MICHIGAN CENTER FOR RURAL HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MICHIGAN CENTER FOR RURAL HEALTH (EIN 38-3180997)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-01-15
- IRS object ID
- 202420169349300222
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-01-15T09:19:58-06:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382157642 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANER COSTERISAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2425 E GRAND RIVER SUITE 1 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 489123291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383180997 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN CENTER FOR RURAL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MICH | BusinessNameControlTxt |
| Phone | 5174329216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MSU B-218 FEE HALL | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488241316 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN BARNAS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5173557979 | PhoneNum |
| Signature | 2024-01-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | BARNAS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRANDY L MIKULA CPA | PreparerPersonNm |
| PTIN | P00645694 | PTIN |
| Phone | 5173237500 | PhoneNum |
| Preparation | 2024-01-16 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN BARNAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MSU B-218 FEE HALL | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488241316 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,299,492 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCRH.MSU.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO COORDINATE, PLAN, & ADVOCATE FOR IMPROVED HEALTH FOR MICHIGAN'S RURAL RESIDENTS & COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 23 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,089,403 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,060,233 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $151,281 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $226,071 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,287 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,188 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,241,971 | PYTotalRevenueAmt |
| CY Total Revenue | $6,299,492 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $13,040,930 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,787,133 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $967,024 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,299,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,213,070 | PYOtherExpensesAmt |
| CY Other Expenses | $3,125,491 | CYOtherExpensesAmt |
| PY Total Expenses | $15,221,024 | PYTotalExpensesAmt |
| CY Total Expenses | $6,212,201 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,947 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $87,291 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,118,649 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,144,155 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $349,712 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $287,927 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $768,937 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $856,228 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSE OF THE CORPORATION IS TO DEVELOP A COORDINATED RURAL HEALTH PROGRAM, TO CONDUCT RESEARCH REGARDING RURAL HEALTH ISSUES, TO ASSIST RURAL COMMUNITIES IN HEALTH RELATED AREAS, AND SUCH OTHER PURPOSES AS THE BOARD SHALL DETERMINE FROM TIME TO TIME, IN GENERAL CONFORMANCE WITH THE STATUTE AUTHORIZING THE CREATION OF THE CORPORATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $749,743 | ExpenseAmt |
| Grant | $654,818 | GrantAmt |
| Desc | SMALL RURAL HOSPITAL IMPROVEMENT PROGRAM - PROVIDES GRANT DOLLARS TO RURAL HOSPITALS WITH 49 OR FEWER STAFFED BEDS TO ASSIST WITH QUALITY IMPROVEMENT ACTIVITIES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $809,565 | ExpenseAmt |
| Grant | $24,000 | GrantAmt |
| Desc | RURAL HEALTH FLEXIBILITY PROGRAM | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,910,112 | ExpenseAmt |
| Grant | $21,000 | GrantAmt |
| Desc | RURAL COMMUNITY OPIOID RESPONSE PROGRAM | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,677,286 | ExpenseAmt |
| Grant | $1,087,315 | GrantAmt |
