TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) RICHARD REYNOLDS DIRECTOR	50.00	X		0	683,552	282,389
(2) GREGORY ROGERS PRESIDENT	50.00	X	X	0	472,605	163,937
(3) J CHRISTOPHER HOUGH MD DIRECTOR	50.00	X		0	324,119	98,759
(4) JAMES BICKNELL MD DIRECTOR	50.00	X		234,565	0	30,168
(5) BOBBIE ARNOLD DIRECTOR	2.00	X		0	0	0
(6) ERIC BLACKHURST CHAIR	2.00	X		0	0	0
(7) PAM BOUNDY DIRECTOR	2.00	X		0	0	0
(8) GARY SCHRAM DIRECTOR	2.00	X		0	0	0
(9) CARL ELLINGER DIRECTOR	2.00	X		0	0	0
(10) JIM FABIANO DIRECTOR	2.00	X		0	0	0
(11) MARK GOETHE MD DIRECTOR	2.00	X		0	0	0
(12) JEFF HERMAN MD DIRECTOR	2.00	X		0	0	0
(13) ROBERT LOFIEGO VICE CHAIR	2.00	X		0	0	0
(14) JON LYNCH DIRECTOR	2.00	X		0	0	0
(15) WALLY MAYTON DIRECTOR	2.00	X		0	0	0
(16) RANNY RIECKER DIRECTOR	2.00	X		0	0	0
(17) JIM SHEPICH MD DIRECTOR	2.00	X		0	0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BILL WEIDEMAN DIRECTOR	2.00	X					0	0	0
(19) FRANCINE PADGETT SENIOR VP/TR	50.00		X				0	380,411	101,461
(20) DONNA RAPP SENIOR VP/SE	50.00		X				0	376,228	127,147
(21) WILLIAM DERY MD MEDICAL DIRE	50.00			X			273,251	0	60,165
(22) ADELBERTO ADAN VP	50.00			X			257,309	0	79,104
(23) DIANE NOLD VP	50.00			X			232,315	0	77,902
(24) JONATHAN RICHARDSON CRNA	50.00				X		251,673	0	28,891
(25) JEFFERY HANOVER CRNA	50.00				X		247,801	0	33,894
(26) LOIS ROBERTSON CRNA	50.00				X		243,715	0	38,922
(27) JACK PINNEY MD PHYSICIAN	50.00				X		235,436	0	32,447
(28) KELLY HILL MD PHYSICIAN	50.00				X		235,375	0	34,382
(29) KAREN CALKINS FORMER KEY E	50.00					X	196,902	0	47,573

(A) Name and business address	(B) Description of services	(C) Compensation
SKANSKA USA BUILDING INC 14776 COLLECTIONS CENTER DR CHICAGO,IL60693	CONSTRUCTION	19,718,055
CERNER CORP PO BOX 412702 KANSAS CITY,MO641412702	SOFTWARESUPPORT	9,748,561
DELOITTE CONSULTING LLP PO BOX 7247 6447 PHILADELPHIA,PA191706447	CONSULTING	5,042,215
MIDLAND EMERGENCY RM CORP 2000 DILLOWAY DR MIDLAND,MI48640	ER PHYSICIANS	4,922,482
MIDLAND RADIOLOGY ASSOCIATES PO BOX 6398 SAGINAW,MI486086398	RADIOLOGY SVCS	1,795,092
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 58

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	218,850	218,850
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,132,605	276,172	856,433
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	92,890,368	75,176,009	17,605,834	108,525
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	8,847,115	7,114,390	1,722,483	10,242
9	Other employee benefits .......	11,151,460	8,990,098	2,148,407	12,955
10	Payroll taxes ...........	6,524,966	5,373,886	1,143,117	7,963
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	775,643		775,643
c	Accounting ...........	185,061		185,061
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	499,699		499,699
g	Other ..........	59,276,563	45,484,657	13,731,992	59,914
12	Advertising and promotion ....	653,658	446,040	207,256	362
13	Office expenses .......	56,168,342	53,209,508	2,956,319	2,515
14	Information technology ......	678,040	219,987	458,053
15	Royalties ..
16	Occupancy ...........	4,856,535	1,171,517	3,685,018
17	Travel ............	394,669	267,576	127,080	13
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	462,876	354,735	108,141
20	Interest ...........	5,103,172	3,885,059	1,217,732	381
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	18,079,770	13,764,178	4,314,242	1,350
23	Insurance ..............	313,281		313,281
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	PHYSICIAN PRACTICE SUBSID	15,811,762	15,811,762
b	UNCOMPENSATED SERVICES	14,031,261	14,031,261
c	MISCELLANEOUS	279,565	279,565
d
e
f	All other expenses
25	Total functional expenses. Add lines 1 through 24f	298,335,261	246,075,250	52,055,791	204,220
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	7,969	1	8,169
2	Savings and temporary cash investments .......	1,143,255	2	2,813,998
3	Pledges and grants receivable, net .........	504	3
4	Accounts receivable, net .........	35,255,930	4	41,447,322
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	845,737	7	779,045
8	Inventories for sale or use ..............	1,751,624	8	1,876,197
9	Prepaid expenses and deferred charges ............	10,715,594	9	12,695,238
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	344,426,209
b	Less: accumulated depreciation. .....	10b	138,631,626	161,255,763	10c	205,794,583
11	Investments—publicly traded securities ..........	74,902,551	11	48,310,816
12	Investments—other securities. See Part IV, line 11 ......	223,686,544	12	257,581,067
13	Investments—program-related. See Part IV, line 11 ..	2,731,724	13	4,666,118
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	2,927,546	15	2,791,723
16	Total assets. Add lines 1 through 15 (must equal line 34)...	515,224,741	16	578,764,276
	17	Accounts payable and accrued expenses .	37,297,475	17	42,525,381
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	157,802,042	20	167,686,964
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	10,450,000	24
25	Other liabilities. Complete Part X of Schedule D.....	16,110,312	25	14,416,028
26	Total liabilities. Add lines 17 through 25.....	221,659,829	26	224,628,373
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	269,854,539	27	329,823,398
28	Temporarily restricted net assets .....	11,817,681	28	12,222,289
29	Permanently restricted net assets .....	11,892,692	29	12,090,216
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	293,564,912	33	354,135,903
34	Total liabilities and net assets/fund balances .....	515,224,741	34	578,764,276

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MIDMICHIGAN MEDICAL CENTER- MIDLAND
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization MIDMICHIGAN MEDICAL CENTER- MIDLAND
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	11,892,692	11,708,254	11,531,535
b	Contributions ........	6,020	3,425	5,164
c	Investment earnings or losses ...	191,504	181,013	171,555
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......	12,090,216	11,892,692	11,708,254

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,153,467		1,153,467
b	Buildings ................	99,509,951	51,259,354	48,250,597
c	Leasehold improvements ............	6,416,148	4,255,998	2,160,150
d	Equipment ................	143,224,016	83,116,274	60,107,742
e	Other .................	94,122,627		94,122,627
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				205,794,583

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) OTHER FINANCIAL INVESTMENTS	257,581,067	F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	257,581,067

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
SELF INSURANCE, DEF COMP, & ACC PEN		14,416,028








