITY. ADDITIONALLY, SCHOOL HEALTH FAIRS PROVIDED STUDENTS BLOOD SUGAR, CHOLESTEROL, BLOOD PRESSURE AND BODY MASS INDEX CHECKS, AND TAUGHT THE BENEFITS OF EXERCISE TO BUILD CARDIOVASCULAR AND MUSCLE STRENGTH. THESE COLLABORATIONS BETWEEN GRATIOT AND LOCAL SCHOOLS BENEFIT STUDENTS, PARENTS AND TEACHERS, RESULTING IN MEASURABLE IMPROVEMENT IN THE HEALTH STATUS OF OUR CHILDREN. 705 STUDENTS ATTENDED HEALTH FAIRS IN ALMA, ASHLEY, BRECKENRIDGE, SHEPHERD AND ST. LOUIS.OtherInformation
Affiliated Health Care System6.1 MILLION WAS PROVIDED BY MIDMICHIGAN HEALTH FOR COMMUNITY BENEFITS AND COMMUNITY BUILDING ACTIVITIES IN FISCAL 2010 THROUGH COMMUNITY EDUCATION PROGRAMS, FREE OR LOW COST HEALTH CARE SCREENINGS, HEALTH FAIRS AND PHYSICIAN/PROVIDER EXPERTISE. LOW-COST HEALTH FAIRS CLOSE TO HOME ARE MORE IMPORTANT THAN EVER WHEN TIMES GET TOUGH. THESE POPULAR EVENTS OFFER SCREENING FOR DIABETES, HIGH BLOOD PRESSURE, CHOLESTEROL, OSTEOPOROSIS AND OTHER HEALTH CONCERNS, ENABLING PHYSICIANS AND OTHER HEALTH PROVIDERS TO REACH CITIZENS BEFORE THEY BECOME PATIENTS. 125 HEALTH FAIRS HELD THROUGHOUT THE REGION DREW 11,444 PEOPLE LAST YEAR. MIDMICHIGAN HEALTH HAS A UNIQUE PARTNERSHIP WITH THE GREAT LAKES LOONS, A MINOR LEAGUE BASEBALL TEAM LOCATED IN MIDLAND, MI. PARTNERS SINCE THE TEAM BEGAN IN 2007, MIDMICHIGAN HEALTH SPONSORS A NUMBER OF HEALTH AND WELLNESS RELATED EVENTS AND ACTIVITIES THROUGHOUT THE SEASON INCLUDING OFFERING HEALTHY STADIUM MENU OPTIONS, GOOD FOR YOU LIFESTYLE EDUCATION AND HEALTH SCREENINGS AT SEVERAL LOONS GAMES LAST YEAR. THE TRAINING ROOM, A WEEKLY LOONS RADIO SHOW, WAS LAUNCHED IN 2008. THE SHOW FOCUSES ON THE LATEST ADVANCES IN MEDICAL SCIENCE AND SPORTS MEDICINE, TIPS TO IMPROVE HEALTH AND ATHLETIC PERFORMANCE, AND FEATURES INTERVIEWS WITH MEDICAL EXPERTS FROM MIDMICHIGAN. MORE THAN 110 MEN'S HEALTH TOPICS WERE EXPLORED BY AS MANY MIDMICHIGAN SPECIALISTS. EMPLOYEES OF MIDMICHIGAN MEDICAL CENTER - MIDLAND (MIDLAND) SERVE ON HEALTH AND HUMAN SERVICE BOARDS AND/OR COMMITTEES, PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND AND THE HOMELESSNESS STUDY. MIDMICHIGAN MEDICAL CENTER - MIDLAND IS A KEY PARTNER WITH HEALTH AND HUMAN SERVICES COUNCIL IN MIDLAND, COLLABORATING AND COORDINATING SERVICES TO ALL CONSTITUENTS IN MIDLAND COUNTY AS WELL AS DEVELOPMENT AND SUPPORT OF THE 211 - FIRST CALL FOR HELP PROGRAM. THE COMMUNITY EDUCATION COORDINATOR FOR MIDLAND IS CO-CHAIR OF THE "HEALTHY CITIES" GROUP OF MIHIA. THE HEALTHY CITIES GROUP IS A COLLABORATION OF BUSINESS, COMMUNITY RECREATION, CITY GOVERNMENT, PUBLIC HEALTH AND PUBLIC SCHOOLS IN MIDLAND WHOSE GOAL IS TO PROVIDE ACCESSIBLE, AFFORDABLE EQUITY IN HEALTH AND EFFECTIVE PROGRAMS, SERVICES AND ENVIRONMENTAL SUPPORT TO IMPROVE INDIVIDUAL HEALTH STATUS, RESULTING IN OPTIMAL HEALTH OUTCOMES FOR ALL RESIDENTS. MIDLAND PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNING/WALKING EVENTS. MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUN/WALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983. MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS. THROUGH THE LOOK GOOD FEEL BETTER PROGRAM, CO-SPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY, MIDMICHIGAN MEDICAL CENTER - MIDLAND OFFERS SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS. PARTNERING ALSO ALLOWS US TO OFFER SPECIALIZED PROGRAMS TO TRADITIONALLY UNDER-SERVED GROUPS, E.G. CHILDREN'S MENTAL HEALTH. CAMP WARM HEARTS, A JOINT VENTURE BETWEEN MIDMICHIGAN HOME CARE AND HOSPICE OF HELPING HANDS, PROVIDES A WEEKEND WINTER CAMP FOR CHILDREN, 5 TO 15, WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. THE CAMP HAS HOSTED 214 CHILDREN ACROSS 12 COUNTIES THROUGHOUT THE MIDDLE OF MICHIGAN THROUGHOUT THE PAST FIVE YEARS.AffiliatedHealthCareSystem
