MICHIGAN CENTER FOR RURAL HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MICHIGAN CENTER FOR RURAL HEALTH (EIN 38-3180997)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-02-15
IRS object ID
201700469349302950
Schema version
2015v3.0
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)
Return2017-02-15T14:39:51-06:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382157642PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANER COSTERISAN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12425 E GRAND RIVER SUITE 1AddressLine1Txt
CityLANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP489123291ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383180997EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN CENTER FOR RURAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone5174329216PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MSU B-218 FEE HALLAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488241316ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN BARNASPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5173557979PhoneNum
Signature2017-02-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES R DEDYNE CPAPreparerPersonNm
PTINP00010219PTIN
Phone5173237500PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN BARNASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MSU B-218 FEE HALLAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP488241316ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,105,503GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCRH.MSU.EDUWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO COORDINATE, PLAN, & ADVOCATE FOR IMPROVED HEALTH FOR MICHIGAN'S RURAL RESIDENTS & COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,806,293PYContributionsGrantsAmt
CY Contributions Grants$1,853,353CYContributionsGrantsAmt
PY Program Service Revenue$119,827PYProgramServiceRevenueAmt
CY Program Service Revenue$249,780CYProgramServiceRevenueAmt
PY Investment Income$785PYInvestmentIncomeAmt
CY Investment Income$2,370CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,926,905PYTotalRevenueAmt
CY Total Revenue$2,105,503CYTotalRevenueAmt
PY Grants And Similar Paid$999,131PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,127,193CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$390,281PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$429,447CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$508,068PYOtherExpensesAmt
CY Other Expenses$458,981CYOtherExpensesAmt
PY Total Expenses$1,897,480PYTotalExpensesAmt
CY Total Expenses$2,015,621CYTotalExpensesAmt
PY Revenues Less Expenses$29,425PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$89,882CYRevenuesLessExpensesAmt
Total Assets BOY$395,927TotalAssetsBOYAmt
Total Assets EOY$493,099TotalAssetsEOYAmt
Total Liabilities BOY$151,402TotalLiabilitiesBOYAmt
Total Liabilities EOY$158,692TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$244,525NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$334,407NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF THE CORPORATION IS TO DEVELOP A COORDINATED RURAL HEALTH PROGRAM, TO CONDUCT RESEARCH REGARDING RURAL HEALTH ISSUES, TO ASSIST RURAL COMMUNITIES IN HEALTH RELATED AREAS, AND SUCH OTHER PURPOSES AS THE BOARD SHALL DETERMINE FROM TIME TO TIME, IN GENERAL CONFORMANCE WITH THE STATUTE AUTHORIZING THE CREATION OF THE CORPORATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$574,369ExpenseAmt
Grant$33,052GrantAmt
Revenue$37,920RevenueAmt
DescRH FLEXIBILITY PLAN: PROGRAM TO CREATE A SERIES OF RURAL NETWORKS THROUGH WHICH THE CRITICAL ACCESS HOSPITALS WILL BE ABLE TO IMPROVE HEALTH SERVICES WITHIN MICHIGAN RURAL COMMUNITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$469,705ExpenseAmt
Grant$454,669GrantAmt
DescSMALL HOSPITAL IMPROVEMENT PROGRAM: PROGRAM TO IMPLEMENT ACTIVITIES AND PROVIDE SERVICES FOR IMPROVING SMALL HOSPITALS IN RURAL AREAS OF MICHIGAN.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$397,071ExpenseAmt
Grant$396,000GrantAmt
DescPRIMARY CARE CONTRACT: PROGRAM TO INCREASE ACCESS TO PRIMARY CARE SERVICES ON MICHIGAN'S INHABITED ISLANDS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$531,992ExpenseAmt
Grant$243,472GrantAmt
Revenue$211,860RevenueAmt
DescSTATE OFFICE OF RURAL HEALTH, RURAL ACCESS TO EMERGENCY DEVICES, AND OTHER PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$531,992TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$243,472TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$211,860TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,973,137TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN BARNASPersonNm
Phone5174329216PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1MSU B-218 FEE HALLAddressLine1Txt
CityEAST LANSINGCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48824ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
THOMAS J VERYSER
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM D STRAMPEL
DIRECTOR1.00Yes (X)$0$0$0
NANCY L SPENCER
DIRECTOR1.00Yes (X)$0$0$0
BRUCE RENDON
DIRECTOR1.00Yes (X)$0$0$0
NICHOLAS DERUSHA
DIRECTOR1.00Yes (X)$0$0$0
BETH NAGEL
DIRECTOR1.00Yes (X)$0$0$0
KATHY WAHL
DIRECTOR1.00Yes (X)$0$0$0
EDWARD CANFIELD
DIRECTOR1.00Yes (X)$0$0$0
GEOFF HANSEN
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH HERTEL
SECRETARY/TREASURER1.00Yes (X)$0$0$0Yes (X)
DAVID B JAHN
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
ALFONSO C FERREIRA MD
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
JOHN BARNAS
EXECUTIVE DIRECTOR40.00$91,934$0$24,953Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$91,934TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$24,953TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,853,353GovernmentGrantsAmt
Total Contributions$1,853,353TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONSULTING541900$140,543$140,543
CONFERENCE REGISTRATIO611710$109,237$109,237
FieldValueIRS element (for citing)
Total Program Service Revenue$249,780TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,370TotalRevenueColumnAmt
