MYMICHIGAN HOME CARE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN HOME CARE (EIN 38-1459397)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201841359349310939
- Schema version
- 2016v3.1
- 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 | 2018-05-15T16:41:24-04:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383133790 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREWS HOOPER PAVLIK PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 GRATIOT RD | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 486386035 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381459397 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN VISITING NURSE | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCIATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9898393181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3007 N SAGINAW | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 486404555 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANCINE M PADGETT | PersonNm |
| Person Title | SR. VP & TREASURER | PersonTitleTxt |
| Phone | 9896331400 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA M EBEL | PreparerPersonNm |
| PTIN | P00184232 | PTIN |
| Phone | 9894975300 | PhoneNum |
| Preparation | 2018-05-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | D5642DF4423300A4A94EB47D443012BF6EC3F5D5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D5642DF4423300A4A94EB47D443012BF6EC3F5D5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HOME CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAROLE CALVERT-BAXTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3007 N SAGINAW RD | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,993,692 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDMICHIGAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 338 | TotalEmployeeCnt |
| Total Volunteers | 79 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $139,069 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,944,574 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,629,027 | CYProgramServiceRevenueAmt |
| PY Investment Income | $319,637 | PYInvestmentIncomeAmt |
| CY Investment Income | $267,330 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,223 | PYOtherRevenueAmt |
| CY Other Revenue | $206,944 | CYOtherRevenueAmt |
| PY Total Revenue | $22,436,503 | PYTotalRevenueAmt |
| CY Total Revenue | $23,103,301 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,770,401 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,099,295 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,558,478 | PYOtherExpensesAmt |
| CY Other Expenses | $9,005,171 | CYOtherExpensesAmt |
| PY Total Expenses | $22,328,879 | PYTotalExpensesAmt |
| CY Total Expenses | $23,104,466 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $107,624 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,165 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,059,386 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,014,028 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,173,444 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,801,413 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,885,942 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,212,615 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,535,255 | ExpenseAmt |
| Revenue | $8,927,627 | RevenueAmt |
| Desc | HOME HEALTH SERVICES - TO ENABLE PATIENTS TO BE AT HOME WHILE RECUPERATING AND RECEIVING QUALITY MEDICAL CARE. THIS INCLUDES NURSING SERVICES, SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPIES, AND SOCIAL WORK. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. TOTAL VISITS = 57,142. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,578,051 | ExpenseAmt |
| Revenue | $6,621,719 | RevenueAmt |
| Desc | HOSPICE - PROVIDES PALLIATIVE CARE AND SUPPORTIVE SERVICES (PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL CARE) FOR DYING PATIENTS AND THEIR FAMILIES. PATIENTS ARE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY. PATIENT DAYS = 36,141 TOTAL VISITS = 22,107. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,784,717 | ExpenseAmt |
| Revenue | $4,808,441 | RevenueAmt |
| Desc | PRIVATE DUTY AND HOME MEDICAL EQUIPMENT - PRIVATE DUTY NURSING PROGRAM PROVIDES IN HOME NURSING AND HOME HEALTH AID SERVICES TO THE AREA IN THE LOWEST POSSIBLE COST SETTING. HOME MEDICAL EQUIPMENT SUPPLIES EQUIPMENT AND INSTRUCTION TO PERSONS WITH MEDICALLY DETERMINED NEEDS. PRIVATE DUTY NURSING HOURS = 57,679. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,928,001 | ExpenseAmt |
