Short Term Acute Care HospitalVoluntary Non-Profit - Private

Midmichigan Medical Center-Gratiot

MidMichigan Health · Alma, MI

300 East Warwick Drive, Alma, MI 48801(989) 463-1101

4 of 5

CMS star rating

Beds

3,410

Inpatient discharges a year

$136.6M

Net patient revenue a year

In-network payers

About this hospital

Midmichigan Medical Center-Gratiot is an 86-bed voluntary non-profit - private hospital in Alma, MI, affiliated with MidMichigan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 311 disclosed rate categories.

Rural referral center
Medicare-dependent hospital
Disproportionate share hospital
ACO participant

CCN: 230030
NPI: 1023097771
Website: mymichigan.org
Health system: MidMichigan Health
Teaching: Major teaching hospital
County: Gratiot County
Metro area: Alma, MI MicroSA
Medicare contractor: Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since: 1966
Last CMS survey: 2016

Prices for common services

The 24 services Midmichigan Medical Center-Gratiot most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,055

negotiated rate

Blue Cross$7,055

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$11,727

negotiated rate

Blue Cross$11,727

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,927

negotiated rate

Blue Cross$4,927

Medicare $3,026Nearby hospitals $3,67034% above nearby hospitals

12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$400 - $469

from 2 insurers · median $434

Aetna$400

Insurer A*$469

Medicare $326Nearby hospitals $1,19264% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Midmichigan Medical Center-Gratiot

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

Insurer	Services	Median % of Medicare	Above nearby	Below nearby
Insurer A*	24	127%	7	11
Insurer B*	14	111%	0	14

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Midmichigan Medical Center-Gratiot, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Quality
4 of 5 stars
- 200 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-0.40%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Major teaching hospital
- 24 services
- 325 affiliated clinicians
See doctors and services
Finances
$136.6M net patient revenue
- Operating margin on patient care -9.4%
- $7.9M unreimbursed and uncompensated care
- -$4.4M net income
See finances
Ownership and leadership
Owned by Mymichigan Health
- Private (not for profit)
- Marita A Hattem-Schiffman, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Midmichigan Medical Center-Gratiot in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
38-1437919Mymichigan Medical Center Alma	56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more	1023097771 Mymichigan Medical Center Alma1265596126 Mymichigan Medical Center Alma1568914422 Mymichigan Medical Center Almaand 38 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

300 East Warwick Drive, Alma, MI 48801

(989) 463-1101

Get directions

Quality ratings (CMS Care Compare)

How Midmichigan Medical Center-Gratiot compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 9 measures
0 better, 9 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.89
Lower than 76% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
200 min
Higher than 80% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
62%
Lower than 57% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	4 of 5
Death rates	Worse on 1 of 5 measures
Safety	No different on 3 measures
Readmissions	No different on 9 measures
Patient survey ratingCMS: Summary star rating	4 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	77%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.89	2022-07-01 to 2024-06-30
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	200 min	2024-10-01 to 2025-09-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	62%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Midmichigan Medical Center-Gratiot's inpatient payments for its readmissions, quality and cost results.