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		14,416,028
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	327,583,173
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	298,335,261
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	29,247,912
4	Net unrealized gains (losses) on investments ..........................	4	29,435,385
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	1,887,694
9	Total adjustments (net). Add lines 4 - 8 .............................	9	31,323,079
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	60,570,991

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	356,903,895
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	29,435,385
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	282,138
e	Add lines 2a through 2d .....................			2e	29,717,523
3	Subtract line 2e from line 1.....................			3	327,186,372
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	499,699
b	Other (Describe in Part XIV): ...........	4b	-102,898
c	Add lines 4a and 4b.......................			4c	396,801
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	327,583,173

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	298,257,763
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	701,765
e	Add lines 2a through 2d......................			2e	701,765
3	Subtract line 2e from line 1.....................			3	297,555,998
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	499,699
b	Other (Describe in Part XIV): ............	4b	279,564
c	Add lines 4a and 4b.......................			4c	779,263
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	298,335,261

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	HOSPITAL OPERATIONS SUPPORT 1,651,194 HOSPITAL CAPITAL SUPPORT 5,959,973 SCHOLARSHIP FUNDS 3,678,828 COMMUNITY SERVICE FUNDS 800,221 --------- 12,090,216
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	NET ASSETS RELEASED FROM RESTRICTIONS 561,702 MEDWARE SALES - RECLASSIFIED -1,194 MASSAGE THERAPY SALES - RECLASSIFIED -475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED -277,895 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 102,898 NET ASSETS RELEASED FROM RESTRICTIONS -598,867 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -102,898 MEDWARE SALES - RECLASSIFIED 1,194 MASSAGE THERAPY SALES - RECLASSIFIED 475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED 277,895
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 561,702 MEDWARE SALES - RECLASSIFIED -1,194 MASSAGE THERAPY SALES - RECLASSIFIED -475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED -277,895
REVENUE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -102,898
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS 598,867 LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 102,898
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XIII, LINE 4B	MEDWARE SALES - RECLASSIFIED 1,194 MASSAGE THERAPY SALES - RECLASSIFIED 475 GREAT LAKES BAY SURGERY & ENDOSCOPY - RECLASSIFIED 277,895

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	1,415,316		1,415,316	0.470 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	30,886,893	14,246,029	16,640,864	5.580 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....	32,302,209	14,246,029	18,056,180	6.050 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	747,133	147,672	599,461	0.200 %
f Health professions education (from Worksheet 5) ..	4,897,017	1,569,104	3,327,913	1.120 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)	48,585	3,125	45,460	0.020 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	315,352	5,750	309,602	0.100 %
jTotal Other Benefits ...	6,008,087	1,725,651	4,282,436	1.440 %
kTotal. Add lines 7d and 7j. ..	38,310,296	15,971,680	22,338,616	7.490 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	7,344	7,344
2	Economic development	10,178	10,178
3	Community support	49,133	49,133	0.020 %
4	Environmental improvements	652	652
5	Leadership development and training for community members	51,367	51,367	0.020 %
6	Coalition building	65,463	65,463	0.020 %
7	Community health improvement advocacy	80,863	80,863	0.030 %
8	Workforce development	5,235	5,235
9	Other
10	Total	270,235	270,235	0.090 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

6,010,164

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

806,686

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

91,299,438

Enter Medicare allowable costs of care relating to payments on line 5.....

93,884,653

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-2,585,215

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	MIDMICHIGAN MEDICAL CENTER-MIDLAND 4000 WELLNESS DRIVE MIDLAND,MI48670	X	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:MIDMICHIGAN MEDICAL CENTER-MIDLAND

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?13
Name and address		Type of Facility (Describe)
1	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
2	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
3	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
4	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
5	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
6	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
7	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
8	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
9	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
10	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
11	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
12	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND
13	CENTER FOR WOMEN'S HEALTH 2600 MCCANDLESS DR MIDLAND,MI48640	MAMMOGRAPHY, BONE DENSITY, ULTRASOUND

