BETA

COREWELL HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COREWELL HEALTH (EIN 33-1086165)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-09
IRS object ID
202002839349300705
Schema version
2019v5.0
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

FieldValueIRS element (for citing)
Return2020-10-09T08:26:10-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383208658PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUTTON EDDY KOLB & SORRENTINO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line133515 STATE STREETAddressLine1Txt
CityFARMINGTONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48335ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN331086165EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN MOBILE PET IMAGING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone7346733764PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line126901 BEAUMONT BOULEVARDAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARIA MILLERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3135865671PhoneNum
Signature2020-10-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER M RUTOWSKIPreparerPersonNm
PTINP00083517PTIN
Phone2488931030PhoneNum
Preparation2020-10-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.100.17.254IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-09IPDt
IP Tm08:26:10IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBE33FA3F9911C6D99FACD1F3CD52B3CD49D3A004AtSubmissionCreationDeviceId
At Submission Filing Device IdBE33FA3F9911C6D99FACD1F3CD52B3CD49D3A004AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCONSTANCE O'MALLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line126901 BEAUMONT BOULEVARDAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,777,215GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO ACQUIRE, ESTABLISH, CONSTRUCT, DEVELOP, OPERATE, MANAGE OR ARRANGE FOR MANAGEMENT OF, AND MAINTAIN A MOBILE PET/CT SCANNER ROUTE FOR THE CARE AND TREATMENT OF PERSONS WHO ARE ACUTELY ILL OR WHO OTHERWISE REQUIRE MEDICAL CARE AND RELATED SERVICES; AND TO INITIATE, SPONSOR, CARRY OUT, PARTICIPATE IN, AND CONTRIBUTE TO PROGRAMS FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND FOR THE PROMOTION OF THE GENERAL HEALTH OF THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$3,994,601PYProgramServiceRevenueAmt
CY Program Service Revenue$4,777,215CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,994,601PYTotalRevenueAmt
CY Total Revenue$4,777,215CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,962,164PYOtherExpensesAmt
CY Other Expenses$3,619,271CYOtherExpensesAmt
PY Total Expenses$2,962,164PYTotalExpensesAmt
CY Total Expenses$3,619,271CYTotalExpensesAmt
PY Revenues Less Expenses$1,032,437PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,157,944CYRevenuesLessExpensesAmt
Total Assets BOY$3,636,835TotalAssetsBOYAmt
Total Assets EOY$6,645,604TotalAssetsEOYAmt
Total Liabilities BOY$241,104TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,091,929TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,395,731NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,553,675NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ACQUIRE, ESTABLISH, CONSTRUCT, DEVELOP, OPERATE, MANAGE OR ARRANGE FOR MANAGEMENT OF, AND MAINTAIN A MOBILE PET/CT SCANNER ROUTE FOR THE CARE AND TREATMENT OF PERSONS WHO ARE ACUTELY ILL OR WHO OTHERWISE REQUIRE MEDICAL CARE AND RELATED SERVICES; AND TO INITIATE, SPONSOR, CARRY OUT, PARTICIPATE IN, AND CONTRIBUTE TO PROGRAMS FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND FOR THE PROMOTION OF THE GENERAL HEALTH OF THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,478,070ExpenseAmt
Revenue$4,777,215RevenueAmt
DescOBTAIN AND PROVIDE FOR THE MANAGEMENT AND OPERATION OF A MOBILE PET/CT SCANNER. MICHIGAN MOBILE PET IMAGING LEASES THE SCANNER TO LOCAL AREA HOSPITALS WHO OPERATE THE MACHINE FOR DIAGNOSIS AND TREATMENT OF PATIENTS REQUIRING MEDICAL CARE.Desc
Total Program Service Expenses$3,478,070TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRIAN MADISONPersonNm
Phone7346733764PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line126901 BEAUMONT BOULEVARDAddressLine1Txt
CitySOUTHFIELDCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48033ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOHN KERNDL
TREASURER48.002.00Yes (X)Yes (X)$0$1,056,274$489,603
PAUL LACASSE
PRESIDENT2.0052.00Yes (X)Yes (X)$0$862,269$28,729
CONSTANCE O'MALLEY
PRESIDENT2.0048.00Yes (X)Yes (X)$0$518,517$126,433
ERIC WIDNER
SECRETARY2.0048.00Yes (X)Yes (X)$0$372,807$8,894
MARIA MILLER
TREASURER2.0048.00Yes (X)Yes (X)$0$230,418$55,652
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$3,040,285TotReportableCompRltdOrgAmt
Total Other Compensation$709,311TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescLEASE - MOBILE PET/CT SCANNERDesc
Total Revenue Column$4,777,215TotalRevenueColumnAmt
Related Or Exempt Func Income$4,777,215RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,777,215TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,777,215TotalRevenueColumnAmt
Related Or Exempt Func Income$4,777,215RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,395,403TotalAmt
Program Services$1,395,403ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$21,777TotalAmt
Management And General$21,777ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$366,544TotalAmt
Program Services$350,220ProgramServicesAmt
Management And General$16,324ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$53,390TotalAmt
Program Services$53,390ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,221TotalAmt
Management And General$26,221ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$234,943TotalAmt
Program Services$234,943ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$76,879TotalAmt
Management And General$76,879ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
EQUIPMENT LEASE$841,117$841,117
TRANSPORTATION FEES$426,592$426,592
REPAIRS$84,689$84,689
MEDICAL SUPPLIES$57,216$57,216