| Revenue | $2,271,240 | RevenueAmt |
| Desc | HOME INFUSION OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,928,001 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,271,240 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $19,826,024 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 338 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | FM PADGETT SR VP TREASURER | PersonNm |
| Phone | 9898393181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 WELLNESS DRIVE | AddressLine1Txt |
| City | MIDLAND | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DIANE POSTLER-SLATTERY | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $1,081,036 | $189,448 | ||
| GREGORY ROGERS | ||||||||
| CHAIR | 2.00 | 50.00 | Yes (X) | $0 | $703,309 | $270,422 | ||
| PANKAJ JANDWANI MD | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $480,681 | $13,270 | ||
| JAMES BICKNELL MD | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $461,320 | $87,454 | ||
| RAYMOND STOVER | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $373,071 | $143,831 | ||
| KARMON BJELLA | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $342,978 | $32,614 | ||
| SEAN KESTERSON MD | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $325,599 | $36,177 | ||
| JANICE PENNEY | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $313,700 | $197,641 | ||
| ROBIN WHITMORE | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $225,761 | $14,238 | ||
| CAROLE CALVERT-BAXTER | ||||||||
| PRESIDENT | 2.00 | 50.00 | Yes (X) | $0 | $224,466 | $86,944 | Yes (X) | |
| MARY GREELEY | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $215,267 | $59,886 | ||
| GLENN KING | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $191,971 | $25,977 | ||
| CHUCK SHERWIN | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $157,648 | $51,097 | ||
| ANN DULL | ||||||||
| DIRECTOR | 2.00 | 50.00 | Yes (X) | $0 | $146,307 | $35,863 | ||
| RACHEL AULTMAN | ||||||||
| VICE CHAIR | 2.00 | 50.00 | Yes (X) | $0 | $113,209 | $23,447 | ||
| JAMES ROLLIN | ||||||||
| PHYSICAL THE | 50.00 | $142,609 | $0 | $6,383 | Yes (X) | |||
| DARREN SEYMOUR | ||||||||
| PHYSICAL THE | 50.00 | $138,329 | $0 | $24,933 | Yes (X) | |||
| PAULA STOPJIK | ||||||||
| QUALITY MANA | 50.00 | $124,084 | $0 | $22,497 | Yes (X) | |||
| MARY GISSE | ||||||||
| PHARMACIST | 50.00 | $116,896 | $0 | $23,711 | Yes (X) | |||
| JULENE DOBRZELEWSKI | ||||||||
| PHYSICAL THE | 50.00 | $114,380 | $0 | $13,564 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $636,298 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,356,323 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,359,397 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID | 621610 | $17,616,965 | $17,616,965 |
| NET PATIENT REVENUE | 621610 | $5,012,062 | $5,012,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,629,027 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,532 | TotalRevenueColumnAmt |
| Exclusion | $122,532 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $967,445 | SecuritiesAmt |
| Other | $67,744 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $821,928 | SecuritiesAmt |
| Other | $68,463 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $145,517 | SecuritiesAmt |
| Other | -$719 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,798 | TotalRevenueColumnAmt |
| Exclusion | $144,798 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SUBSIDIARY RELATED INCOME | 900099 | $164,810 | $164,810 |
| OTHER INCOME | 900099 | $41,630 | $41,630 |
| PC INCENTIVE PAYMENTS | 900099 | $504 | $504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $206,944 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,103,301 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,835,971 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $267,330 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,109,909 | TotalAmt |
| Program Services | $10,145,269 | ProgramServicesAmt |
| Management And General | $964,640 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,402 | TotalAmt |
| Program Services | $390,993 | ProgramServicesAmt |
| Management And General | $35,409 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,752,799 | TotalAmt |
| Program Services | $1,587,858 | ProgramServicesAmt |
| Management And General | $164,941 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,185 | TotalAmt |
| Program Services | $747,746 | ProgramServicesAmt |
| Management And General | $62,439 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,831 | TotalAmt |