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
COMMUNITY BUILDING ACTIVITIES	PART II	MIDMICHIGAN MEDICAL CENTERMIDLAND MIDLAND EMPLOYEES CONTRIBUTED MANY HOURS AS MEMBERS OF COMMUNITY BOARDS CIVIC ORGANIZATIONS ADVISORY COMMITTEES COALITIONS AND WORK GROUPS MIDMICHIGAN MEDICAL CENTERMIDLAND IS A KEY PARTNER WITH HEALTH AND HUMAN SERVICES COUNCIL IN MIDLAND COLLABORATING AND COORDINATING SERVICES TO ALL CONSTITUENTS IN MIDLAND COUNTY AS WELL AS DEVELOPMENT AND SUPPORT OF THE 211 FIRST CALL FOR HELP PROGRAM EMPLOYEES SERVE ON HEALTH AND HUMAN SERVICE BOARDS ANDOR COMMITTEES PROVIDING OVERSIGHT OF COMMUNITY GRANT REQUESTS FOR HUMAN SERVICES PROJECTS PARTICIPATING IN STRATEGIC INITIATIVES SUCH AS THE YOUTH MASTER PLAN IN MIDLAND THE HOMELESSNESS STUDY BEHAVIORAL RISK FACTOR SURVEY FROM WHICH NUMEROUS COMMUNITY OUTREACH ENDEAVORS ARE DIRECTED ACCESS TO CARE AND SUBSTANCE ABUSE PREVENTION MIDLAND IS REPRESENTED ON THE CHAMBER OF COMMERCE WHICH ASSISTS THE COMMUNITY WITH SMALL BUSINESS DEVELOPMENT AND PROVIDES FINANCIAL SUPPORT FOR YOUTH LEADERSHIP PROGRAMS THE COMMUNITY EDUCATION COORDINATOR IN MIDLAND IS A MEMBER OF THE TRIPLE AIM POPULATION HEALTH GROUP OF MIHIA THIS GROUP IS FOCUSING ON A BUILDING DEVELOPMENT ASSETS PROJECT DEVELOPED BY THE SEARCH INSTITUTE IN MINNEAPOLIS MN FOR STUDENTS IN GRADES 612 THE PROJECT STUDY IDENTIFIED CRITICAL DEVELOPMENTAL ASSETS SKILLS AND TECHNIQUES TO HELP YOUTH REDUCE THEIR HEALTH RISKS THEY FOUND THAT PARTICIPATION IN CREATIVE ORGANIZED YOUTH ANDOR FAITHBASED ACTIVITIES MITIGATE RISKTAKING BEHAVIORS ULTIMATELY IMPROVING HEALTH THIS PROJECT IS CURRENTLY ACTIVE IN MIDLAND AND IS SET TO DEVELOP IN CLARE AND GLADWIN COUNTIES IN 2012
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	OTHER UNCOMPENSATED CARE REPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH PAYMENT IS EXPECTED AT THE TIME SERVICE IS PROVIDED BUT PAYMENT IS NOT RECEIVED OR IS LESS THAN THE COST INCURRED TO PROVIDE THE SERVICE THE FOLLOWING IS INCLUDED AS PROGRAMS AND SERVICES RELATED TO OTHER UNCOMPENSATED CARE UNCOMPENSATED SERVICES AT COSTREPRESENTS THE COST OF SERVICES PROVIDED FOR WHICH A FEE HAS BEEN ASSESSED BUT NOT COLLECTED OR ONLY A PORTION OF THE COST OF THE RENDERED SERVICE HAS BEEN RECOVERED LINE 2 COSTING METHODOLOGY AN AVERAGE COSTTOCHARGE RATIO IS APPLIED TO THE CHARGE WRITEOFF THE RATIO IS CALCULATED BY REMOVING FROM TOTAL EXPENSE THE OTHER OPERATING INCOME UNCOMPENSATED CARE EXPENSE AND THE DIRECTLY ASSIGNED MEDICAID ASSESSMENT EXPENSE THEN DIVIDING THIS NET EXPENSE BY TOTAL GROSS PATIENT REVENUES THIS RATIO IS MULTIPLIED WITH THE CHARITY CARE CHARGES AND UNCOMPENSATED CARE CHARGES WRITTEN OFF FOR THE RELATED EXPENSE LINE 3 HISTORICAL COLLECTION ACTIVITY IS USED TO ESTIMATE THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE
MEDICARE EXPLANATION	PART III LINE 8	THE SOCIAL SECURITY ACT AMENDMENT TO ESTABLISH MEDICARE STATES THAT MEDICARE WILL NOT PAY THE COST TO PROVIDE CARE TO NONBENEFICIARIES AND NONBENEFICIARIES WILL NOT PAY THE COST OF CARE FOR BENEFICIARIES WHEN MEDICARE DOES NOT PAY RATES THAT COVER ALL THE COST OF CARE FOR BENEFICARIES IT BECOMES A COMMUNITY BURDEN THEREFORE THE FULL AMOUNT OF SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT THIS ORGANIZATION BELIEVES THE AUDITED FINANCIAL STATEMENT CALCULATION IS A MORE ACCURATE DETERMINATION OF COST THAN THE MEDICARE ALLOWABLE COSTS USED FOR COST REPORTS THAT ARE REQUIRED TO BE UTILIZED ON THIS SCHEDULE IN PART III SECTION B THE AUDITED FINANCIAL STATEMENTS INCLUDE ALL MEDICARE REVENUES AND COSTS AND ALSO USE A COSTTOCHARGE RATIO METHOD THE AUDIT CALCULATION REPORTS A MEDICARE SHORTFALL OF 19704656 FOR THIS ORGANIZATION FOR THE FISCAL YEAR ENDED JUNE 30 2011
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	MIDMICHIGAN HEALTH DOES NOT TRY TO COLLECT FROM THOSE WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MIDMICHIGAN HEALTHS COLLECTION POLICY STATES THAT THE PURPOSE OF THE POLICY IS TO PROVIDE COST EFFECTIVE PAYMENT OPTIONS TO PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE PER FINANCIAL AIDCHARITY CARE POLICY AND EITHER HAVE NO INSURANCE OR HAVE A BALANCE AFTER INSURANCE WHICH IS THEIR RESPONSIBILITY TO PAY MIDMICHIGAN HEALTH ALSO OFFERS PATIENTS A CREDIT CARD PAYMENT PROGRAM ALLOWING PATIENTS TO PAY THEIR BALANCE AT 000 INTEREST OVER 1236 MONTHS DEPENDING ON THE PATIENT BALANCE
NEEDS ASSESSMENT	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLAND MIDLAND WORKS CLOSELY WITH LOCAL GOVERNMENTAL AND SERVICE ORGANIZATIONS AS WELL AS THE PUBLIC HEALTH DEPARTMENTS TO ASSESS THE NEEDS OF THE COMMUNITY SERVED DATA FROM A VARIETY OF LOCAL AND NATIONAL SOURCES IS UTILIZED TO DETERMINE CURRENT HEALTH CARE TRENDS AND HEALTH CARE ISSUES AND TO PRIORITIZE AND EVALUATE HEALTH CARE PROGRAM PROGRESS SOURCES FOR GENERAL HEALTH DATA FOLLOW CDC MICHIGAN BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEMBRFSS 20062008 COMBINED ADULT AND YOUTH COUNTY HEALTH RANKINGS UNIVERSITY OF WISCONSIN DATA CDC DATA AND STATISTICS USED FOR GENERAL AND AGE SPECIFIC AND HEALTH CONDITION DATA SUCH AS AGING TOBACCO USE VACCINES AND IMMUNIZATIONS MICHIGAN DEPARTMENT OF COMMUNITY HEALTH MDCH VITAL STATISTICS DHHS COMMUNITY HEALTH STATUS INDICATORS DHHS MEDICARE COMPARE DHHS MATERNAL AND CHILD HEALTH RESOURCE CENTER US DEPARTMENT OF HEALTH AND HUMAN SERVICES STATISTICS LINKS ADDITIONALLY WE USE DISEASE SPECIFIC DATA FROM NATIONAL ORGANIZATIONS LIKE THE AMERICAN CANCER SOCIETY THE AMERICAN DIABETES ASSOCIATION WHO COUNTY AND REGIONAL DIABETES DATA AMERICAN HEART ASSOCIATION HEART AND OBESITY PREVENTION INFORMATION NATIONAL CANCER INSTITUTE CANCER STUDIES AND CDC FUNDED STATISTICS ON HIVAIDS LUNG CANCER SEXUALLY TRANSMITTED DISEASES NATIONAL CENTER FOR HEALTH STATISTICSMENTAL DISORDERS FOR HEALTH CARE COVERAGE AND FINANCE WE REFER TO THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RESEARCH STATISTICS AND DATA SYSTEMS NATIONAL CENTER FOR HEALTH STATISTICS THE US CENSUS BUREAU AND THE KAISER FAMILY FOUNDATION WE COLLABORATE WITH LOCAL AGENCIES TO HELP DETERMINE AND RESPOND TO LOCAL NEEDS FOR EXAMPLE THROUGH MIDLAND COUNTY UNITED WAY A BRFS IS ACCOMPLISHED EVERY 6 YEARS MIDMICHIGAN MEDICAL CENTERMIDLAND PROVIDES 4000 OF FUNDING FOR THIS NEEDS SURVEY THE MIDMICHIGAN COMMUNITY ACTION AGENCY COMMUNITY NEEDS ASSESSMENT IS COMPLETED EVERY THREE YEARS AND INCLUDES CLARE GLADWIN AND MIDLAND COUNTIES THIS SURVEY ADDRESSES HEALTH CARE COST INCLUDING PRESCRIPTION MEDICATIONS AFFORDABLE PREVENTATIVE HEALTH CARE AND TRANSPORTATION TO SERVICES ADDITIONALLY THE MIDLAND COUNCIL OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH ASSESSMENT IMPROVEMENT COMMITTEE OUTLINES HEALTH HUMAN SERVICE NEEDS PRIORITIES ONE EXAMPLE OF HOW STATISTICAL INFORMATION IS USED BASED UPON HIGHER THAN AVERAGE STROKE RATES WE PROVIDE LOWCOST STROKE SCREENINGS TARGETED AT THOSE WHO ARE AT HIGHEST RISK FOR DEVELOPING A STROKE AND PEOPLE WHO ARE LESS LIKELY TO BE GETTING REGULAR CARE FROM A DOCTOR
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLAND 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 LOWCOST HEALTH INSURANCE OR TO WORK WITH PATIENTS TO PROVIDE CHARITY CARE OR FINANCIAL AID BASED ON THEIR FINANCIAL STATUS ADDITIONALLY SOCIAL WORKERS PROVIDE INFORMATION BOTH WRITTEN AND VERBAL ABOUT PROGRAMS FOR ASSISTANCE THEY ALSO COORDINATE WITH THE MEDICAID ELIGIBILITY REPRESENTATIVE FROM DHS FOR FOLLOWUP OR EXPEDITED APPLICATIONS THEY PROVIDE MEDICAID APPLICATIONS PERSONAL FINANCIAL STATEMENTS FOR HOSPITAL CHARITY CARE AND REFER TO THE PATIENT ACCOUNTING COUNSELORS
COMMUNITY INFORMATION	PART VI	MIDMICHIGAN MEDICAL CENTERMIDLANDS PRIMARY SERVICE AREA IS COMPRISED OF 7 ZIP CODES WHICH CAPTURE ALL OF MIDLAND COUNTY PLUS FREELAND AND AUBURN 579 OF THEIR DISCHARGES ORIGINATED IN THESE AREAS AND THEIR INPATIENT MARKET SHARE IS 645 MIDMICHIGAN MEDICAL CENTERMIDLANDS SECONDARY MARKET IS CLARE COUNTY WITH 93 OF DISCHARGES ORIGINATING IN CLARE AND GLADWIN COUNTY WITH 134 OF DISCHARGES ORIGINATING FROM GLADWIN COUNTY COVENANT ALSO SERVES THIS AREA RECEIVING 120 OF THE INPATIENT MARKET FOLLOWED BY MCLAREN BAY REGION WITH A 63 CAPTURE DEMOGRAPHICS 2011 OVER AVERAGE NUMBER OF MEDIAN POPULATION 65 YEARS INCOME HOUSEHOLDS AGE 98117 141 68212 38057 398 RACE PERCENT WHITE PERCENT PERCENT PERCENT PERCENT CAUCASIAN ASIAN INDIAN HISPANIC BLACK 931 19 05 22 23
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	OUR FOCUS ON IMPROVING THE HEALTH OF OUR COMMUNITIES IS REFLECTED IN OUR MISSION VALUES AND VISION MIDLAND PARTNERS WITH SCHOOLS BUSINESSES AND HEALTH CARE AGENCIES IN OUR SERVICE AREA TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE THERE ARE ACTIVE COMMUNITY MEMBER BOARDS WHO OVERSEE COMMUNITY OUTREACH ENDEAVORS WE PARTNER ON NEEDED HEALTH INITIATIVES WORKING WITH LOCAL PUBLIC HEALTH DEPARTMENTS HHS TO UNDERSTAND THE UNIQUE HEALTH NEEDS OF EACH OF OUR COMMUNITIES THROUGH THE LOOK GOOD FEEL BETTER PROGRAM COSPONSORED BY CANCER SERVICES AND THE AMERICAN CANCER SOCIETY WE OFFER SUPPORT TO PEOPLE FACING A CANCER DIAGNOSIS MIDLAND PARTNERS WITH LOCAL COMMUNITY CENTERS AND BUSINESSES TO PROVIDE RUNNINGWALKING EVENTS MIDLAND HAS BEEN A MAJOR SPONSOR OF THE DOW RUNWALK AND HAS PROVIDED A HEALTH FAIR SINCE 1983 MIDLAND HAS PROVIDED A RACE PREPARATION SERIES IN CONJUNCTION WITH THIS EVENT FOR THE PAST THREE YEARS FITNESS OR EXERCISE RELATED EVENTS FROM MIDLAND REACHED MORE THAN 100 PEOPLE AT A COST OF OVER 12000 IN THE CURRENT YEAR
AFFILIATED HEALTH CARE INFORMATION	PART VI	59 MILLION IN COMMUNITY BENEFITS WERE PROVIDED BY MIDMICHIGAN HEALTH LAST YEAR THROUGH COMMUNITY EDUCATION PROGRAMS SCREENINGS SPECIAL EVENTS AND HEALTH EXPERTISE INCLUDING INSURANCE UNDERREIMBURSEMENTS AND SERVICES TO THOSE WHO COULD NOT PAY AS HEALTH INDICATORS SHOW INCREASING OBESITY AND CHOLESTEROL LEVELS AND DECREASING PHYSICAL ACTIVITY AMONG CHILDREN HEALTH FAIRS REACHED OUT TO ENCOURAGE AND TEACH THEM ABOUT REGULAR EXERCISE GOOD NUTRITION AND MAINTAINING A HEALTHY WEIGHT MIDMICHIGAN HEALTH COLLABORATED WITH SCHOOLS ON SOME OF THESE PROGRAMS ONE OF THE MANY PROGRAMS OFFERED BY MIDMICHIGAN MEDICAL CENTERGLADWIN FITTED KIDS FOR NEW BIKE HELMETS 3107 CHILDREN AGES NEWBORN THROUGH MIDDLE SCHOOL LEARNED HEALTHY OPTIONS DURING HEALTH FAIRS THROUGHOUT THE REGION PROGRAMS FOCUSED ON PERIPHERAL VASCULAR DISEASE STROKE AND BLOOD PRESSURE HELPED PEOPLE IN OUR AREA IDENTIFY AND TREAT CONDITIONS RELATED TO HEART DISEASE THEY LEARNED HOW TO EAT BETTER EXERCISE MORE AND MODIFY LIFESTYLE CHOICES TO LOWER THEIR RISK 1300 PEOPLE PARTICIPATED IN ACTIVITIES RELATED TO HEART DISEASE PREVENTION AT A COST OF 66000 AT COMMUNITY RUNS AND OTHER ACTIVITIES WHICH OFTEN INCLUDE KIDS TRIATHLON OR RUNWALK EVENTS MIDMICHIGAN EXPERTS HELP PEOPLE REACH FOR A MORE ACTIVE LIFESTYLE AT ASSOCIATED HEALTH FAIRS FOR MIDLAND COMMUNITY CENTERS 2011 DOW RUNWALK MIDMICHIGAN HELD PRERACE CLASSES TO TEACH HEALTHY EXERCISE AND EMPLOYEES AND FAMILIES CONTINUED THE RUN OR WALK WITH YOUR DOC TRADITION MORE THAN 25 FITNESS OR EXERCISE RELATED EVENTS FROM MIDMICHIGAN REACHED MORE THAN 6000 PEOPLE LAST YEAR AT A COST TO MIDMICHIGAN OF 57000 THE 8TH ANNUAL FUN DAY IN THE PARK IN CLARE IS ONE OF DOZENS OF EVENTS WHERE PEOPLE GET TO KNOW THE COMMUNITY AND LEARN SAFETY ADVICE AND INFORMATION ABOUT DEVELOPING HEALTHY HABITS 3854 COMMUNITY OUTREACH EVENTS SUCH AS EDUCATIONAL PROGRAMS AND SCREENINGS WERE PROVIDED TO 101853 PEOPLE BY PHYSICIANS AND OTHER HEALTH CARE EXPERTS FROM MIDMICHIGAN HEALTH LAST YEAR A VARIETY OF CLINICALLY PROVEN WEIGHT LOSS AND WEIGHT MANAGEMENT APPROACHES ARE OFFERED BY MIDMICHIGAN HEALTH THESE INCLUDE THE WOW PROGRAM THE AM I HUNGRY PROGRAM AND HEALTH COACHING PROGRAMS AT MIDMICHIGAN MEDICAL CENTERS IN MIDLAND AND ALMA 2 SHAMROCK SHRINKDOWN INDIVIDUAL WEIGHTLOSS COMPETITIONS HELPED CLOSE TO 100 PEOPLE FROM THE CLARE AREA IMPROVE THEIR HEALTH THE THREEMONTH PROGRAMS WERE COMMUNITY COLLABORATIONS WITH THE CITY OF CLARE PARKS AND RECREATION DEPARTMENT
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MICHIGAN
ADDITIONAL INFORMATION	PART VI	PART I LINES 3A AND 3B AS WELL AS USING THE FEDERAL POVERTY GUIDELINES THE PATIENTS AVAILABLE ASSETS AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT ARE TAKEN INTO CONSIDERATION WHEN DETERMINING FREE OR DISCOUNTED CARE PATIENTS WHOSE FAMILY INCOME EXCEEDS 200 OF THE FPG MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASEBYCASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number
38-0833014