-0.40% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.04% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Midmichigan Medical Center-Gratiot, beside the US median and the average of MI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	This hospital	US median	MI average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 54 cases	3.9	4.1	4.186		Better than 57% of US hospitals
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,010 cases	4.7	3.9	3.903		Worse than 83% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available		12
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.376
Death rate for COPD patients2022-07-01 to 2025-06-30 · 75 cases	10.2	8.5	8.576		Worse than 87% of US hospitals
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 126 cases	13.6	11	11.26		Worse than 90% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 204 cases	18.8	15.2	15.18		Worse than 91% of US hospitals
Death rate for stroke patients2023-07-01 to 2025-06-30 · 95 cases	12.4	11.6	11.95		Worse than 62% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,200 cases	0.38	0.51	0.6149	No Different Than the National Rate	Better than 69% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available		178	Number of Cases Too Small
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,555 cases	0.2	0.2	0.2198	No Different Than the National Rate	Better than 46% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,568 cases	0.26	0.27	0.2762	No Different Than the National Rate	Better than 54% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 184 cases	2.26	2.29	2.378	No Different Than the National Rate	Better than 55% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 56 cases	1.65	1.63	1.689	No Different Than the National Rate	Worse than 55% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 56 cases	8.86	8.88	9.51	No Different Than the National Rate	Better than 50% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 195 cases	3.18	3.4	3.553	No Different Than the National Rate	Better than 69% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 53 cases	5.1	5.105	5.252	No Different Than the National Rate	Better than 50% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 55 cases	1.73	1.72	1.76	No Different Than the National Rate	Worse than 52% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 197 cases	1	1.02	1.117	No Different Than the National Rate	Better than 57% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	This hospital	US median	MI average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available		9.875
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 144 cases	-36.1	1.25	2.533		Better than 91% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 209 cases	-13	3.85	5.307		Better than 72% of US hospitals
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 364 cases	13.1	12.9	12.94	No Different Than the National Rate	Worse than 56% of US hospitals
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 38 cases	11.5	10.7	10.6	No Different Than the National Rate	Worse than 72% of US hospitals
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 38 cases	5.2	5.3	5.333	No Different Than the National Rate	Better than 55% of US hospitals
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 153 cases	1.1	1	0.9865	No Different than expected	Worse than 69% of US hospitals
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30	Not Available		14.28
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		10.41
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 139 cases	20.1	19.8	19.73		Worse than 61% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 228 cases	20.9	21.3	21.19		Better than 63% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 50 cases	6.4	5.8	5.984		Worse than 80% of US hospitals
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 370 cases	15.7	17.2	17.08		Better than 96% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	This hospital	US median	MI average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2592
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		1.909
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	759	1,370	4,065
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	0.642	0.9835	4.274
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	1	0	2.649
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	Not Available		0.6721
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.1561	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	2.931	1.392	1.389	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	993	1,799	4,188	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	1.022	1.377	5.413	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	0	0	2.168	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0	0.399	0.3966	No Different than National Benchmark	The best result, shared by 24% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.037	0.2345	0.4382	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	3.637	2.135	2.741	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	52	61	118	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	1.356	1.591	3.112	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	1	1	3.074	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	0.737	0.7155	1.049	No Different than National Benchmark	Worse than 51% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.6144
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		4.322
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	6	38	75.28
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.041	0.328	0.6545
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	0	0	0.9634
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		1.462
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2675
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		2.176
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	16,598	14,451	42,903
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	0.471	0.567	2.796
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	0	0	1.826
MRSA Bacteremia2024-10-01 to 2025-09-30	Not Available		0.7532
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	0.104	0.127	0.1572	No Different than National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	2.044	0.747	1.134	No Different than National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	15,804	13,646	40,305	No Different than National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	3.232	5.683	21.05	No Different than National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	2	2	6.934	No Different than National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.619	0.279	0.3227	No Different than National Benchmark	Worse than 83% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	This hospital	US median	MI average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 452 cases	73	73	69.3	Worse than 49% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 452 cases	7	8	10.85	Better than 56% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 452 cases	20	18	19.85
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 452 cases	88	87	84.11	Better than 57% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 452 cases	4	4	2.86	Better than 47% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 452 cases	81	80	79.59	Better than 56% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 452 cases	94	91	91.42	Better than 82% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 452 cases	2	4	4.111	Better than 76% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 452 cases	5	3	3.5	The top rating, shared by 18% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 452 cases	17	16	16.3
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 452 cases	79	79	78.2	Worse than 47% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 452 cases	91	91	90.27	Better than 45% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 452 cases	5	5	5.521	Better than 44% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 452 cases	3	3	3.07	Worse than 37% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 452 cases	16	16	16.28
Staff "always" explained2024-10-01 to 2025-09-30 · 452 cases	63	61	61.03	Better than 58% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 452 cases	82	77	76.51	Better than 84% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 452 cases	14	19	19.58	Better than 78% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 452 cases	4	3	2.63	Better than 79% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 452 cases	23	19	19.38
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 452 cases	90	86	85.82	Better than 86% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 452 cases	10	13	13.17	Better than 78% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 452 cases	4	3	3.35	Better than 55% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 452 cases	90	87	86.83	Better than 78% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 452 cases	10	14	14.7	Better than 83% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 452 cases	90	86	85.3	Better than 83% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	73	74	72.65	Worse than 52% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	4	7	7.064	Better than 81% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	23	19	20.28
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 452 cases	78	77	75.91	Better than 51% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 452 cases	6	6	6.191	Worse than 47% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 452 cases	16	17	17.9
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	86	85	84.26	Better than 53% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	4	3	3.827	Worse than 51% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	10	11	11.91
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 452 cases	4	8	9.248	Better than 82% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 452 cases	18	20	21.47
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 452 cases	78	72	69.28	Better than 74% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 452 cases	92	88	87.04	Better than 86% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 452 cases	4	3	3.12	Better than 55% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 452 cases	77	74	74.28	Better than 66% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 452 cases	4	9	9.173	Better than 90% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 452 cases	19	16	16.55
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	80	75	74.9	Better than 79% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	2	5	5.573	Better than 90% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 452 cases	18	20	19.53
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 452 cases	78	77	76.58	Better than 56% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 452 cases	2	4	4.364	Better than 80% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 452 cases	20	19	19.05
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	87	86	85.7	Better than 53% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	1	3	2.773	Better than 77% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 452 cases	12	11	11.53
"Always" quiet at night2024-10-01 to 2025-09-30 · 452 cases	62	59	56.73	Better than 58% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 452 cases	7	9	11.16	Better than 61% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 452 cases	31	31	32.11
Quietness - linear mean score2024-10-01 to 2025-09-30 · 452 cases	85	82	80.12	Better than 71% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 452 cases	4	3	3.12	Better than 56% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 452 cases	3	5	6.291	Better than 70% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 452 cases	77	71	68.51	Better than 69% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 452 cases	91	87	85.75	Better than 76% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 452 cases	20	23	25.2
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 452 cases	5	4	3.39	The top rating, shared by 24% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 452 cases	49	47	46.3	Better than 58% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 452 cases	24	30	30.8	Better than 77% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 452 cases	27	22	22.9
Summary star rating2024-10-01 to 2025-09-30 · 452 cases	4	3	3.21	Better than 60% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 452 cases	10	12	12.2	Better than 70% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 452 cases	90	88	87.8	Better than 70% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	This hospital	US median	MI average	US rank
Emergency department volume2024-01-01 to 2024-12-31	low
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		8.08
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		0.9722
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0.4118
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,362 cases	79	79	74.71	Worse than 50% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 436 cases	214	154	167	Worse than 84% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 377 cases	200	148	161	Worse than 80% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 22 cases	398	247	300	Worse than 87% of US hospitals
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 39 cases	362	293	338	Worse than 75% of US hospitals
Left before being seen2024-01-01 to 2024-12-31 · 18,474 cases	4	1	1.933	Worse than 88% of US hospitals
Head CT results2024-10-01 to 2025-09-30 · 13 cases	92	74	73.42	Better than 90% of US hospitals
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 129 cases	96	97	93.2	Worse than 54% of US hospitals
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		39.25
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 775 cases	11	15	15.67	Better than 77% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 118 cases	62	65	59.69	Worse than 57% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases	67	73	69.54	Worse than 63% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 19 cases	95	88	83.94	Better than 74% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases	79	82	77.12	Worse than 60% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 58 cases	93	94	90.36	Worse than 55% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 63 cases	98	98	94.44	Better than 49% of US hospitals
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		69.44
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 49 cases	96	94	91.64	Better than 63% of US hospitals
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,836 cases	73	90	82.06	Worse than 78% of US hospitals
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 299 cases	78	97	91	Worse than 93% of US hospitals