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,500TotalAmt
Program Services$34,500ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,619,271TotalAmt
Program Services$3,478,070ProgramServicesAmt
Management And General$141,201ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,850,179BOYAmt
EOY$3,579,138EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$773,555BOYAmt
EOY$557,155EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,101BOYAmt
EOY$29,472EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,566,288LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$234,943LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$1,331,345EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$1,148,494EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,636,835BOYAmt
EOY$6,645,604EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$241,104BOYAmt
EOY$1,250,928EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$841,001EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$241,104BOYAmt
EOY$2,091,929EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$3,395,731BOYAmt
EOY$4,553,675EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,395,731BOYAmt
EOY$4,553,675EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,636,835BOYAmt
EOY$6,645,604EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,157,944ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OAKWOOD HEALTHCARE INCBusinessNameLine1Txt
Business Name Line2OAKWOOD HEALTHCARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
EIN381405141EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,566,288OtherCostOrOtherBasisAmt
Depreciation$234,943DepreciationAmt
Book Value$1,331,345BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,331,345TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE RODesc
Book Value$1,148,494BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,148,494TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
MAGENTOM AREA$468,490
OPERATING LEASES$372,511
FieldValueIRS element (for citing)
Total Liability$841,001TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
JOHN KERNDL
TREASURER$699,977$348,095$8,202$462,220$27,383$1,545,877
PAUL LACASSE
PRESIDENT$138,284$303,890$420,095$13,750$14,979$890,998
CONSTANCE O'MALLEY
PRESIDENT$366,594$129,150$22,773$110,276$16,157$644,950
ERIC WIDNER
SECRETARY$39,542$80,345$252,920$5,500$3,394$381,701
MARIA MILLER
TREASURER$184,466$44,276$1,676$42,724$12,928$286,070

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO ACQUIRE, ESTABLISH, CONSTRUCT, DEVELOP, OPERATE, MANAGE OR ARRANGE FOR MANAGEMENT OF, AND MAINTAIN A MOBILE PET/CT SCANNER ROUTE FOR THE CARE AND TREATMENT OF PERSONS WHO ARE ACUTELY ILL OR WHO OTHERWISE REQUIRE MEDICAL CARE AND RELATED SERVICES; AND TO INITIATE, SPONSOR, CARRY OUT, PARTICIPATE IN, AND CONTRIBUTE TO PROGRAMS FOR THE CARE AND TREATMENT OF THE SICK, INFIRM, AGED, AND DISTRESSED, AND FOR THE PROMOTION OF THE GENERAL HEALTH OF THE COMMUNITY.
FORM 990, PAGE 6, PART VI, LINE 2PAUL LACASSE JOHN KERNDI PRESIDENT TREASURER SAME EMPLOYER CONSTANCE O'MALLEY ERIC WIDNER PRESIDENT SECRETARY SAME EMPLOYER MARIA MILLER TREASURER SAME EMPLOYER
FORM 990, PAGE 6, PART VI, LINE 6MICHIGAN MOBILE PET IMAGING INC WAS FORMED AS A NON STOCK, NOT FOR PROFIT CORPORATION WITH VOTING MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7AA MEMBER MAY APPOINT AN OFFICER(S), DIRECTOR(S), TRUSTEE(S), OR ANYONE ELSE TO ACT ON ITS BEHALF IN THE CAPACITY OF A MEMBER.
FORM 990, PAGE 6, PART VI, LINE 7BALL ACTIONS OF ORGANIZATION SHALL BE MADE BY ITS BOARD OF TRUSTEES, SUBJECT TO THE FOLLOWING MATTERS, WHICH SHALL REQUIRE THE UNANIMOUS APPROVAL OF THE MEMBERS: A. APPROVE THE MISSON AND VISION STATEMENTS FOR THE CORPORATION AND ANY CHANGES THERETO. B. APPROVE ADMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. C. APPROVE SALE, TRANSFER, OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR ANY DIVESTITURES, DISSOLUTIONS, CLOSURES, MERGERS, OR CONSOLIDATIONS OF THE CORPORATION. D. APPROVE ANY REQUEST FOR ADDITIONAL CAPITAL CONTRIBUTIONS BY THE MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PREPARED BY OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS AND IS REVIEWED AND SIGNED BY PERSONNEL DESIGNATED BY THE BOARD. A COPY OF THE SIGNED FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW SUBSEQUENT TO ITS FILING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION CONDUCTS PERIODIC REVIEWS OF ITS PRACTICES TO INCLUDE PROCEDURES TO ENSURE THAT: - TRANSACTIONS DO NOT INURE TO IMPERMISSIBLE PRIVATE BENEFIT. - BUSINESS ARRANGEMENTS AND AGREEMENTS CONFORM TO WRITTEN POLICIES, REFLECT REASONABLE PAYMENTS, FURTHER THE ORGANIZATION'S CHARITABLE PURPOSES, AND DO NOT INURE TO IMPERMISSIBLE PRIVATE BENEFIT.
FORM 990, PAGE 6, PART VI, LINE 15ANO MEMBERS OF THE ORGANIZATION'S GOVERNING BOARD OR DESIGNATED STAFF ARE COMPENSATED BY MICHIGAN MOBILE PET IMAGING.
FORM 990, PAGE 6, PART VI, LINE 19FORM 990, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE OFFICES OF THE ORGANIZATION DURING NORMAL BUSINESS HOURS.
FORM 990, PART IX, LINE 11GCONSULTING FEES 30,000 0 0 OTHER PROFESSIONAL FEES 0 16,324 0 SERVICE AGREEMENTS 320,220 0 0 TOTAL 350,220 16,324 0

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