Reports Filed With StatesMIReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
RICHARD REYNOLDS
48275722500086123952615276771171
MARK BUSH
26369013869477456597331901
DEBORAH MILLS
116242109631142713804152436
MARK MASLOVICH MD
41369847232512309683743252988
ZUBAIR SHAIKH MD
392286115916166666305256262
JAMES WARE DO
51924212800209455705322917
BRAD BINSFELD DO
44048310879619851347755917
ELIE OBEID MD
35443612195151416847623895424
SCOTT CURRIE
182021600001073758784125262761
ROBIN WHITMORE
1536978827430512273179102

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NON-FIXED PAYMENTS PROVIDEDSCHEDULE J, PAGE 1, PART I, LINE 7MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO 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 AND BUSH ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2009. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANTS ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS AND THE PARTICIPANT EARNS 75 POINTS.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line12003-CNTY OF GRATIOT HOSP FIN AUTHBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN386004853IssuerEIN
Date Issued2003-05-01DateIssued
Issue Price5000000IssuePrice
Description Of PurposeCAPITAL PROJECTSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds5000000TotalProceeds
Issuance Costs From Proceeds18866IssuanceCostsFromProceeds
Capital Expenditures4981134CapitalExpenditures
Year Of Subst Completion2004YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONOUR MISSION IS TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE WILL BE THE HEALTHCARE PROVIDER OF CHOICE IN THE AREAS WE SERVE.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION OR DISSOLUTION OFTHE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS,INCLUDING SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE CORPORATE CONTROLLER AND THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 WILL BE REVIEWED BY THE AUDIT AND COMPENSATION COMMITTEES. FORMS WILL BE MADE AVAILABLE ON A SECURE WEBSITE WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE CORPORATE CONTROLLER OR SVP AND TREASURER. THE RESULTS OF ALL THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE POLICY); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES ARE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT IMPARTIAL. BEGINNING IN FISCAL 2011, THE SIGNED FORMS WILL BE REVIEWED BY THE NEWLY ESTABLISHED GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AALL CEO AND OPERATING OFFICER COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN TAKEN FOR APPROVAL AND IS ACCEPTED OR LOWERED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR A SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL OFFICER AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
CHANGE IN FINANCIAL REVIEW PROCESSFORM 990, PAGE 11, PART XI, LINE 2CTHE MIDMICHIGAN HEALTH CONSOLIDATED FINANCIAL STATEMENTS ARE REVIEWED BY THE MIDMICHIGAN HEALTH AUDIT COMMITTEE PRIOR TO ISSUANCE OF THE AUDIT REPORT.