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) SCHOLARSHIPS-U OF PHOENIX	4	3,450
(2) SCHOLARSHIPS-MIDMI CC	7	5,650
(3) SCHOLARSHIPS-MONTCALM CC	1	500
(4) SCHOLARSHIPS-U OF TOLEDO	1	3,300
(5) SCHOLARSHIPS-LAKESUPERIOR	1	1,800
(6) SCHOLARSHIPS-CENTRAL MI U	14	30,300
(7) SCHOLARSHIPS-ROSALIND FRA	1	1,800
(8) SCHOLARSHIPS-KIRTLAND COM	2	1,950
(9) SCHOLARSHIPS-WVIRGINIA	1	3,200
(10) SCHOLARSHIPS-COLUMBIA UNI	1	1,000
(11) SCHOLARSHIPS-U OF DETROIT	1	1,800
(12) SCHOLARSHIPS-DELTA COLLEG	1	500
(13) SCHOLARSHIPS-IN WESLEYAN	1	1,800
(14) SCHOLARSHIPS-INDIANA UNIV	1	3,300
(15) SCHOLARSHIPS-DEBUSK COLLE	1	3,200
(16) SCHOLARSHIPS-ALBANY MED C	1	3,300
(17) SCHOLARSHIPS-AUGUSTANA CO	1	2,800
(18) SCHOLARSHIPS-GRCC	1	500
(19) SCHOLARSHIPS-MI TECHNOLOG	1	2,300
(20) SCHOLARSHIPS-LOYOLA UNIV	1	2,800
(21) SCHOLARSHIPS-MIDWESTERN U	1	2,700
(22) SCHOLARSHIPS-U OF DENVER	1	700
(23) SCHOLARSHIPS-UNIV OF IN	1	2,700
(24) SCHOALRSHIPS-RUSH MED COL	1	2,300
(25) SCHOLARSHIPS-FERRIS STATE	9	17,500
(26) SCHOLARSHIPS-GRAND VALLEY	5	11,800
(27) SCHOLARSHIPS-MAYO CLINIC	1	2,700
(28) SCHOLARSHIPS-MSU	14	34,550
(29) SCHOLARSHIPS-OAKLAND UNIV	1	2,800
(30) SCHOLARSHIPS-OHIO STATE U	2	5,100
(31) SCHOLARSHIPS-UNIV OF IOWA	1	1,800
(32) SCHOLARSHIPS-SVSU	16	23,500
(33) SCHOLARSHIPS- U OF M	8	19,600
(34) SCHOLARSHIPS-WAYNE STATE	5	12,250
(35) SCHOLARSHIPS-WESTERN MI	2	3,600