| Revenue | $226,071 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES: INCLUDES THE TRANSFORMING CLINICAL PRACTICE INITIATIVE AND SAFER OPIOID PRESCRIBING PRACTICES AND DATA COLLECTION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,677,286 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,087,315 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $226,071 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $6,146,706 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 23 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN BARNAS | PersonNm |
| Phone | 5174329216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MSU B-218 FEE HALL | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48824 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| HUNTER NOSTRANT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANDREA AMALFITANO DO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY L SPENCER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EMILY BERGQUIST | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SENATOR KRISTEN MCDONALD RIVET | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EDWARD CANFIELD DO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MEGHAN GROEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BETH NAGEL | ||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| NICHOLAS DERUSHA | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR NED CANFIELD | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR AL FERREIRA | ||||||
| IMMEDIATE PAST PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JOHN BARNAS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | $121,060 | $0 | $29,788 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $121,060 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $29,788 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLEVANT SOLUTIONS | |||||
| 4714 GETTYSBURG ROAD | MECHANICSBURG | PA | 17055 | CONSULTING | $255,000 |
| SAFETECH SOLUTIONS | |||||
| 29251 POTASSIUM ST NW | ISANTI | MN | 55040 | CONSULTING | $117,734 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,060,233 | GovernmentGrantsAmt |
| Total Contributions | $6,060,233 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONFERENCE REGISTRATIO | 611710 | $134,992 | $134,992 |
| CONSULTING | 541900 | $91,079 | $91,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $226,071 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,188 | TotalRevenueColumnAmt |
| Exclusion | $13,188 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,299,492 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $226,071 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,188 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,787,133 | TotalAmt |
| Program Services | $1,787,133 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,980 | TotalAmt |
| Program Services | $156,734 | ProgramServicesAmt |
| Management And General | $3,246 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $865,590 | TotalAmt |
| Program Services | $848,025 | ProgramServicesAmt |
| Management And General | $17,565 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,002 | TotalAmt |
| Program Services | $41,150 | ProgramServicesAmt |
| Management And General | $852 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,464 | TotalAmt |
| Program Services | $141,344 | ProgramServicesAmt |
| Management And General | $11,120 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,541 | TotalAmt |
| Program Services | $74,961 | ProgramServicesAmt |
| Management And General | $4,580 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,924 | TotalAmt |
| Program Services | $113,147 | ProgramServicesAmt |
| Management And General | $9,777 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,670,674 | TotalAmt |
| Program Services | $1,664,465 | ProgramServicesAmt |
| Management And General | $6,209 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,866 | TotalAmt |
| Program Services | $90,068 | ProgramServicesAmt |
| Management And General | $2,798 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,982 | TotalAmt |
| Program Services | $146,392 | ProgramServicesAmt |
| Management And General | $6,590 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,005 | TotalAmt |
| Program Services | $136,005 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,526 | TotalAmt |
| Program Services | $10,332 | ProgramServicesAmt |
| Management And General | $1,194 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| EMS SERVICE | $403,359 | $403,359 |
| SPONSORSHIPS | $294,725 | $294,725 |
| CAH EXPENSES | $137,985 | $137,985 |
| SITE IMPROVEMENTS | $55,000 | $55,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,445 | TotalAmt |
| Program Services | $45,881 | ProgramServicesAmt |