ADDITIONAL INFORMATIONSCHEDULE OFORM 990, PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. FORM 990, PART IV, LINE 24A - ALTHOUGH THIS ORGANIZATION HAS REPORTED A TAX EXEMPT BOND LIABILITY ON ITS BALANCE SHEET, ONLY ONE OF THE THREE BOND ISSUES HAVE BEEN REPORTED ON SCHEDULE K. THE MAJORITY OF THE UNREPORTED BOND ISSUES ARE THE LIABILITY OF MIDMICHIGAN MEDICAL CENTER - MIDLAND, A RELATED TAX-EXEMPT ORGANIZATION. THEREFORE, THE ENTIRE BOND ISSUES HAVE BEEN REPORTED ON SCHEDULE K OF THE RELATED ORGANIZATION. FORM 990, PART VII, SECTION A - NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES IS NOT TRACKED BY AFFILIATE. THEREFORE THE FULL TIME SERVICE TO ALL AFFILIATES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. SCHEDULE K, PART IV, LINE 1 - ARBITRAGE CALCULATIONS WERE PERFORMED BY TAX COUNSEL AND FILED ON DAC. THE CALCULATIONS PROVED NO TAX WAS DUE AND THEREFORE RETURNS WERE NOT REQUIRED TO BE FILED. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MIDMICHIGAN HEALTH
4005 ORCHARD DRIVEMIDLANDMI48670382459948SUPPORTMI50111ANA
MIDMICHIGAN MEDICAL CENTER-MIDLAND
4005 ORCHARD DRIVEMIDLANDMI48670380833014HOSPITALMI5013MIDMI 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
MIDMICHIGAN VNA DBA MIDMI HOME CARE
3007 N SAGINAW RDMIDLANDMI48640381459397HOME CAREMI5019MIDMI HLTH
MIDMICHIGAN PHYSICIANS GROUP
4005 ORCHARD DRIVEMIDLANDMI48670383317788MED OFFICEMI50111AMIDMI HLTH
MIDMICHIGAN REGIONAL IMAGING
2618 N SAGINAWMIDLANDMI48670352182295EQUIPMENTMI5019MIDMI HLTH
MIDMICHIGAN URGENT CARE
3009 N SAGINAW RDMIDLANDMI48640205064848AMBULATORYMI5019MIDMI HLTH
MIDMICHIGAN HEALTH DEVELOPMENT ASSO
4005 ORCHARD DRIVEMIDLANDMI48670382459947FACILITIESMI501MIDMI HLTH
REGIONAL DIALYSIS SERVICES
PO BOX 188ALMAMI48801383120704DIALYSISMI50111AMIDMI HLTH
GRATIOT MEDICAL CENTER AUXILIARY
300 E WARWICK DRIVEALMAMI48801382312831AUXILIARYMI50111DNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address Foreign AddressForeign

FieldValueIRS element (for citing)
Address Line1PO BOX 1051 23 LIME TREE BAY AVEAddressLine1
Address Line2GOVERNORS SQUARE BUILDING 4 2ND FLAddressLine2
CityGRAND CAYMANCity
Province Or StateGRAND CAYMANProvinceOrState
CountryCJCountry
Postal CodeKY1-1102PostalCode
FieldValueIRS element (for citing)
EIN980585596EIN
Primary ActivityINSURANCEPrimaryActivity
Legal Domicile Foreign CountryCJLegalDomicileForeignCountry

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MIDMI HLTHBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MIDMICHIGAN MEDICAL CENTER-MIDLAND
C333489
MIDMICHIGAN MEDICAL CENTER-MIDLAND
J72648
MIDMICHIGAN MEDICAL CENTER-MIDLAND
O1465551
MIDMICHIGAN HEALTH
O1824575
MIDMICHIGAN PHYSICIANS GROUP
O181540
MIDMICHIGAN MEDICAL CENTER-CLARE
P119619
REGIONAL DIALYSIS SERVICES
P459275
REGIONAL DIALYSIS SERVICES
R166667