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	This hospital	US median	MI average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	6	5	6.103		Worse than 61% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	9.7	6.6	7.033		Worse than 80% of US hospitals

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	This hospital	US median	MI average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.93	0.99	0.9406		Better than 78% of US hospitals

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	This hospital	US median	MI average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 86 cases	76.7	60.8	65.68		Better than 89% of US hospitals
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 86 cases	37.2	35.5	41.19		Better than 55% of US hospitals
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 10,017 cases	0.1	0.05	0.5395		Better than 60% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 10,017 cases	0.03	0.03	0.2451		Better than 49% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 450 cases	84	87	74.89		Worse than 54% of US hospitals
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 105 cases	94.3	78.1	85.88		Better than 99% of US hospitals
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 205 cases	20.6	19.1	18.2	No Different Than the National Rate	Worse than 72% of US hospitals
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 608 cases	99	92	82.53		Better than 80% of US hospitals
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 112 cases	77	74	63.54		Better than 53% of US hospitals
Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 112 cases	76	81	66.29		Worse than 55% of US hospitals
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 158 cases	96	77	71.83		Better than 80% of US hospitals
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 158 cases	15	56	49.06		Worse than 88% of US hospitals
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 235 cases	74	64	57.33		Better than 60% of US hospitals
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 235 cases	3	4	17.72		Worse than 52% of US hospitals
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 874 cases	83	77	45.19		Better than 56% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	This hospital	US median	MI average	US rank
VBP clinical outcomes domain scoreFY 2026	6.667	20	19.22	Worse than 79% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	1.667	5	4.872	Worse than 79% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	50	10	42.06	Better than 84% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	12.5	2.5	11.12	Better than 83% of US hospitals
VBP person and community engagement domain scoreFY 2026	63	34	38.03	Better than 88% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	15.75	8.75	9.925	Better than 87% of US hospitals
VBP safety domain scoreFY 2026	56.67	40	33.39	Better than 77% of US hospitals
VBP safety weighted domain scoreFY 2026	14.17	10	8.389	Better than 76% of US hospitals
VBP total performance scoreFY 2026	44.08	29.5	33.57	Better than 87% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	46	40	25	20	13.33	6.667
VBP clinical outcomes weighted domain score	15.33	10	6.25	5	3.333	1.667
VBP efficiency and cost reduction domain score	0	Not Available	40	30	0	50
VBP efficiency and cost reduction weighted domain score	0	Not Available	10	7.5	0	12.5
VBP person and community engagement domain score	49	Not Available	Not Available	21	34	63
VBP person and community engagement weighted domain score	16.33	Not Available	Not Available	5.25	8.5	15.75
VBP safety domain score	Not Available	Not Available	Not Available	65	50	56.67
VBP safety weighted domain score	Not Available	Not Available	Not Available	16.25	12.5	14.17
VBP total performance score	31.67	Not Available	Not Available	34	24.33	44.08