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	SCHEDULE I, PAGE 1, PART I, LINE 2	THE HOSPITAL-ADMINISTERED SCHOLARSHIP PROGRAM REQUIRES APPLICANTS TO RESUBMIT ANNUALLY COPIES OF THEIR ACCREDITED CLINICAL HEALTH CARE PROGRAM ACCEPTANCE LETTERS AND MOST RECENT SEMESTER TRANSCRIPTS. SCHOLARSHIP AWARDS ARE NOT GIVEN TO RECIPIENTS, BUT SENT DIRECTLY TO THEIR RESPECTIVE SCHOOLS.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) RICHARD REYNOLDS	(i) (ii)	497,676	175,000	10,876	257,887	24,502	965,941
(2) GREGORY ROGERS	(i) (ii)	325,466	115,000	32,139	146,011	17,926	636,542
(3) J CHRISTOPHER HOUGH MD	(i) (ii)	276,019	33,000	15,100	83,589	15,170	422,878
(4) JAMES BICKNELL MD	(i) (ii)	201,795	29,358	3,412	23,057	7,111	264,733
(5) FRANCINE PADGETT	(i) (ii)	266,743	80,000	33,668	78,093	23,368	481,872
(6) DONNA RAPP	(i) (ii)	260,251	90,000	25,977	114,694	12,453	503,375
(7) WILLIAM DERY MD	(i) (ii)	229,393	40,933	2,925	46,886	13,279	333,416
(8) ADELBERTO ADAN	(i) (ii)	195,766	55,000	6,543	59,399	19,705	336,413
(9) DIANE NOLD	(i) (ii)	185,092	43,838	3,385	57,045	20,857	310,217
(10) JONATHAN RICHARDSON	(i) (ii)	238,394	3,612	9,667	14,717	14,174	280,564
(11) JEFFERY HANOVER	(i) (ii)	238,093	3,664	6,044	17,095	16,799	281,695
(12) LOIS ROBERTSON	(i) (ii)	228,960	3,420	11,335	20,855	18,067	282,637
(13) JACK PINNEY MD	(i) (ii)	191,339	40,933	3,164	30,748	1,699	267,883
(14) KELLY HILL MD	(i) (ii)	193,450	40,933	992	27,654	6,728	269,757
(15) KAREN CALKINS	(i) (ii)	96,612	4,838	95,452	40,357	7,216	244,475

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	THE FOLLOWING PERSONS LISTED IN PART VII, SECTION A, RECEIVED PAYMENT FOR COUNTRY CLUB DUES. THIS PAYMENT WAS INCLUDED IN TAXABLE WAGES. NOLD, DIANE VP
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	KAREN CALKINS 65,000 0 0
NON-FIXED PAYMENTS PROVIDED	SCHEDULE J, PAGE 1, PART I, LINE 7	MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, ALL OPERATING OFFICERS AND COMPENSATION FOR THE AFFILIATE CEOS, OPERATING OFFICERS AND PHYSICIANS. THE AFFILIATE BOARDS OF DIRECTORS REVIEWED ALL FIXED AND NONFIXED PAYMENTS FOR THEIR CEO AND OPERATING OFFICERS PRIOR TO PAYMENT.
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO UTILIZED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE, PRIMARILY IN THE MIDWEST AND REGIONALLY, BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. PART I, LINE 4B REYNOLDS, ROGERS, PADGETT, BICKNELL, RAPP AND ADAN ARE PARTICIPANTS IN A 457(F) PLAN. THERE WERE NO PAYMENTS MADE IN 2010. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANTS ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS AND THE PARTICIPANT EARNS 75 POINTS.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number
38-0833014