| Management And General | $21,831 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $843,737 | TotalAmt |
| Program Services | $478,077 | ProgramServicesAmt |
| Management And General | $365,660 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $819,058 | TotalAmt |
| Program Services | $653,632 | ProgramServicesAmt |
| Management And General | $165,426 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,552 | TotalAmt |
| Program Services | $144,000 | ProgramServicesAmt |
| Management And General | $74,552 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,112 | TotalAmt |
| Program Services | $684,085 | ProgramServicesAmt |
| Management And General | $13,027 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,962 | TotalAmt |
| Program Services | $21,019 | ProgramServicesAmt |
| Management And General | $12,943 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,472 | TotalAmt |
| Program Services | $46,012 | ProgramServicesAmt |
| Management And General | $78,460 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,114 | TotalAmt |
| Management And General | $35,114 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COST OF GOODS SOLD | $2,822,662 | $2,822,662 | |
| SUBSIDIARY EXPENSES | $1,311,893 | $87,000 | $1,224,893 |
| PATIENT CARE EXPENSE | $1,200,266 | $1,200,266 | |
| MEDICAL SUPPLIES | $663,354 | $663,354 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,158 | TotalAmt |
| Program Services | $154,051 | ProgramServicesAmt |
| Management And General | $59,107 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,104,466 | TotalAmt |
| Program Services | $19,826,024 | ProgramServicesAmt |
| Management And General | $3,278,442 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850 | BOYAmt |
| EOY | $1,850 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,699 | BOYAmt |
| EOY | $245,666 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,831,085 | BOYAmt |
| EOY | $4,884,332 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,880 | BOYAmt |
| EOY | $120,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,547,553 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,779,991 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $739,718 | BOYAmt |
| EOY | $767,562 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,513,838 | BOYAmt |
| EOY | $1,349,035 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,298,316 | BOYAmt |
| EOY | $6,644,701 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,059,386 | BOYAmt |
| EOY | $14,014,028 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,285,365 | BOYAmt |
| EOY | $1,105,595 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,071 | BOYAmt |
| EOY | $238,744 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $690,008 | BOYAmt |
| EOY | $457,074 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,444 | BOYAmt |
| EOY | $1,801,413 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,329,227 | BOYAmt |
| EOY | $12,212,615 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,325 | BOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,390 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,885,942 | BOYAmt |
| EOY | $12,212,615 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,059,386 | BOYAmt |
| EOY | $14,014,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,165 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $884,553 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,556,715 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $224,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $148,815 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,884 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,069 | CurrentTaxYearMinus1YearAmt |
| Total | $601,076 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,860,506 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,615,289 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,092,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,944,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,629,027 | CurrentTaxYearAmt |
| Total | $107,142,034 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,724 | CurrentTaxYearMinus3YearsAmt |
| Total | $5,049 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,087,139 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,766,828 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,181,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,083,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,629,027 | CurrentTaxYearAmt |