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	MI average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A		0.995
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		0.9907
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 74 cases	1.018	0.9969	0.9989	Worse than 67% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 150 cases	1.051	0.9983	1.002	Worse than 79% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	1.1	0.9916	1.061	Worse than 77% of US hospitals
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 162 cases	0.9948	0.9955	0.9984	Better than 51% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	0.9356	0.9577	0.9976	1.061	1.053	1.018
READM-30-HF-HRRP	1.029	1.016	0.9795	1.058	1.08	1.051
READM-30-HIP-KNEE-HRRP	0.8928	0.9193	0.9594	N/A	N/A	1.1
READM-30-PN-HRRP	0.9607	0.9878	0.9766	1.01	0.9954	0.9948

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	US median	MI average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0	0.489	0.5894	The best result, shared by 14% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.176	0.346	0.3948	Better than 76% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.807	0.559	0.7747	Worse than 71% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	N/A		0.8034
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.8868	0.9628	1.007	Better than 76% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	0.358	0.7945	1.234	Better than 78% of US hospitals
Total HAC scoreFY 2026	-0.6373	-0.0453	0.1353	Better than 85% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	Yes	Yes	N/A	No	No	No
Total HAC score	0.9421	1.015	0	0.1783	-0.6576	-0.6373

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2020)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
130
Medicare-certified beds
119
Registered nurses (full-time equivalent)
1966
In Medicare since

24 services at Midmichigan Medical Center-Gratiot

Emergency and trauma: Emergency Department
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Outpatient SurgeryPostoperative Recovery Room
Imaging: Diagnostic RadiologyNuclear Medicine
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryObstetrics / Child BirthPediatric Care
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug Service
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Midmichigan Medical Center-Gratiot reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

3,410
Inpatient discharges
Medicare 24%, Medicaid 3%
12,860
Inpatient days
93% of available bed days used
482
Employees (full-time equivalent)
11
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 825202). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Midmichigan Medical Center-Gratiot reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	3,191	931	8,738	12,860
Discharges	814	108	2,488	3,410
Average length of stay	3.9 days	8.6 days	3.5 days	3.8 days
Average daily census	8.7	2.6	23.9	35.2

4,811
Medicare Advantage days
1,155 discharges
1,065
Medicaid managed care days
398 discharges
1,220
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	38	12,176	3,191	88%
Nursery		684
Subprovider - ipf	30	9,983	2,419	91%
Subprovider - irf	18	4,365	1,518	66%

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Midmichigan Medical Center-Gratiot treats Medicare patients for most often, in 2024. 441 Medicare discharges in 19 published DRGs; 6% surgical; 83% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	94	$31,460	$13,867	$11,388	1.98
Heart failure and shock with MCCMS-DRG 291, medical	67	$18,856	$9,549	$6,826	1.28
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	43	$24,742	$10,126	$8,957	1.33
Pulmonary edema and respiratory failureMS-DRG 189, medical	25	$18,611	$8,829	$6,737	1.23
Respiratory infections and inflammations with MCCMS-DRG 177, medical	23	$30,022	$10,994	$10,868	1.70
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	19	$18,788	$7,245	$6,801	1.03
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	17	$19,184	$7,159	$6,945	1.32
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	16	$26,998	$13,808	$9,773	1.88
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	15	$13,720	$5,269	$4,966	0.79
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	14	$15,636	$5,626	$5,660	0.82
Kidney and urinary tract infections with MCCMS-DRG 689, medical	14	$22,160	$7,869	$8,022	1.17
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	13	$20,747	$7,825	$7,510	1.10
Renal failure with MCCMS-DRG 682, medical	13	$24,028	$9,282	$8,698	1.50
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	12	$18,711	$7,169	$6,773	1.02
Renal failure with CCMS-DRG 683, medical	12	$14,977	$6,748	$5,422	0.90
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	11	$33,552	$6,938	$12,146	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	11	$17,296	$5,722	$6,261	0.80
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	11	$36,353	$15,340	$13,160	2.07
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	11	$27,761	$10,947	$10,049	1.65