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MSHFA - 2006A MICHIGAN STATE HOSPITAL FINANCING A	38-2889417	59465HEB8	11-07-2006	40,078,400	CAPITAL PROJECTS		X		X		X
B	MSHFA - 2009A	38-2889417	59465HLF1	06-17-2009	77,220,000	CAPITAL PROJECTS		X		X		X
C	MICHIGAN FINANCE AUTH-SERIES D	80-0596186		06-09-2011	12,763,800	CAPITAL PROJECTS		X		X	X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	40,078,400		77,220,000		12,763,800
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.	7,805,078		7,805,078
6 Proceeds in refunding escrow. . . . .	9,579,299				9,579,299
7 Issuance costs from proceeds . . .	231,439		1,143,877		26,670
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .
10 Capital expenditures from proceeds . .	40,652,126		67,735,440		3,157,830
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2009		2011		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X		X
16 Has the final allocation of proceeds been made? . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.010 %		0.020 %
6 Total of lines 4 and 5 . . .. . . . . .	0.010 %		0.020 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X
2 Is the bond issue a variable rate issue?	X			X	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X		X		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X		X
6 Did the bond issue qualify for an exception to rebate? . . .		X		X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE K	MSHFA 2006A IT HAS BEEN DETERMINED THAT NO ARBITRAGE REBATE IS DUE FOR THE BOND ISSUES IN COLUMNS A AND B THEREFORE FORM 8038T IS NOT REQUIRED MICHIGAN FINANCE AUTHSERIES D THIS BOND ISSUE IS A TRANSACTION WITH NO INVESTMENT OF PROCEEDS THEREFORE NO ARBITRAGE REBATE CALCULATION IS REQUIRED

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MICHAEL ROGERS	FAMILY MEMBER	53,866	EMPLOYMENT		No
(2) MIDLAND EMERGENCY ROOM CORPORATION	BUSINESS	5,203,354	FEES FOR SERVICES		No
(3) ROBIN NELSON	FAMILY MEMBER	101,121	EMPLOYMENT		No
(4) JEFF HERMAN MD	BUSINESS	1,900,729	FEES FOR SERVICES		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
ADDITIONAL INFORMATION	FORM 990	PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - ANY BOARD MEMBERS WHO HAVE A FAMILY OR BUSINESS RELATIONSHIP AS LISTED IN SCHEDULE L ARE NOT CONSIDERED TO BE INDEPENDENT. ALL OTHERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION.
ADDITIONAL INFORMATION	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: BOBBIE ARNOLD, ERIC BLACKHURST, AND RICHARD REYNOLDS.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	THE 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 MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	THE FOLLOWING RIGHTS AND RESPONSIBILITIES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GUARANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A SENIOR MANAGER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION WILL BE REVIEWED BY THE COMPENSATION COMMITTEE. FORM 990, INCLUDING ALL SCHEDULES, WILL BE MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS IN A SECURE ELECTRONIC FORMAT WITH A SUMMARY OF ALL THE MAJOR CHANGES FROM THE PRIOR YEAR RETURN PRIOR TO FILING. QUESTIONS OR CONCERNS WILL BE ADDRESSED BY THE SVP AND TREASURER. THE RESULTS OF THESE REVIEWS WILL BE PRESENTED TO THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS AND THIS ORGANIZATION'S BOARD OF DIRECTORS.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED 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.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	ALL CEOS AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVEIWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	ALL 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 EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
RELATED ORGANIZATIONS	FORM 990, PAGE 7, PART VII	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. THOSE PERSONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK RELATED TO THEIR FULL-TIME POSITION. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES IS NOT TRACKED BY AFFILIATE. THEREFORE THE FULL TIME SERVICE TO ALL AFFILIATES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	UNREALIZED GAINS ON INVESTMENTS 29,435,385 ADJUSTMENT TO RECORD FAS 158 LIABILITY 1,887,694 ----------- 31,323,079

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

MIDMICHIGAN MEDICAL CENTER- MIDLAND

Employer identification number

38-0833014

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) MIDMICHIGAN HEALTH 4000 WELLNESS DRIVE MIDLAND,MI48670 38-2459948	SUPPORT	MI	501C3	11A	NA		No
(2) MIDMICHIGAN MEDICAL CENTER-GRATIOT 300 E WARWICK DR ALMA,MI48801 38-1437919	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes
(3) MIDMICHIGAN MEDICAL CENTER-CLARE 703 NORTH MCEWAN STREET CLARE,MI48617 38-1518643	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes
(4) MIDMICHIGAN MEDICAL CENTER-GLADWIN 515 QUARTER STREET GLADWIN,MI48624 38-6020434	HOSPITAL	MI	501C3	3	MIDMI HLTH	Yes
(5) MIDMICHIGAN STRATFORD VILLAGE 2121 ROCKWELL DR MIDLAND,MI48642 38-2623324	LT CARE	MI	501C3	9	MIDMI HLTH	Yes
(6) MIDMICHIGAN GLADWIN PINES 449 QUARTER STREET GLADWIN,MI48624 38-2754875	LT CARE	MI	501C3	9	MIDMI HLTH	Yes
(7) MIDMI VNA DBA MIDMICHIGAN HOME CARE 3007 N SAGINAW RD MIDLAND,MI48640 38-1459397	HOME CARE	MI	501C3	9	MIDMI HLTH	Yes
(8) MIDMICHIGAN PHYSICIANS GROUP 2620 W SUGNET ROAD MIDLAND,MI48640 38-3317788	MED OFFICE	MI	501C3	11A	MIDMI HLTH	Yes
(9) MIDMICHIGAN REGIONAL IMAGING 2618 N SAGINAW MIDLAND,MI48670 35-2182295	EQUIPMENT	MI	501C3	11B	MIDMI HLTH	Yes
(10) MIDMICHIGAN URGENT CARE 3009 N SAGINAW RD MIDLAND,MI48640 20-5064848	AMBULATORY	MI	501C3	9	MIDMI HLTH	Yes
(11) MIDMICHIGAN HEALTH DEV ASSOC 4000 WELLNESS DRIVE MIDLAND,MI48670 38-2459947	OPERATIONS	MI	501C2		MIDMI HLTH	Yes
(12) REGIONAL DIALYSIS SERVICES PO BOX 608 ALMA,MI48801 38-3120704	DIALYSIS	MI	501C3	11A	MIDMI HLTH	Yes
(13) MIDMI MED CENTER-MIDLAND VOLUNTEERS 4000 WELLNESS DRIVE MIDLAND,MI48670 06-1723993	SUPPORT	MI	501C3	11A	NA		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) MIDMICHIGAN ASSURANCE GROUP LTD PO BOX 1051 23 LIME TREE BAY AVENUE GOVERNORS SQUARE BLDG 4 2ND FLOOR GRAND CAYMAN CJ 98-0585596	INSURANCE	CJ	MIDMI HLTH	C CORP