| Total | $107,748,159 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,680 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $21,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,427 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,141 | CurrentTaxYearAmt |
| Total | $199,605 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,680 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $21,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,427 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,141 | CurrentTaxYearAmt |
| Total | $199,605 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $107,548,554 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $154,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $248,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $272,708 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $122,532 | CurrentTaxYearAmt |
| Total | $968,847 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $154,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $248,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $272,708 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $122,532 | CurrentTaxYearAmt |
| Total | $968,847 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,048 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,358 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,930 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $206,944 | CurrentTaxYearAmt |
| Total | $282,252 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,274,017 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,930,189 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,438,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,398,281 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,958,503 | CurrentTaxYearAmt |
| Total | $108,999,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98840 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | FUNDS RELEASED FROM RESTRICTION FOR 282,252 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $447,390 | BeginningYearBalanceAmt |
| Grants Or Scholarships | $447,390 | GrantsOrScholarshipsAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $460,530 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$13,140 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $447,390 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $463,140 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,610 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $460,530 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $289,530 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $173,610 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $463,140 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $283,500 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,030 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $289,530 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,410,266 | OtherCostOrOtherBasisAmt |
| Depreciation | $940,889 | DepreciationAmt |
| Book Value | $469,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,068 | DepreciationAmt |
| Book Value | $12,055 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,094,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,808,034 | DepreciationAmt |
| Book Value | $286,130 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $767,562 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER FINANCIAL INVESTMENTS | Desc |
| Book Value | $6,644,701 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,644,701 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SELF-INSURANCE, DEFERRED COMP, OTHER | Desc |
| Amt | $457,074 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $457,074 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,410,027 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $884,553 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$556,715 | OtherRevenueAmt |
| Revenue Not Reported | $327,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,082,189 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $21,831 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$719 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $21,112 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,103,301 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,083,354 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $719 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $719 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,082,635 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $21,831 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $21,831 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,104,466 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | IN THE CURRENT YEAR, THE DOW CHEMICAL STOCK FORMERLY HELD BY MIDMICHIGAN VISITING NURSE ASSOCIATION WAS TRANSFERRED TO MIDMICHIGAN HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, WHERE THE ENDOWMENT FUNDS WILL BE HELD GOING FORWARD. |