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Midmichigan Medical Center-Gratiot billed Medicare for most in 2024: 573 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	141	134	$13,503	$1,882	$2,090
Level 1 Intraocular ProceduresAPC 5491	62	37	$7,574	$1,625	$1,752
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	51	46	$6,052	$1,070	$1,220
Level 2 Urology and Related ServicesAPC 5372	49	24	$897	$474	$502
Level 5 Musculoskeletal ProceduresAPC 5115	38	36	$26,916	$9,877	$10,772
Level 1 Nerve ProceduresAPC 5431	36	30	$9,167	$1,272	$1,407
Level 3 Vascular ProceduresAPC 5183	30	29	$10,543	$2,224	$2,405
Level 2 Upper GI ProceduresAPC 5302	24	22	$3,607	$1,327	$1,445
Level 3 Urology and Related ServicesAPC 5373	23	22	$3,861	$1,421	$1,516
Level 4 Urology and Related ServicesAPC 5374	22	16	$14,525	$2,432	$2,629

See all 16 Medicare outpatient services at Midmichigan Medical Center-Gratiot

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Midmichigan Medical Center-Gratiot in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,807 in 2020 to 1,679 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
48801	366	22%	1,434	$9.9M	57%	67%
48858	265	16%	1,022	$6.6M	18%	17%
48880	197	12%	722	$5.4M	50%	67%
48847	137	8%	570	$3.8M	44%	53%
48883	86	5%	379	$2.4M	32%	36%
48625	62	4%	240	$1.4M	6%	5%
48891	62	4%	256	$1.8M	55%	69%
48877	57	3%	183	$1.4M	65%	79%
48615	48	3%	196	$1.3M	48%	58%
48893	46	3%	164	$999,538	19%	19%
48662	39	2%	153	$998,159	59%	35%
48829	35	2%	130	$1.1M	25%	40%
48804	34	2%	117	$855,306	42%	29%
49310	34	2%	97	$717,619	31%	24%
48632	30	2%	128	$882,509	9%	8%
48622	29	2%	145	$784,400	10%	5%
48889	27	2%	105	$670,373	57%	65%
48617	25	1%	98	$636,879	6%	6%
48832	23	1%	78	$580,329	56%	63%
48818	16	1%	69	$420,829	12%	23%
49340	14	1%	74	$382,629	9%	11%
48624	12	1%	42	$338,490	1%	2%
48806	12	1%	49	$354,199	18%
48856	12	1%	33	$255,206	52%	52%
48886	11	1%	48	$350,613	12%	15%

Source: CMS Hospital Service Area file. Shares are of the 1,679 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Midmichigan Medical Center-Gratiot reported at its latest Medicare certification survey (2016). Counts are people, not full-time equivalents.

30
Psychiatric unit beds
19
Rehabilitation unit beds

119
Registered nurses
60
Licensed practical nurses
2
Physicians
4
Pharmacists
10
Respiratory therapists
1
Dietitians
2
Social workers
314
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

325 clinicians who bill Medicare list Midmichigan Medical Center-Gratiot as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 45
Family Nurse Practitioner 35
Physician Assistant 31
Internal Medicine Physician 30
Emergency Medicine Physician 23
Nurse Practitioner 17
Diagnostic Radiology Physician 13
Certified Registered Nurse Anesthetist 12
Cardiovascular Disease Physician 8
Neurology Physician 8