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) MIDMICHIGAN URGENT CARE	F	103,830	BOOKS RECORDS
(2) MIDMICHIGAN MEDICAL CENTER-GRATIOT	F	160,271	BOOKS RECORDS
(3) MIDMICHIGAN MEDICAL CENTER-GRATIOT	I	77,677	BOOKS RECORDS
(4) MIDMICHIGAN PHYSICIANS GROUP	I	174,175	BOOKS RECORDS
(5) MIDMICHIGAN REGIONAL IMAGING	J	7,101,675	BOOKS RECORDS
(6) MIDMICHIGAN HEALTH DEV ASSOC	J	1,511,002	BOOKS RECORDS
(7) MIDMICHIGAN MEDICAL CENTER-GRATIOT	O	53,867	BOOKS RECORDS
(8) MIDMICHIGAN MEDICAL CENTER-CLARE	O	209,653	BOOKS RECORDS
(9) MIDMICHIGAN HEALTH	O	6,777,324	BOOKS RECORDS
(10) MIDMICHIGAN PHYSICIANS GROUP	O	16,358,619	BOOKS RECORDS
(11) MIDMICHIGAN URGENT CARE	O	109,328	BOOKS RECORDS
(12) MIDMICHIGAN MEDICAL CENTER-GRATIOT	P	1,381,356	BOOKS RECORDS
(13) MIDMICHIGAN MEDICAL CENTER-CLARE	P	2,523,472	BOOKS RECORDS
(14) MIDMICHIGAN MEDICAL CENTER-GLADWIN	P	1,301,151	BOOKS RECORDS
(15) MIDMICHIGAN HEALTH	P	228,041	BOOKS RECORDS
(16) MIDMI VNA DBA MIDMICHIGAN HOME CARE	P	373,725	BOOKS RECORDS
(17) MIDMICHIGAN GLADWIN PINES	P	89,377	BOOKS RECORDS
(18) MIDMICHIGAN STRATFORD VILLAGE	P	105,551	BOOKS RECORDS
(19) MIDMICHIGAN REGIONAL IMAGING	P	89,243	BOOKS RECORDS
(20) MIDMICHIGAN PHYSICIANS GROUP	P	1,590,606	BOOKS RECORDS
(21) MIDMICHIGAN HEALTH DEV ASSOC	P	302,592	BOOKS RECORDS
(22) MIDMICHIGAN URGENT CARE	P	81,354	BOOKS RECORDS
(23) MIDMICHIGAN URGENT CARE	F	103,830	BOOKS RECORDS
(24) MIDMICHIGAN MEDICAL CENTER-GRATIOT	F	160,271	BOOKS RECORDS
(25) MIDMICHIGAN MEDICAL CENTER-GRATIOT	I	77,677	BOOKS RECORDS
(26) MIDMICHIGAN PHYSICIANS GROUP	I	174,175	BOOKS RECORDS
(27) MIDMICHIGAN REGIONAL IMAGING	J	7,101,675	BOOKS RECORDS
(28) MIDMICHIGAN HEALTH DEV ASSOC	J	1,511,002	BOOKS RECORDS
(29) MIDMICHIGAN MEDICAL CENTER-GRATIOT	O	53,867	BOOKS RECORDS
(30) MIDMICHIGAN MEDICAL CENTER-CLARE	O	209,653	BOOKS RECORDS
(31) MIDMICHIGAN HEALTH	O	6,777,324	BOOKS RECORDS
(32) MIDMICHIGAN PHYSICIANS GROUP	O	16,358,619	BOOKS RECORDS
(33) MIDMICHIGAN URGENT CARE	O	109,328	BOOKS RECORDS
(34) MIDMICHIGAN MEDICAL CENTER-GRATIOT	P	1,381,356	BOOKS RECORDS
(35) MIDMICHIGAN MEDICAL CENTER-CLARE	P	2,523,472	BOOKS RECORDS
(36) MIDMICHIGAN MEDICAL CENTER-GLADWIN	P	1,301,151	BOOKS RECORDS
(37) MIDMICHIGAN HEALTH	P	228,041	BOOKS RECORDS
(38) MIDMI VNA DBA MIDMICHIGAN HOME CARE	P	373,725	BOOKS RECORDS
(39) MIDMICHIGAN GLADWIN PINES	P	89,377	BOOKS RECORDS
(40) MIDMICHIGAN STRATFORD VILLAGE	P	105,551	BOOKS RECORDS
(41) MIDMICHIGAN REGIONAL IMAGING	P	89,243	BOOKS RECORDS
(42) MIDMICHIGAN PHYSICIANS GROUP	P	1,590,606	BOOKS RECORDS
(43) MIDMICHIGAN HEALTH DEV ASSOC	P	302,592	BOOKS RECORDS
(44) MIDMICHIGAN URGENT CARE	P	81,354	BOOKS RECORDS
(45) MIDMICHIGAN URGENT CARE	F	103,830	BOOKS RECORDS
(46) MIDMICHIGAN MEDICAL CENTER-GRATIOT	F	160,271	BOOKS RECORDS
(47) MIDMICHIGAN MEDICAL CENTER-GRATIOT	I	77,677	BOOKS RECORDS
(48) MIDMICHIGAN PHYSICIANS GROUP	I	174,175	BOOKS RECORDS
(49) MIDMICHIGAN REGIONAL IMAGING	J	7,101,675	BOOKS RECORDS
(50) MIDMICHIGAN HEALTH DEV ASSOC	J	1,511,002	BOOKS RECORDS
(51) MIDMICHIGAN MEDICAL CENTER-GRATIOT	O	53,867	BOOKS RECORDS
(52) MIDMICHIGAN MEDICAL CENTER-CLARE	O	209,653	BOOKS RECORDS
(53) MIDMICHIGAN HEALTH	O	6,777,324	BOOKS RECORDS
(54) MIDMICHIGAN PHYSICIANS GROUP	O	16,358,619	BOOKS RECORDS
(55) MIDMICHIGAN URGENT CARE	O	109,328	BOOKS RECORDS
(56) MIDMICHIGAN MEDICAL CENTER-GRATIOT	P	1,381,356	BOOKS RECORDS
(57) MIDMICHIGAN MEDICAL CENTER-CLARE	P	2,523,472	BOOKS RECORDS
(58) MIDMICHIGAN MEDICAL CENTER-GLADWIN	P	1,301,151	BOOKS RECORDS
(59) MIDMICHIGAN HEALTH	P	228,041	BOOKS RECORDS
(60) MIDMI VNA DBA MIDMICHIGAN HOME CARE	P	373,725	BOOKS RECORDS
(61) MIDMICHIGAN GLADWIN PINES	P	89,377	BOOKS RECORDS
(62) MIDMICHIGAN STRATFORD VILLAGE	P	105,551	BOOKS RECORDS
(63) MIDMICHIGAN REGIONAL IMAGING	P	89,243	BOOKS RECORDS
(64) MIDMICHIGAN PHYSICIANS GROUP	P	1,590,606	BOOKS RECORDS
(65) MIDMICHIGAN HEALTH DEV ASSOC	P	302,592	BOOKS RECORDS
(66) MIDMICHIGAN URGENT CARE	P	81,354	BOOKS RECORDS
(67) MIDMICHIGAN URGENT CARE	F	103,830	BOOKS RECORDS
(68) MIDMICHIGAN MEDICAL CENTER-GRATIOT	F	160,271	BOOKS RECORDS
(69) MIDMICHIGAN MEDICAL CENTER-GRATIOT	I	77,677	BOOKS RECORDS
(70) MIDMICHIGAN PHYSICIANS GROUP	I	174,175	BOOKS RECORDS
(71) MIDMICHIGAN REGIONAL IMAGING	J	7,101,675	BOOKS RECORDS
(72) MIDMICHIGAN HEALTH DEV ASSOC	J	1,511,002	BOOKS RECORDS
(73) MIDMICHIGAN MEDICAL CENTER-GRATIOT	O	53,867	BOOKS RECORDS
(74) MIDMICHIGAN MEDICAL CENTER-CLARE	O	209,653	BOOKS RECORDS
(75) MIDMICHIGAN HEALTH	O	6,777,324	BOOKS RECORDS
(76) MIDMICHIGAN PHYSICIANS GROUP	O	16,358,619	BOOKS RECORDS
(77) MIDMICHIGAN URGENT CARE	O	109,328	BOOKS RECORDS
(78) MIDMICHIGAN MEDICAL CENTER-GRATIOT	P	1,381,356	BOOKS RECORDS
(79) MIDMICHIGAN MEDICAL CENTER-CLARE	P	2,523,472	BOOKS RECORDS
(80) MIDMICHIGAN MEDICAL CENTER-GLADWIN	P	1,301,151	BOOKS RECORDS
(81) MIDMICHIGAN HEALTH	P	228,041	BOOKS RECORDS
(82) MIDMI VNA DBA MIDMICHIGAN HOME CARE	P	373,725	BOOKS RECORDS
(83) MIDMICHIGAN GLADWIN PINES	P	89,377	BOOKS RECORDS
(84) MIDMICHIGAN STRATFORD VILLAGE	P	105,551	BOOKS RECORDS
(85) MIDMICHIGAN REGIONAL IMAGING	P	89,243	BOOKS RECORDS
(86) MIDMICHIGAN PHYSICIANS GROUP	P	1,590,606	BOOKS RECORDS
(87) MIDMICHIGAN HEALTH DEV ASSOC	P	302,592	BOOKS RECORDS
(88) MIDMICHIGAN URGENT CARE	P	81,354	BOOKS RECORDS

