FURP.ORG / PUBLIC DATA EXPLORER

GREAT LAKES MOBILE PET: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GREAT LAKES MOBILE PET (EIN 36-4508671)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202033189349301248
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)
Return2020-11-13T07:50:58-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364508671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT LAKES MOBILE PETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGREABusinessNameControlTxt
Phone2319355000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STREETAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCRISTY SMOLINSKIPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2319355000PhoneNum
Signature2020-11-09SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address172.222.71.44IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-13IPDt
IP Tm07:50:58IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB12A1DA808F22A6A05E7483450C91465FF2D0CFCAtSubmissionCreationDeviceId
At Submission Filing Device IdB12A1DA808F22A6A05E7483450C91465FF2D0CFCAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER PODGESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STREETAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,970,700GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO ESTABLISH, ACQUIRE AND MAINTAIN A MOBILE POSITRON EMISSION TOMOGRAPHY NETWORK TO IMPROVE AND PROMOTE THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,798,200PYProgramServiceRevenueAmt
CY Program Service Revenue$1,970,700CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,798,200PYTotalRevenueAmt
CY Total Revenue$1,970,700CYTotalRevenueAmt
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$1,104,853PYOtherExpensesAmt
CY Other Expenses$1,376,861CYOtherExpensesAmt
PY Total Expenses$1,104,853PYTotalExpensesAmt
CY Total Expenses$1,376,861CYTotalExpensesAmt
PY Revenues Less Expenses$693,347PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$593,839CYRevenuesLessExpensesAmt
Total Assets BOY$2,807,329TotalAssetsBOYAmt
Total Assets EOY$3,076,561TotalAssetsEOYAmt
Total Liabilities BOY$163,523TotalLiabilitiesBOYAmt
Total Liabilities EOY$238,916TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,643,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,837,645NetAssetsOrFundBalancesEOYAmt
MissionTO ESTABLISH, ACQUIRE AND MAINTAIN A MOBILE POSITRON EMISSION TOMOGRAPHY NETWORK TO IMPROVE AND PROMOTE THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,236,087ExpenseAmt
Revenue$1,970,700RevenueAmt
DescPROVISION OF POSITRON EMISSION TOMOGRAPHY TO PATIENTS OF TWO MEMBER HOSPITALS: MUNSON MEDICAL CENTER AND MCLAREN NORTHERN MICHIGAN, AND SEVERAL OTHER NORTHERN MICHIGAN EXEMPT HOSPITALS. IN 2019, GREAT LAKES MOBILE PET PERFORMED 2,833 SCANS IN NORTHERN MICHIGAN.Desc
Total Program Service Expenses$1,236,087TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
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 RequiredfalseScheduleJRequiredInd
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 Document1IRPDocumentCnt
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
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICOLE SULAK MUNSON HEALTHCAREPersonNm
Phone2319357777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14230 COPPER RIDGE DR BLG EAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DANIEL FLY
SECRETARY2.00Yes (X)Yes (X)$0$0$0
KIRK PARENT
DIRECTOR1.00Yes (X)$0$0$0
CHRISTOPHER PODGES
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
CRISTY SMOLINSKI
TREASURER2.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MUNSON MEDICAL CENTERBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
ServicesMEDICAL & TECHServicesDesc
Compensation$384,791CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICES FEESDesc
Business621990BusinessCd
Total Revenue Column$1,970,700TotalRevenueColumnAmt
Related Or Exempt Func Income$1,970,700RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,970,700TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,970,700TotalRevenueColumnAmt
Related Or Exempt Func Income$1,970,700RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,170TotalAmt
Management And General$77,170ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$356,761TotalAmt
Program Services$356,761ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,034TotalAmt
Program Services$127ProgramServicesAmt
Management And General$907ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,291TotalAmt
Program Services$12,291ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$320,999TotalAmt
Program Services$320,999ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,597TotalAmt
Management And General$61,597ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
VEHICLE REPAIR AND FUEL$500,003$500,003
ELECTRICITY FOR PET MACHI$21,964$21,964
SUPPLIES - PATIENT CARE$16,120$16,120
LICENSE FEES$5,381$5,381

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,541TotalAmt
Program Services$2,441ProgramServicesAmt
Management And General$1,100ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,376,861TotalAmt
Program Services$1,236,087ProgramServicesAmt
Management And General$140,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$809,754BOYAmt
EOY$1,458,908EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$329,400BOYAmt
EOY$255,800EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$14,677EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,521,551LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,174,375LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,668,175BOYAmt
EOY$1,347,176EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,807,329BOYAmt
EOY$3,076,561EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,953BOYAmt
EOY$23,576EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$148,570BOYAmt
EOY$215,340EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,523BOYAmt
EOY$238,916EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,643,806BOYAmt
EOY$2,837,645EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,643,806BOYAmt
EOY$2,837,645EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,807,329BOYAmt
EOY$3,076,561EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$593,839ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$400,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,521,551OtherCostOrOtherBasisAmt
Depreciation$3,174,375DepreciationAmt
Book Value$1,347,176BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,347,176TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$215,340Amt
FieldValueIRS element (for citing)
Total Liability$215,340TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6GREAT LAKES MOBILE PET IS ORGANIZED AS A NON-STOCK MEMBERSHIP CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7AEACH MEMBER OF THE CORPORATION SHALL APPOINT TWO TRUSTEES TO THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 7BMEMBER ORGANIZATIONS APPROVE THE DECISIONS OF THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 11BONE MEMBER ORGANIZATION PREPARES THE FORM 990 AT THE CORPORATE OFFICE. MANAGEMENT AT THE ORGANIZATION, KNOWLEDGEABLE ABOUT THE REQUIREMENTS FOR FORM 990, REVIEWS THE RETURN FOR ACCURACY. THE VICE PRESIDENT OF GENERAL COUNSEL FOR THAT MEMBER ORGANIZATION REVIEWS THE GOVERNANCE PORTION OF THE RETURN. A COPY OF THE RETURN IS PROVIDED TO THE MEMBERS OF THE BOARD PRIOR TO ITS FILING WITH THE IRS. ANY QUESTIONS ARE CLARIFIED PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION DOES NOT MAKE ITS BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT LABOR 356,761 0 0
FORM 990, PART XI, LINE 9DISTRIBUTION TO OWNERS -400,000