Iris Zink, NP
Family Nurse Practitioner
NPI 1487729752
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Adam Pinney
Sports Medicine (Family Medicine) Physician
NPI 1639529290
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James Ware, D.O.
Orthopaedic Surgery Physician
NPI 1063449650
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Waleed Doghmi, M.D.
Cardiovascular Disease Physician
NPI 1023010204
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Kevin Baker, DO
Diagnostic Radiology Physician
NPI 1073561510
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Prakash Sarvepalli, M.D.
Internal Medicine Physician
NPI 1669411310
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Sailaja Sarvepalli, M.D.
Family Medicine Physician
NPI 1194764878
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Rakesh Saxena, MD
Internal Medicine Physician
NPI 1932302692
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Radwan Alkiek, M.D.
Cardiovascular Disease Physician
NPI 1548237787
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Rebecca Delancey, MD
Diagnostic Radiology Physician
NPI 1134304785
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Daniel Macek, MD
Diagnostic Radiology Physician
NPI 1710905153
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Randolph Sosolik, M. D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1528043585
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Opesanmi Esan, MD
Clinical Cardiac Electrophysiology Physician
NPI 1407003882
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Henry Armah, M.D.
Anatomic Pathology Physician
NPI 1548416688
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William Michael Mellana, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1710210679
See commercial rates for William Michael Mellana, M.D.
Maged Hanna, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1356537740
See commercial rates for Maged Hanna, M.D.
Bara Zuhaili, MD
Vascular Surgery Physician
NPI 1396994851
See commercial rates for Bara Zuhaili, MD
Christopher Mianecki, D.O.
Diagnostic Radiology Physician
NPI 1700099561
See commercial rates for Christopher Mianecki, D.O.
Matthew Waack, MD
Diagnostic Radiology Physician
NPI 1831151802
See commercial rates for Matthew Waack, MD
Polya Baghelai, MD
Diagnostic Radiology Physician
NPI 1912942061
See commercial rates for Polya Baghelai, MD
Ashok Vashishta, MD
Internal Medicine Physician
NPI 1871538025
See commercial rates for Ashok Vashishta, MD
Michael Rodriguez, MD
Sports Medicine (Family Medicine) Physician
NPI 1669032256
See commercial rates for Michael Rodriguez, MD
Kenneth Ordway, PA
Physician Assistant
NPI 1568183481
See commercial rates for Kenneth Ordway, PA
Subramanyam Yadam, M.D.
Pulmonary Disease Physician
NPI 1023126448
See commercial rates for Subramanyam Yadam, M.D.

Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Midmichigan Medical Center-Gratiot reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$338.9M	248.2%
Inpatient	$116.3M	85.1%
Outpatient	$222.6M	163.0%
Contractual allowances and discounts	-$202.3M	-148.2%
Net patient revenue	$136.6M	100.0%
Operating expenses	-$149.4M	-109.4%
Operating income from patient care	-$12.9M	-9.4%
Other income	$8.5M	6.2%
Contributions and donations	$27,719	0.0%
Investment income	$3.3M	2.4%
Other	$5.1M	3.8%
Net income	-$4.4M	-3.2%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$39.4M	12.2%
Medicaid (including managed care)	$46.3M	14.4%
Other payers and self-pay	$237M	73.4%
Total charges	$322.7M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Midmichigan Medical Center-Gratiot's latest cost report.

-9.4%
Operating margin
Operating income from patient care / net patient revenue
-3.0%
Total margin
Net income / net patient revenue plus other income
3.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.77
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-3.3%
Return on assets
Net income for a year / total assets
-5.5%
Return on equity
Net income for a year / fund balance
1.93
Current ratio
Current assets / current liabilities
1.52
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
48 days
Days in patient receivables
Net patient receivables / daily net patient revenue
33 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.11
Asset turnover
Total revenue for a year / total assets
12.4 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Midmichigan Medical Center-Gratiot owned and owed at the end of its reporting period (Jun 2025), across all fund types: $130.7M in total assets and a $79.6M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$1.2M	0.9%
Patient receivables, net	$18.1M	13.9%
Inventory	$654,587	0.5%
Total current assets	$24.5M	18.8%
Property and equipment, net of depreciation	$80.8M	61.8%
Investments and other assets	$25.4M	19.4%
Total assets	$130.7M	100.0%
Current liabilities	$12.7M	9.7%
Total liabilities	$51.1M	39.1%
Fund balance (net assets)	$79.6M	60.9%

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Midmichigan Medical Center-Gratiot provided without full payment, as reported on Worksheet S-10 of its cost report.

$3.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6M
Bad debt
Patient bills written off as uncollectible, at charges
$8.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$124,037
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$7.9M
Total unreimbursed and uncompensated care
5.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$378,670
Government grants and appropriations
Government grants or transfers supporting hospital operations

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Midmichigan Medical Center-Gratiot's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$135.7M	$142.3M	$164.5M	$142.2M	$144.3M	$136.6M
Operating expenses	$134.7M	$149.3M	$172.5M	$150.6M	$151.1M	$149.4M
Operating margin	0.8%	-4.9%	-4.9%	-5.9%	-4.7%	-9.4%
Net income	$5.7M	$1.7M	-$4.2M	$3.7M	$2.7M	-$4.4M
Total assets	$126.1M	$150.6M	$142M	$133.6M	$137M	$130.7M
Discharges	3,206	3,094	3,771	2,502	3,156	3,410
Inpatient days	10,062	11,479	13,487	11,897	11,939	12,860
Medicare Advantage days	1,744	2,702	3,476	3,857	3,687	4,811
Beds	97	97	97	97	83	86
Employees (FTE)	569	619	507	461	385	482