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. OUR VISION IS: AS PART OF A PREMIER INTEGRATED HEALTH SYSTEM, COMMITTED TO SUPERIOR QUALITY, INNOVATION AND VALUE, WE ARE THE PREFERRED REFERRAL CENTER IN THE REGION FOR ADVANCED SPECIALTY CARE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	12
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,441
6	Total number of volunteers (estimate if necessary) ....	6	602
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	393,594
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-15,035

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,040,165	2,619,222
9	Program service revenue (Part VIII, line 2g) .........	281,858,760	291,657,703
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,105,864	20,846,841
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,614,495	12,459,407
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	310,619,284	327,583,173
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	199,585	218,850
14	Benefits paid to or for members (Part IX, column (A), line 4) ....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	124,499,936	120,546,514
16a	Professional fundraising fees (Part IX, column (A), line 11e)....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 204,220
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	171,357,616	177,569,897
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	296,057,137	298,335,261
19	Revenue less expenses. Subtract line 18 from line 12......	14,562,147	29,247,912
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	515,224,741	578,764,276
21	Total liabilities (Part X, line 26)............	221,659,829	224,628,373
22	Net assets or fund balances. Subtract line 21 from line 20 .....	293,564,912	354,135,903

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 245,856,400 including grants of $ ) (Revenue $ 291,657,703 )
	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES COMPASSIONATE PATIENT CARE SERVICES OF SUPERIOR QUALITY TO MIDLAND AND ITS SURROUNDING COUNTIES. 11,133 PATIENT ADMISSIONS AND 295,445 OUTPATIENT VISITS WERE RECORDED IN FISCAL YEAR 2011. CARE IS PROVIDED WITHOUT RESPECT TO PATIENT'S ABILITY TO PAY.

4b	(Code: ) (Expenses $ 218,850 including grants of $ 218,850 ) (Revenue $ )
	MIDMICHIGAN MEDICAL CENTER - MIDLAND PROVIDES SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE CAREERS THROUGH AN ACCREDITED CLINICAL HEALTH CARE PROGRAM.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 246,075,250

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,408,342	2,236,915	1,237,141

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e		2,269,288

f	All other contributions, gifts, grants, and similar amounts not included above1f		349,934
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,619,222
			Business Code
2a	PATIENT REVENUE, NET		621,990	152,343,232	152,343,232
b	MEDICARE/MEDICAID PAYMENTS		621,990	138,651,906	138,651,906
c	REFERENCE LABORATORY		621,500	393,594		393,594
d	CONTRACTED CLINICAL SERVICES		621,990	268,971	268,971
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			291,657,703
3	Investment income (including dividends, interest
	and other similar amounts).....			5,148,900	1,408,659		3,740,241
4	Income from investment of tax-exempt bond proceeds..			58,612			58,612
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	8,319
b	Less: rental expenses
c	Rental income or (loss)	8,319
d	Net rental income or (loss).......			8,319			8,319
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	106,124,234	183,350
b	Less: cost or other basis and sales expenses	90,382,007	286,248
c	Gain or (loss)	15,742,227	-102,898
d	Net gain or (loss)..........			15,639,329			15,639,329
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	EXEMPT AFFILIATE REVENUE		900,099	8,340,186	8,340,186
b	EXEMPT JOINT VENTURE REVENUE		900,099	2,073,576	2,073,576
c	CAFETERIA/FOOD SERVICE		722,210	1,155,248			1,155,248
d	All other revenue ....			882,078	406,541		475,537
e	Total. Add lines 11a–11d ......			12,451,088
12	Total revenue. See Instructions....			327,583,173	303,493,071	393,594	21,077,286


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			7,969	1	8,169
2	Savings and temporary cash investments .......			1,143,255	2	2,813,998
3	Pledges and grants receivable, net .........			504	3
4	Accounts receivable, net .........			35,255,930	4	41,447,322
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			845,737	7	779,045
8	Inventories for sale or use ..............			1,751,624	8	1,876,197
9	Prepaid expenses and deferred charges ............			10,715,594	9	12,695,238
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	344,426,209
b	Less: accumulated depreciation. .....	10b	138,631,626	161,255,763	10c	205,794,583
11	Investments—publicly traded securities ..........			74,902,551	11	48,310,816
12	Investments—other securities. See Part IV, line 11 ......			223,686,544	12	257,581,067
13	Investments—program-related. See Part IV, line 11 ..			2,731,724	13	4,666,118
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			2,927,546	15	2,791,723
16	Total assets. Add lines 1 through 15 (must equal line 34)...			515,224,741	16	578,764,276
17	Accounts payable and accrued expenses .			37,297,475	17	42,525,381
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			157,802,042	20	167,686,964
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			10,450,000	24
25	Other liabilities. Complete Part X of Schedule D.....			16,110,312	25	14,416,028
26	Total liabilities. Add lines 17 through 25.....			221,659,829	26	224,628,373
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			269,854,539	27	329,823,398
28	Temporarily restricted net assets .....			11,817,681	28	12,222,289
29	Permanently restricted net assets .....			11,892,692	29	12,090,216
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			293,564,912	33	354,135,903
34	Total liabilities and net assets/fund balances .....			515,224,741	34	578,764,276