| Management And General | $1,564 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,212,201 | TotalAmt |
| Program Services | $6,146,706 | ProgramServicesAmt |
| Management And General | $65,495 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,753 | BOYAmt |
| EOY | $168,572 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,783 | BOYAmt |
| EOY | $765,231 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,113 | BOYAmt |
| EOY | $210,352 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,118,649 | BOYAmt |
| EOY | $1,144,155 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,290 | BOYAmt |
| EOY | $126,007 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,422 | BOYAmt |
| EOY | $161,920 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,712 | BOYAmt |
| EOY | $287,927 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $768,937 | BOYAmt |
| EOY | $856,228 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $768,937 | BOYAmt |
| EOY | $856,228 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,118,649 | BOYAmt |
| EOY | $1,144,155 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $87,291 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,432,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,881,579 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,757,324 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,089,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,060,233 | CurrentTaxYearAmt |
| Total | $42,221,368 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,432,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,881,579 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,757,324 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,089,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,060,233 | CurrentTaxYearAmt |
| Total | $42,221,368 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $42,221,368 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,769 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,901 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,287 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,188 | CurrentTaxYearAmt |
| Total | $25,983 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $42,247,351 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $945,980 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99960 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,335,112 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $35,620 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $35,620 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,299,492 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,299,492 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,247,821 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $35,620 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $35,620 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,212,201 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,212,201 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (83 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| ALLEGAN DHD | |||||||||
| 3255 122ND AVE SUITE 200 | ALLEGAN | MI | 49010 | 381914307 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| ASCENSION ALLEGAN | |||||||||
| 555 LINN ST | ALLEGAN | MI | 49010 | 382802463 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| ASCENSION STANDISH HOSPITAL | |||||||||
| 805 W CEDAR ST | STANDISH | MI | 48658 | 381671120 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| ASCENSION TAWAS | |||||||||
| 200 E M 55 | TAWAS CITY | MI | 48763 | 381443395 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| ASPIRUS GRAND VIEW HOSPITAL | |||||||||
| 10561 N GRAND VIEW LN | IRONWOOD | MI | 49938 | 232330671 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| ASPIRUS IRON RIVER | |||||||||
| 1400 W ICE LAKE RD | IRON RIVER | MI | 49935 | 383236977 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| ASPIRUS KEWEENAW | |||||||||
| 205 OSCEOLA ST | LAURIUM | MI | 499132199 | 381443361 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| ASPIRUS ONTONAGON HOSPITAL | |||||||||
| 601 S SEVENTH ST | ONTONAGON | MI | 499531496 | 382860882 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| BARAGA COUNTY MEMORIAL HOSPITAL | |||||||||
| 770 N MAIN ST | LANSE | MI | 49946 | 382892565 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| BARRY EATON DHD | |||||||||
| 1033 HEALTH CARE DRIVE | CHARLOTTE | MI | 48813 | 300097701 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| BEAVER ISLAND RHC | |||||||||
| 3730 KINGS HIGHWAY | BEAVER ISLAND | MI | 49782 | 383299988 | 501(C)(3) | $250,000 | $0 | SEE STATEMENT 3. | |