| SCHEDULE D, PAGE 3, PART X | MIDMICHIGAN HEALTH DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2017 AND 2016. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | TRANSFER RESTRICTED FUNDS TO FOUNDATION -556,715 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED -719 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | LOSS ON DISPOSAL OF FIXED ASSETS - RECLASSIFIED 719 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIANE POSTLER-SLATTERY | ||||||||||||
| DIRECTOR | $739,510 | $338,120 | $3,406 | $165,567 | $23,881 | $1,270,484 | ||||||
| GREGORY ROGERS | ||||||||||||
| CHAIR | $485,894 | $190,965 | $26,450 | $247,979 | $22,443 | $973,731 | ||||||
| PANKAJ JANDWANI MD | ||||||||||||
| DIRECTOR | $373,008 | $107,025 | $648 | $5,315 | $7,955 | $493,951 | ||||||
| JAMES BICKNELL MD | ||||||||||||
| DIRECTOR | $343,552 | $113,690 | $4,078 | $66,311 | $21,143 | $548,774 | ||||||
| RAYMOND STOVER | ||||||||||||
| DIRECTOR | $275,258 | $90,530 | $7,283 | $119,642 | $24,189 | $516,902 | ||||||
| KARMON BJELLA | ||||||||||||
| DIRECTOR | $291,887 | $46,728 | $4,363 | $23,318 | $9,296 | $375,592 | ||||||
| SEAN KESTERSON MD | ||||||||||||
| DIRECTOR | $269,926 | $54,653 | $1,020 | $13,265 | $22,912 | $361,776 | ||||||
| JANICE PENNEY | ||||||||||||
| DIRECTOR | $246,558 | $64,739 | $2,403 | $181,920 | $15,721 | $511,341 | ||||||
| ROBIN WHITMORE | ||||||||||||
| DIRECTOR | $184,608 | $35,839 | $5,314 | $11,302 | $2,936 | $239,999 | ||||||
| CAROLE CALVERT-BAXTER | ||||||||||||
| PRESIDENT | $175,008 | $47,818 | $1,640 | $70,016 | $16,928 | $311,410 | ||||||
| MARY GREELEY | ||||||||||||
| DIRECTOR | $171,704 | $43,031 | $532 | $52,166 | $7,720 | $275,153 | ||||||
| GLENN KING | ||||||||||||
| DIRECTOR | $154,019 | $30,895 | $7,057 | $9,789 | $16,188 | $217,948 | ||||||
| CHUCK SHERWIN | ||||||||||||
| DIRECTOR | $142,535 | $14,425 | $688 | $39,922 | $11,175 | $208,745 | ||||||
| ANN DULL | ||||||||||||
| DIRECTOR | $121,513 | $24,420 | $374 | $17,719 | $18,144 | $182,170 | ||||||
| DARREN SEYMOUR | ||||||||||||
| PHYSICAL THERAPIST | $131,923 | $2,793 | $3,613 | $7,167 | $17,766 | $163,262 | ||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | POSTLER-SLATTERY, ROGERS, STOVER, PENNEY, AND BICKNELL ARE PARTICIPANTS IN A 457(F)PLAN. NO PAYMENTS WERE MADE TO THESE PARTICIPANTS IN 2016. THE SERP IS UNFUNDED AND BEGAN ON JANUARY 1, 2009. THE CURRENT PARTICIPANTS OF THE PLAN ARE THOSE WHO HOLD A CORPORATE OFFICE OF VICE PRESIDENT OR ABOVE. EACH PARTICIPANTS ANNUAL AWARD IS A BENEFIT RESTORATION AMOUNT THAT PROVIDES THE ADDITIONAL BENEFITS THAT THE PARTICIPANT DID NOT EARN UNDER THE PENSION PLAN AND 403(B) PLAN DURING A PLAN YEAR BECAUSE OF THE STATUTORY LIMITS. A PARTICIPANT'S ACCOUNT SHALL BE 100% VESTED IF THE PARTICIPANT IS EMPLOYED BY MIDMICHIGAN HEALTH ON THE DATE THE FIRST OF THE FOLLOWING VESTING EVENTS OCCUR: ATTAINMENT OF NORMAL RETIREMENT AGE; DEATH; TERMINATION OF EMPLOYMENT BECAUSE OF TOTAL DISABILITY; OR, PROVIDED THEY HAVE BEEN EMPLOYED AT LEAST FIVE YEARS, THE PARTICIPANT EARNS 75 POINTS. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED MIDMICHIGAN HEALTH'S COMPENSATION INCLUDES BOTH BASE AND VARIABLE COMPENSATION (NONFIXED PAYMENTS). IN ACCORDANCE WITH ITS POLICIES, ALL ELEMENTS (BASE, VARIABLE, BENEFITS, AND PERQUISITES) ARE COMPARED TO MARKET AND ARE DETERMINED BY THE INDEPENDENT COMPENSATION COMMITTEE AFTER A REVIEW BY AN INDEPENDENT CONSULTANT, SULLIVAN COTTER, TO ENSURE THAT TOTAL COMPENSATION REMAINS WITHIN ACCEPTABLE GUIDELINES (60% OF MEDIAN). THE COMPENSATION COMMITTEE, WHO IS AUTHORIZED TO ACT ON BEHALF OF THE MIDMICHIGAN HEALTH BOARD OF DIRECTORS, APPROVED COMPENSATION FOR THE MIDMICHIGAN HEALTH CEO, SENIOR EXECUTIVES AND PHYSICIANS. SULLIVAN COTTER ISSUED A COMPREHENSIVE ASSESSMENT IN 2009 AND AGAIN IN 2013. IN ADDITION, AS A PART OF THE PHYSICIAN ENTERPRISE ENGAGEMENT, KAUFMAN HALL ISSUED A SAFE HARBOR LETTER THAT WAS REVIEWED AT THE JUNE 2013 COMPENSATION COMMITTEE MEETING. PART III - OTHER ADDITIONAL INFORMATION ON MAY 8, 2009 MIDMICHIGAN HEALTH'S COMPENSATION COMMITTEE APPROVED ITS FIRST COMPENSATION COMMITTEE CHARTER AND EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY. THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH APPROVED BOTH THE CHARTER AND THE STRATEGY ON JUNE 8, 2009. MIDMICHIGAN HEALTH ALSO CONTINUES