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Midmichigan Medical Center-Gratiot reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 51 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Rural health clinic	$9.3M	$22.3M	$18.8M	1.18
Operating room	$4.1M	$10.2M	$24.7M	0.41	9,703
Radiology-diagnostic	$1.7M	$6.7M	$21.5M	0.31	17,355
Drugs charged to patients	$1.9M	$6.2M	$19M	0.33
Laboratory		$6M	$23.4M	0.26	1,296
Emergency	$2.2M	$5.5M	$28.6M	0.19
Impl. dev. charged to patients		$4M	$3.3M	1.21
Medical supplies charged to patient	$277,655	$4M	$10M	0.40	3,389
Respiratory therapy	$1.5M	$3.4M	$14.9M	0.23	3,344
Physical therapy	$1.6M	$3.2M	$8.6M	0.37	90
Hyperbaric oxygen therapy		$1.9M	$8.1M	0.24	7,690
Ct scan	$476,494	$1.9M	$39.5M	0.05
Delivery room & labor room		$1.7M	$2.8M	0.60
Observation beds (distinct part)	$764,478	$1.7M	$2.6M	0.63
Rural health clinic ii	$589,920	$1.7M	$1.3M	1.31
Clinic-pulmonology	$884,929	$1.6M
Mri	$331,207	$1.4M	$11.6M	0.12	1,063
Observation beds (non-distinct part		$1.4M	$3.9M	0.36
Rehab therapy		$1.1M	$5.5M	0.21
Covid bam clinic		$1.1M			245
Sleep lab	$342,987	$824,017	$7.1M	0.12
Partial psych program	$333,870	$781,078	$1.8M	0.43	1,995
Cardiac catheterization	$89,992	$637,447	$3.1M	0.21	1,725
Clinic	$674,917	$609,791	$8.8M	0.07
Diabetes education	$282,806	$529,806	$35,681	14.85	156
Intravenous therapy	$168,237	$430,660	$1,792	240.32
Renal dialysis		$414,109	$457,592	0.90
Anesthesiology		$353,054	$4.4M	0.08	1,184
Nutritional services	$132,400	$220,120	$102,613	2.15
Clinic-hematology/oncology	$15,086	$45,961

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge
Adults & pediatrics	$7.4M	$15.2M	$25.3M	0.60
Subprovider - ipf	$3.6M	$10.6M	$16M	0.66
Subprovider - irf	$1.9M	$6.2M	$5.9M	1.05
Nursery		$1.3M	$1.8M	0.72

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Employee benefits department	$13,928	$15.9M	47	$297.35	657
Administrative and general	$1.2M	$10M			66,469
Cap rel costs-bldg & fixt		$4.5M			152,354
Operation of plant	$792,610	$4.4M	36,307	$21.91	10,533
Housekeeping		$2.8M			2,783
Cap rel costs-mvble equip		$2.7M
Medical records & library	$1.4M	$1.8M	44,437	$32.28	2,971
Dietary		$1.8M			6,619
Cap rel costs-bldg & fixt (tower)		$1.8M
Admitting	$536,262	$1.7M			496
Nursing administration	$1M	$1.3M	24,866	$42.31	589
I&r services-family residency		$884,437
I&r services-other prgm costs apprv	$2.5M	$575,239
Cafeteria		$501,743			3,243
Laundry & linen service		$484,053			4,255
Cap rel costs-bldg & fixt (er)		$202,886
Purchasing receiving and stores	$124,437	$183,800			90

Source: CMS cost report (HCRIS, Form 2552-10), report 825202, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Midmichigan Medical Center-Gratiot for an inpatient stay.

1.49
Case mix index
Higher than 26% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.30 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
22.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
831
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.42	1.42	1.57	1.68	1.53	1.51	1.49
Wage index	0.924	0.927	0.911	0.890	0.966	0.959	0.955
Readmissions adjustment	-0.06%	-0.12%	-0.05%	0.00%	-0.38%	-0.42%	-0.40%
Value-based purchasing adjustment	+0.01%	+0.03%	+0.03%	-0.25%	+1.23%	+0.18%	+1.04%
Medicare inpatient stays	1,309	1,309	909	973	829	798	831

Source: CMS IPPS final rule Impact File (FY 2027).

Ownership

Organizations Midmichigan Medical Center-Gratiot reports to Medicare as owners or with operational control.

Mymichigan Health
Operational/managerial control, since 2005

Sources: CMS Hospital All Owners.