| BENZIE LEELANAU DHD | |||||||||
| 6051 FRANKFORT HIGHWAY SUITE 100 | BENZONIA | MI | 49616 | 383563403 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| BOIS BLANC MEDICAL CLINIC | |||||||||
| 431 SIOUX AVE | POINTE AUX PINS | MI | 49775 | 208756459 | 501(C)(3) | $25,000 | $0 | SEE STATEMENT 3. | |
| BORGESS-LEE MEMORIAL HOSPITAL | |||||||||
| 420 W HIGH ST | DOWAGIAC | MI | 49047 | 381490190 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| BRANCH HILLSDALE ST JOSEPH CHA | |||||||||
| HUMAN SERVICES BUILDING 570 | COLDWATER | MI | 49036 | 383411829 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | MARSHALL ROAD |
| BRONSON LAKEVIEW HOSPITAL | |||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 381359218 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| BRONSON SOUTH HAVEN HOSPITAL | |||||||||
| 601 JOHN STREET | KALAMAZOO | MI | 49007 | 381676780 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| CENTRAL MICHIGAN DHD | |||||||||
| 2012 E PRESTON AVE | MT PLEASANT | MI | 48858 | 381808049 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| CHIPPEWA COUNTY DHD | |||||||||
| 508 ASHMUN STREET SUITE 120 | SAULT ST MARIE | MI | 49783 | 382893870 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL | |||||||||
| 500 OSBORN BOULEVARD | SAULT STE MARIE | MI | 49783 | 382602147 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| COREWELL BIG RAPIDS | |||||||||
| 605 OAK ST | BIG RAPIDS | MI | 49307 | 381368744 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL GERBER | |||||||||
| 212 S SULLIVAN AVE | FREMONT | MI | 49412 | 381359517 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL GREENVILLE | |||||||||
| 615 S BOWER ST | GREENVILLE | MI | 48838 | 381358412 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL KELSEY | |||||||||
| 418 WASHINGTON AVE | LAKEVIEW | MI | 48850 | 381297435 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL LUDINGTON | |||||||||
| 1 N ATKINSON DR | LUDINGTON | MI | 49431 | 381359266 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL PENNOCK | |||||||||
| 1009 W GREEN ST | HASTINGS | MI | 49058 | 381360562 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| COREWELL REED CITY | |||||||||
| 300 N PATTERSON RD | REED CITY | MI | 49677 | 382770076 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| DECKERVILLE COMMUNITY HOSPITAL | |||||||||
| 3559 PINE ST PO BOX 126 | DECKERVILLE | MI | 48427 | 381415390 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| DELTA MENOMINEE DHD | |||||||||
| 2920 COLLEGE AVE | ESCANABA | MI | 49829 | 383082794 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| DHD #10 | |||||||||
| 521 COBBS ST | CADILLAC | MI | 49601 | 383372828 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| DHD #2 | |||||||||
| 630 PROGRESS ST | WEST BRANCH | MI | 48661 | 381911267 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| DHD #4 | |||||||||
| 100 WOODS CIRCLE SUITE 200 | ALPENA | MI | 49707 | 383145897 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| DICKINSON COUNTY HEALTHCARE SYSTEM | |||||||||
| 1721 S STEPHENSON AVE | IRON MOUNTAIN | MI | 49801 | 386093161 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| DRUMMOND ISLAND MEDICAL CENTER | |||||||||
| PO BOX 98 | DRUMMOND ISLAND | MI | 49726 | 383503863 | 501(C)(3) | $173,136 | $0 | SEE STATEMENT 3. | |
| EATON RAPIDS MEDICAL CENTER | |||||||||
| 1500 S MAIN ST | EATON RAPIDS | MI | 48827 | 381559180 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| GRAND TRAVERSE COUNTY DHD | |||||||||
| 2600 LAFRANIER SUITE A | TRAVERSE CITY | MI | 49686 | 510163274 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| HARBOR BEACH COMMUNITY HOSPITAL | |||||||||
| 210 S FIRST ST | HARBOR BEACH | MI | 484410040 | 381565380 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| HELEN NEWBERRY JOY HOSPITAL | |||||||||
| 502 W HARRIE ST | NEWBERRY | MI | 49868 | 382873485 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| HILLS & DALES HOSPITAL | |||||||||
| 4675 HILL ST | CASS CITY | MI | 487261099 | 381619577 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| HILLSDALE HOSPITAL | |||||||||
| 168 SOUTH HOWELL STREET | HILLSDALE | MI | 49242 | 386005550 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| HURON COUNTY HEALTH DEPARTMENT | |||||||||
| 1142 S VAN DYKE | BAD AXE | MI | 48413 | 386004856 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| IONIA COUNTY HD | |||||||||
| EDWIN C NASH BUILDING 175 E ADAMS | IONIA | MI | 48846 | 386004857 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | ST |
| KALKASKA HOSPITAL | |||||||||