TO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST WITH THE GOVERNANCE PROCESS AND TO REVIEW AND REPORT ON ALL SYSTEM LEVEL EXECUTIVES, HOSPITAL LEVEL EXECUTIVES AND SELECTED OTHER EXECUTIVES. MIDMICHIGAN HEALTH HAS TAKEN A CONSERVATIVE POSTURE WITH RESPECT TO ALL PERQUISITES AND ALL PERQUISITES MUST BE JUSTIFIED BY BUSINESS NEED. MIDMICHIGAN HEALTH TARGETS THE BASE SALARY OF ITS EXECUTIVES WITHIN A MARKET COMPETITIVE SALARY RANGE WITH A MIDPOINT APPROXIMATELY EQUAL TO THE 50TH PERCENTILE OF THE BASE SALARY MARKET DATA. MARKET DATA IS OBTAINED NATIONALLY FROM HEALTH SYSTEMS, HOSPITALS AND ORGANIZATIONS OF COMPARABLE SIZE BY SULLIVAN COTTER, AN INDEPENDENT CONSULTANT. NET OPERATING REVENUE IS THE CRITICAL FACTOR UTILIZED TO DETERMINE COMPARABILITY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE EXCELLENT HEALTH SERVICES TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITIES. FORM 990, PART I, LINE 1 & PART III, LINE 1 - ORGANIZATION'S VISION IT IS OUR VISION TO CELEBRATE THE POWER OF HEALTH THROUGHOUT LIFE-WITH YOU. |
| FORM 990 | PART I, LINES 3 & 4 AND PART VI, SECTION A, LINE 1 - THOSE MEMBERS WHO ARE NOT INDEPENDENT ARE EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION LISTED IN SCHEDULE R AND ARE COMPENSATED AT MARKET VALUE FOR THE SERVICES PROVIDED TO THAT ORGANIZATION. ALL LINES LEFT BLANK ARE NOT APPLICABLE TO THE ORGANIZATION. |
| FORM 990, PAGE 2, PART III, LINE 4D | HOME INFUSION OFFERS PATIENTS THE OPTION OF RECEIVING INTRAVENOUS MEDICATION IN THE COMFORT OF THEIR OWN HOMES. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS MIDMICHIGAN HEALTH. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE BOARD OF DIRECTORS OF MIDMICHIGAN HEALTH, THE ORGANIZATION'S SOLE CORPORATE MEMBER, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE FOLLOWING RIGHTS AND RESPONSIBILITES ARE RESERVED TO THE SOLE MEMBER: A) APPROVE ANY CHANGE IN THE PURPOSES OF THE CORPORATION; B) APPROVE CHANGES IN THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; C) APPROVE PLANS OF MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION OR THE CREATION BY THE CORPORATION OF ANY CONTROLLED CORPORATION OR ENTITY; D) APPROVE ANY PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PROPOSED SALE, TRANSFER, LEASE, PLEDGE OR ENCUMBRANCE OF ANY ASSET OR ASSETS OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; E) APPROVE THE CORPORATION'S BUDGET AND ANY CAPITAL EXPENDITURES OF THE CORPORATION IN EXCESS OF ANY AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER; F) APPROVE THE GAURANTEE BY THE CORPORATION OF THE DEBT OF OTHERS; AND G) APPROVE THE INCURRENCE BY THE CORPORATION OF ANY DEBT OR LEASE OBLIGATION IN AN AMOUNT IN EXCESS OF AN AMOUNT DESIGNATED FROM TIME TO TIME BY THE SOLE MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 INFORMATION IS PREPARED BY THE FINANCE STAFF AT MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THIS ORGANIZATION. THE INFORMATION IS SUBMITTED FOR REVIEW BY A SENIOR FINANCE STAFF MEMBER AT MIDMICHIGAN HEALTH. THE STAFF MEMBER IN CONSULTATION WITH OUR TAX ACCOUNTANT (A CERTIFIED PUBLIC ACCOUNTING FIRM) REQUESTS ADDITIONAL INFORMATION AND OBTAINS CLARIFICATION. ONCE THE INITIAL REVIEW IS COMPLETE, THE INFORMATION IS SUBMITTED TO OUR TAX PROFESSIONALS AT ANDREWS HOOPER PAVLIK PLC. UPON REVIEW BY THEIR PROFESSIONALS, INCLUDING A PARTNER, INFORMATION IS RETURNED TO MIDMICHIGAN HEALTH FOR ITS FINAL REVIEW. THIS REVIEW INCLUDES A REVIEW BY THE SVP AND TREASURER. ALL COMPENSATION DISCLOSURES ARE REVIEWED WITH THE MIDMICHIGAN HEALTH CEO PRIOR TO FILING. PRIOR TO FILING: THE FORM 990 PART VII AND SCHEDULE J COMPENSATION INFORMATION IS REVIEWED BY THE COMPENSATION COMMITTEE PRIOR TO FILING. FORM 990, INCLUDING ALL SCHEDULES, IS NOT MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF DIRECTORS BECAUSE THE BOARD IS COMPRISED OF INTERNAL EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER, THEREFORE THESE RETURNS ARE REVIEWED BY THE MIDMICHIGAN HEALTH CEO AND CFO PRIOR TO FILING. QUESTIONS OR CONCERNS ARE ADDRESSED BY THE SVP AND TREASURER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REQUIRES EACH DIRECTOR, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE OF THE BOARD ANNUALLY: 1) TO REVIEW THE ORGANIZATION'S CONFLICT OF INTEREST POLICY (THE "POLICY"); 2) TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILIAL, OR BUSINESS RELATIONSHIP THAT REASONABLY COULD GIVE RISE TO A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST; AND 3) TO ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS ACTING IN ACCORDANCE WITH THE LETTER AND SPIRIT OF THE POLICY. THE