Leadership

The officers and board members on Midmichigan Medical Center-Gratiot's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and directors on the Medicare enrollment

Marita A Hattem-Schiffman Officer, President, since 2018
Donald Schurr Officer, Board Member, since 2022
Erik Spindler Officer, Board Member, since 2022
Jeffrey J Klaus Officer, Board Member, since 2022
Thomas V Claringbold Officer, Board Member, since 2022
Todd Olivieri Officer, Board Member, since 2022
Lydia Watson Officer, since 2024
Nancy E Gallagher Director, Board Member, since 2010
Trudy Shira Director, Director Patient Financial Servi, since 2014
James Wheeler Director, Board Member, since 2015
William Henderson Director, Board Member, since 2015
Tina Church Director, since 2018
Gregory H Rogers Director, since 2022
Sarah James Managing employee, since 2019
Samantha Hunter Managing employee, since 2022

Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 15 of 17 are shown.

Officers and key employees of Mymichigan Medical Center Alma (IRS Form 990, tax year 2024)

Mymichigan Medical Center Alma files the Form 990 for the tax ID insurers list for Midmichigan Medical Center-Gratiot, so these people may lead the wider organization rather than Midmichigan Medical Center-Gratiot alone.

Name	Title
Rose Michael	Sr VP, CFO & Treasurer
Hattem-Schiffman Marita	President
Goodwin Peter	General Counsel & Secretary (part Year)
White Al	Chair
Mora Kati	Vice Chair

Board members: Cross Bryan, Lossio MD Francisco, Nimbley MD Erik, Brown Damon, Geers Adam, Lancaster Paula, Nowlin Harmony, Olivieri Todd, Rogers Nathan, Schurr Don, Siefker Jennifer, Spindler Erik.

Source: IRS Form 990 Part VII filed by Mymichigan Medical Center Alma (EIN 38-1437919), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

340B drug pricing program
Not participating
340B ID RRC230030-00, registered as a rural referral center. Authorizing official: Heather R Wager, Director Of Finance.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
POM ACO
ACO A1297, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Midmichigan Medical Center-Gratiot's legal name.

Hospital-based units

Hospital-based units with their own Medicare certification

Gratiot psychiatric unit
CCN 23S030, certified 1992, Medicare prospective payment
Gratiot medical rehab unit
CCN 23T030, certified 1993, Medicare prospective payment
Family medical care-breckenridge
CCN 238521, certified 1996, Medicare cost reimbursed
Family medical care-shepherd
CCN 238762, certified 2020, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Midmichigan Medical Center-Gratiot's latest Medicare cost report (HCRIS).

Frequently asked questions

About Midmichigan Medical Center-Gratiot's rates and hospital price transparency.

How much does an MRI cost at Midmichigan Medical Center-Gratiot?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Midmichigan Medical Center-Gratiot range from $393 to $484 across 2 insurers. Aetna's rate is $393. The median at nearby comparable hospitals is $1,573. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Midmichigan Medical Center-Gratiot?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Midmichigan Medical Center-Gratiot range from $400 to $469 across 2 insurers. Aetna's rate is $400. The median at nearby comparable hospitals is $1,192. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Midmichigan Medical Center-Gratiot?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Midmichigan Medical Center-Gratiot range from $7,055 to $7,055 across 1 insurers. Blue Cross Blue Shield's rate is $7,055. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Midmichigan Medical Center-Gratiot?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Midmichigan Medical Center-Gratiot range from $113 to $149 across 2 insurers. Aetna's rate is $113. The median at nearby comparable hospitals is $307. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Midmichigan Medical Center-Gratiot's CMS star rating?

Midmichigan Medical Center-Gratiot has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Midmichigan Medical Center-Gratiot a teaching hospital?

Yes. CMS counts 0.30 Medicare-funded residents per bed at Midmichigan Medical Center-Gratiot for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Midmichigan Medical Center-Gratiot for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Midmichigan Medical Center-Gratiot's base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Midmichigan Medical Center-Gratiot?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (94 discharges), heart failure and shock with mcc (67 discharges), simple pneumonia and pleurisy with mcc (43 discharges).

What is Midmichigan Medical Center-Gratiot's case mix index?

Midmichigan Medical Center-Gratiot's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does Midmichigan Medical Center-Gratiot admit?

Midmichigan Medical Center-Gratiot reported 3,410 inpatient discharges and 12,860 inpatient days from Jul 1, 2024 to Jun 30, 2025.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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About this hospital

Prices for common services

How the insurers pay at Midmichigan Medical Center-Gratiot

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

24 services at Midmichigan Medical Center-Gratiot

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Officers and key employees of Mymichigan Medical Center Alma (IRS Form 990, tax year 2024)

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Comparable hospitals nearby

Frequently asked questions

Running price transparency at a hospital like this one?

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