| 419 S CORAL ST PO BOX 249 | KALKASKA | MI | 496469348 | 386032904 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| LAKE SUPERIOR STATE UNIVERSITY | |||||||||
| 650 WEST EASTERDAY AVENUE | SAULT STE MARIE | MI | 49783 | 382576021 | 501(C)(3) | $9,250 | $0 | SEE STATEMENT 3. | |
| LENAWEE COUNTY DHD | |||||||||
| 1040 S WINTER SUITE 2328 | ADRIAN | MI | 49221 | 386005798 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| LMAS DISTRICT HEALTH DEPT | |||||||||
| 14150 HAMILTON LAKE RD | NEWBERRY | MI | 49868 | 381816569 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| MACKINAC ISLAND MEDICAL CENTER | |||||||||
| 7474 MARKET STREET | MACKINAC ISLAND | MI | 49757 | 382218858 | 501(C)(3) | $250,000 | $0 | SEE STATEMENT 3. | |
| MACKINAC STRAITS HEALTH SYSTEM | |||||||||
| 1140 N STATE STREET | ST IGNACE | MI | 49781 | 208756459 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MARLETTE COMMUNITY HOSPITAL | |||||||||
| 2770 MAIN ST PO BOX 307 | MARLETTE | MI | 484530307 | 381507302 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MARQUETTE COUNTY DHD | |||||||||
| 184 US 41 EAST | NEGAUNEE | MI | 49866 | 386004868 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 2. | |
| MCKENZIE HEALTH SYSTEM | |||||||||
| 120 DELAWARE ST | SANDUSKY | MI | 484711087 | 381738615 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MCLAREN CARO | |||||||||
| 401 N HOOPER PO BOX 435 | CARO | MI | 487230435 | 383426063 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MCLAREN THUMB REGION | |||||||||
| 1100 S VAN DYKE RD | BAD AXE | MI | 48413 | 381474929 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| MERCY HEALTH PARTNERS LAKESHORE | |||||||||
| 720 S STATE STREET | SHELBY | MI | 49455 | 382549295 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| MIDMICHIGAN DISTRICT HEALTH DEPT | |||||||||
| 615 NORTH STATE STREET SUITE 2 | STANTON | MI | 48888 | 381808049 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| MUNISING MEMORIAL HOSPITAL | |||||||||
| 1500 SAND POINT RD | MUNISING | MI | 49862 | 381507046 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MUNSON HEALTHCARE CHARLEVOIX | |||||||||
| 14700 LAKE SHORE DRIVE | CHARLEVOIX | MI | 49720 | 381459366 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MUNSON HEALTHCARE GRAYLING | |||||||||
| 1100 E MICHIGAN AVENUE | GRAYLING | MI | 49738 | 471161992 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MUNSON HEALTHCARE MANISTEE | |||||||||
| 1465 E PARKDALE AVE | MANISTEE | MI | 49660 | 380350304 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| MUNSON HEALTHCARE OTSEGO | |||||||||
| 825 N CENTER AVE | GAYLORD | MI | 49735 | 381303843 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| MUNSON HEALTHCARE PAUL OLIVER MEMORIAL HOSPITAL | |||||||||
| 224 PARK AVE | FRANKFORT | MI | 496359348 | 381415623 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| MYMICHIGAN CLARE | |||||||||
| 703 N MCEWAN ST | CLARE | MI | 48617 | 381518643 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| MYMICHIGAN GLADWIN | |||||||||
| 515 S QUARTER ST | GLADWIN | MI | 48624 | 386020434 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| MYMICHIGAN GRATIOT | |||||||||
| 300 E WARWICK DR | ALMA | MI | 488011096 | 381437919 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| MYMICHIGAN WEST BRANCH | |||||||||
| 2463 S M 30 | WEST BRANCH | MI | 48661 | 464088182 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| NORTHWEST MICHIGAN DHD | |||||||||
| 220 W GARFIELD ST | CHARLEVOIX | MI | 49720 | 300168590 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| OSF ST FRANCIS | |||||||||
| 3401 LUDINGTON | ESCANABA | MI | 49829 | 381359528 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| PORTAGE HEALTH SYSTEM | |||||||||
| 500 CAMPUS DRIVE | HANCOCK | MI | 49930 | 473913466 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| PROMEDICA HICKMAN | |||||||||
| 5640 N ADRIAN HWY | ADRIAN | MI | 49221 | 341517671 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| SANILAC COUNTY HEALTH DEPARTMENT | |||||||||
| 171 DAWSON ST SUITE 123 | SANDUSKY | MI | 48471 | 386004890 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
| SCHEURER HOSPITAL | |||||||||
| 170 N CASEVILLE RD | PIGEON | MI | 48755 | 381456056 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SCHOOLCRAFT MEMORIAL HOSPITAL | |||||||||
| 500 MAIN ST | MANISTIQUE | MI | 49854 | 742517055 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SHERIDAN COMMUNITY HOSPITAL | |||||||||
| 301 N MAIN ST | SHERIDAN | MI | 488849775 | 381369796 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SHIAWASSEE COUNTY DHD | |||||||||