COMPLETED FORMS ARE REVIEWED BY THE MIDMICHIGAN HEALTH SECRETARY AND FILED FOR REFERENCE AS NEEDED. VOTING BOARD MEMBERS WITH CONFLICTS ON SPECIFIC ISSUES MAY BE ASKED TO LEAVE THE MEETING DURING DISCUSSIONS AND MUST ABSTAIN FROM VOTING ON ANY ISSUE IN WHICH THEY ARE NOT INDEPENDENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO, PRESIDENTS, AND OPERATING OFFICERS COMPENSATION IS ANNUALLY APPROVED BY AN INDEPENDENT COMPENSATION COMMITTEE OF MIDMICHIGAN HEALTH. THE COMPENSATION IS THEN REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS (OR SUBCOMMITTEE THEREOF). FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ALL OFFICERS AND KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE FOR ADHERENCE TO CORPORATE POLICIES. FOR DETAILED INFORMATION ON COMPENSATION, PLEASE SEE SCHEDULE J. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII | SECTION B, LINE 1 - INDEPENDENT CONTRACTORS INDEPENDENT CONTRACTORS FOR ALL RELATED ORGANIZATIONS ARE COMPENSATED BY MIDMICHIGAN HEALTH, 38-2459948, THE SOLE MEMBER OF THIS ORGANIZATION. FORM 990, PART VII - RELATED ORGANIZATIONS NO DIRECTORS RECEIVE PAY FOR THE PURPOSE OF SERVING ON THE BOARD. THEY ARE CONSIDERED TO WORK AN AVERAGE OF 2 HOURS A WEEK ON BOARD-RELATED MATTERS. ALL INDIVIDUALS WITH REPORTABLE COMPENSATION ARE PAID BY EITHER THE REPORTING ORGANIZATION OR A RELATED ORGANIZATION FOR SERVICES RELATED TO A PART-TIME OR FULL-TIME POSITION. AVERAGE HOURS PER WEEK FOR THOSE WITH REPORTABLE COMPENSATION ARE RELATED TO THE AFOREMENTIONED POSITIONS. THOSE PERSONS WITH FULL-TIME POSITIONS ARE ESTIMATED TO WORK AN AVERAGE OF 50 HOURS A WEEK. OFFICERS PAID BY A RELATED ORGANIZATION ARE EMPLOYEES OF MIDMICHIGAN HEALTH, THE SOLE MEMBER OF THE CORPORATION. MIDMICHIGAN HEALTH PROVIDES MANAGERIAL ASSISTANCE TO ITS VARIOUS SUBSIDIARIES AND HOURS OF SERVICES ARE NOT TRACKED BY SUBSIDIARY. THEREFORE THE FULL-TIME SERVICE TO ALL SUBSIDIARIES OF 50 HOURS PER WEEK IS LISTED FOR THOSE OFFICERS. |
| FORM 990, PART XI, LINE 9 | DISTRIBUTION TO PARENT -5,000,000 TRANSFER RESTRICTED FUNDS TO FOUNDATION -556,715 TOTAL -5,556,715 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MIDMICHIGAN HEALTH | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 382459948 | SUPPORT | MI | 501C3 | 12A | NA | false |
| MIDMICHIGAN MEDICAL CENTER-MIDLAND | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 380833014 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-GRATIOT | ||||||||||
| 300 E WARWICK DR | ALMA | MI | 48801 | 381437919 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-CLARE | ||||||||||
| 703 NORTH MCEWAN STREET | CLARE | MI | 48617 | 381518643 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-GLADWIN | ||||||||||
| 515 QUARTER STREET | GLADWIN | MI | 48624 | 386020434 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN MEDICAL CENTER-ALPENA | ||||||||||
| 1501 W CHISHOLM ST | ALPENA | MI | 49707 | 386000029 | HOSPITAL | MI | 501C3 | 3 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN STRATFORD VILLAGE | ||||||||||
| 2121 ROCKWELL DR | MIDLAND | MI | 48642 | 382623324 | LT CARE | MI | 501C3 | 10 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN GLADWIN PINES | ||||||||||
| 449 QUARTER STREET | GLADWIN | MI | 48624 | 382754875 | LT CARE | MI | 501C3 | 10 | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN PHYSICIANS GROUP | ||||||||||
| 2620 W SUGNET ROAD | MIDLAND | MI | 48640 | 383317788 | MED OFFICE | MI | 501C3 | 12A | MIDMI HLTH | Yes (true) |
| MIDMICHIGAN HEALTH DEV ASSOC | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 382459947 | OPERATIONS | MI | 501C2 | MIDMI HLTH | Yes (true) | |
| MIDMICHIGAN HEALTH FOUNDATION | ||||||||||
| 4000 WELLNESS DRIVE | MIDLAND | MI | 48670 | 812813405 | FOUNDATION | MI | 501C3 | 12A | MIDMI HLTH | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN ASSURANCE GROUP LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1051 23 LIME TREE BAY AVENUE | AddressLine1Txt |
| Address Line2 | GOVERNORS SQUARE BLDG 4 2ND FLOOR | AddressLine2Txt |
| City | GEORGE TOWN | CityNm |
| Province Or State | GRAND CAYMAN | ProvinceOrStateNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980585596 | EIN |
| Primary Activities | INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMI HLTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MIDMICHIGAN HEALTH | ||
| R | $5,000,000 | BOOKS & RECORDS |
| MIDMICHIGAN HEALTH | ||
| P | $1,190,089 | BOOKS & RECORDS |
| MIDMICHIGAN HEALTH FOUNDATION | ||
| R | $556,715 | BOOKS & RECORDS |
| MIDMICHIGAN HEALTH FOUNDATION | ||
| Q | $164,810 | BOOKS & RECORDS |
Comments