| JAMES P CAPITAN CENTER 149 E | CORUNNA | MI | 48817 | 386004892 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | CORUNNA AVE 2ND FLOOR |
| SPARROW CARSON CITY | |||||||||
| 406 E ELM STREET PO BOX 879 | CARSON CITY | MI | 48811 | 381490180 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SPARROW CLINTON HOSPITAL | |||||||||
| 805 S OAKLAND/PO BOX 260 | ST JOHNS | MI | 488792253 | 381358172 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SPARROW EATON | |||||||||
| 321 E HARRIS ST | CHARLOTTE | MI | 48813 | 382007629 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| SPARROW IONIA | |||||||||
| 479 LAFAYETTE ST | IONIA | MI | 48846 | 383218134 | 501(C)(3) | $11,900 | $0 | SEE STATEMENTS 1 AND 2. | |
| THREE RIVERS HEALTH | |||||||||
| 1111 W BROADWAY | THREE RIVERS | MI | 49093 | 382317300 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 1 AND 2. | |
| TOWNSHIP OF BURT ALGER COUNTY | |||||||||
| PO BOX 430 | GRAND MARAIS | MI | 49839 | 386006889 | 501(C)(3) | $7,713 | $0 | SEE STATEMENT 3. | |
| UP HEALTH SYSTEM - BELL | |||||||||
| 901 LAKE SHORE DRIVE | ISHPEMING | MI | 49849 | 381394903 | 501(C)(3) | $11,900 | $0 | SEE STATEMENT 2. | |
| WEST MACKINAC HEALTH ASSOCIATION | |||||||||
| PO BOX 182 | ENGADINE | MI | 49827 | 382784832 | 501(C)(3) | $25,901 | $0 | SEE STATEMENT 3. | |
| WESTERN UPPER PENISULA DHD | |||||||||
| 540 DEPOT | HANCOCK | MI | 49930 | 386004855 | 501(C)(3) | $9,267 | $0 | SEE STATEMENT 3. | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS FOR GRANT FUNDS INCLUDED WITH STATEMENT 1 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE OBSERVING THE DETAIL OF EXPENDITURES PROVIDED BY THE HOSPITALS IN THE APPLICATION FOR FUNDS IN THE UPCOMING YEAR. FOR GRANT FUNDS INCLUDED WITH STATEMENT 2 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE THE COLLECTION OF DATA SUBMITTED BY THE GRANT RECIPIENTS WITH REGARD TO THE USAGE OF GRANT FUND EQUIPMENT. THE GRANT RECIPIENT IS ALSO REQUIRED TO SIGN A MAINTENANCE AGREEMENT FOR THE EQUIPMENT AND PROVIDE AN ANNUAL INSPECTION FORM TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 3 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE GATHERING INFORMATION REGARDING HOW THE FUNDS WERE USED BY EACH OF THE CLINICS IN ORDER TO SUBMIT A REPORT TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 4 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE DISBURSING SCHOLARSHIP FUNDS DIRECTLY TO THE ACCREDITED UNIVERSITY. |
| FORM 990, SCHEDULE I, PART II, COLUMN H: DESCRIPTION OF GRANT OR ASSISTANCE | STATEMENT 1: IMPROVE HOSPITAL INPATIENT CARE- PROGRAM TO IMPLEMENT ACTIVITIES AND PROVIDE SERVICES FOR IMPROVING SMALL HOSPITALS IN RURAL AREAS OF MICHIGAN. STATEMENT 2: SMALL RURAL HOSPITAL IMPROVEMENT PROGRAM - COVID-19 - PROVIDED GRANT DOLLARS TO RURAL HOSPITALS WITH 49 OR FEWER STAFFED BEDS TO OFFSET THE COST OF PERSONAL PROTECTIVE EQUIPMENT AND STAFFING. STATEMENT 3: INCREASE ACCESS TO PRIMARY CARE SERVICES ON MICHIGAN'S INHABITED ISLANDS AND RURAL CLINICS. STATEMENT 4: SCHOLARSHIPS FOR STUDENTS TO ATTEND RURAL OSTEOCHAMPS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN BARNAS | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $113,560 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $7,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $6,510 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $23,278 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $150,848 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS MAY AUTHORIZE ANY OFFICER OR OFFICERS, AGENT OR AGENTS, TO ENTER INTO ANY CONTRACT OR EXECUTE OR DELIVER ANY CONVEYANCE OR OTHER INSTRUMENT IN THE NAME OF THE CORPORATION, AND SUCH AUTHORITY MAY BE GENERAL OR CONFINED TO SPECIFIC INSTANCES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CPA FIRM PRESENTS THE FORM 990 TO THE EXECUTIVE COMMITTEE FOR REVIEW; ONE WEEK LATER, THE FORM 990 IS PRESENTED BY THE CPA FIRM TO THE FULL BOARD OF DIRECTORS AT THE JANUARY BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED ANNUALLY TO ALL BOARD MEMBERS AND TO EACH NEW BOARD MEMBER AS THEY ARE ADDED TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE SECRETARY/TREASURER REVIEWS MICHIGAN NONPROFIT ASSOCIATION COMPENSATION SURVEY DATA AND THE STATE OF MICHIGAN EMPLOYEE DATA AND PRESENTS THE INFORMATION/RECOMMENDATION TO THE EXECUTIVE COMMITTEE FOR APPROVAL; THEN IT IS PRESENTED TO THE FULL BOARD FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,664,465. MANAGEMENT AND GENERAL EXPENSES 6,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,670,674. |
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