Exclusion$2,370ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,105,503TotalRevenueColumnAmt
Related Or Exempt Func Income$249,780RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,370ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,127,193TotalAmt
Program Services$1,127,193ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$116,806TotalAmt
Program Services$111,056ProgramServicesAmt
Management And General$5,750ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$252,178TotalAmt
Program Services$239,765ProgramServicesAmt
Management And General$12,413ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,120TotalAmt
Program Services$9,622ProgramServicesAmt
Management And General$498ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,405TotalAmt
Program Services$18,297ProgramServicesAmt
Management And General$5,108ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,938TotalAmt
Program Services$23,579ProgramServicesAmt
Management And General$3,359ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,175TotalAmt
Program Services$23,192ProgramServicesAmt
Management And General$3,983ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,158TotalAmt
Program Services$19,674ProgramServicesAmt
Management And General$3,484ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,133TotalAmt
Program Services$41,644ProgramServicesAmt
Management And General$4,489ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$89,836TotalAmt
Program Services$89,836ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,882TotalAmt
Program Services$2,045ProgramServicesAmt
Management And General$837ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CAH EXPENSES$224,320$224,320
EMS SERVICE$35,552$35,552
DUES AND MEMBERSHIPS$9,925$7,362$2,563

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,015,621TotalAmt
Program Services$1,973,137ProgramServicesAmt
Management And General$42,484ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$224,339BOYAmt
EOY$73,251EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,296BOYAmt
EOY$335,219EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$150,292BOYAmt
EOY$84,629EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,350LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,350LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$395,927BOYAmt
EOY$493,099EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,866BOYAmt
EOY$10,228EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$145,536BOYAmt
EOY$148,464EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,402BOYAmt
EOY$158,692EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$244,525BOYAmt
EOY$334,407EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$244,525BOYAmt
EOY$334,407EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$395,927BOYAmt
EOY$493,099EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$89,882ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,611,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,687,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,827,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,806,293CurrentTaxYearMinus1YearAmt
Current Tax Year$1,853,353CurrentTaxYearAmt
Total$8,786,160TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,611,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,687,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,827,857CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,806,293CurrentTaxYearMinus1YearAmt
Current Tax Year$1,853,353CurrentTaxYearAmt
Total$8,786,160TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,786,160PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,021CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$858CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$785CurrentTaxYearMinus1YearAmt
Current Tax Year$2,370CurrentTaxYearAmt
Total$6,659TotalAmt
FieldValueIRS element (for citing)
Total Support$8,792,819TotalSupportAmt
Gross Receipts Rltd Activities$841,273GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99920PublicSupportCY170Pct
Public Support PY1700.99930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,976OtherCostOrOtherBasisAmt
Depreciation$30,976DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,374OtherCostOrOtherBasisAmt
Depreciation$5,374DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,118,003TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$12,500DonatedServicesAndUseFcltsAmt
Revenue Not Reported$12,500RevenueNotReportedAmt
Revenue Subtotal$2,105,503RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,105,503TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,028,121TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$12,500DonatedServicesUseFcltsAmt
Expenses Not Reported$12,500ExpensesNotReportedAmt
Expenses Subtotal$2,015,621ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,015,621TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ALLEGAN GENERAL HOSPITAL
555 LINN STALLEGANMI49010381359180501(C)(3)$9,377SEE STATEMENT 1.
ASPIRUS GRAND VIEW HOSPITAL
10561 N GRAND VIEW LNIRONWOODMI49938232330671501(C)(3)$9,377SEE STATEMENT 1.
ASPIRUS IRON RIVER
1400 W ICE LAKE RDIRON RIVERMI49935383236977501(C)(3)$9,377SEE STATEMENT 1.
ASPIRUS KEWEENAW
205 OSCEOLA STLAURIUMMI499132199381443361501(C)(3)$9,377SEE STATEMENT 1.
ASPIRUS ONTONAGON HOSPITAL
601 S SEVENTH STONTONAGONMI499531496382860882501(C)(3)$9,377SEE STATEMENT 1.
BARAGA COUNTY MEMORIAL HOSPITAL
770 N MAIN STLANSEMI49946382892565501(C)(3)$9,377SEE STATEMENT 1.
BORGESS-LEE MEMORIAL HOSPITAL
420 W HIGH STDOWAGIACMI49047381490190501(C)(3)$9,377SEE STATEMENT 1.
BRONSON LAKEVIEW HOSPITAL
408 HAZEN STPAWPAWMI490790209381359218501(C)(3)$9,377SEE STATEMENT 1.
CARO COMMUNITY HOSPITAL
401 N HOOPER PO BOX 435CAROMI487230435383426063501(C)(3)$9,377SEE STATEMENT 1.
DECKERVILLE COMMUNITY HOSPITAL
3559 PINE ST PO BOX 126DECKERVILLEMI48427381415390501(C)(3)$9,377SEE STATEMENT 1.
EATON RAPIDS MEDICAL CENTER
1500 S MAIN STEATON RAPIDSMI48827381559180501(C)(3)$9,377SEE STATEMENT 1.
HARBOR BEACH COMMUNITY HOSPITAL
210 S FIRST STHARBOR BEACHMI484410040381565380501(C)(3)$9,377SEE STATEMENT 1.
HAYES GREEN BEACH HOSPITAL
321 E HARRIS STCHARLOTTEMI48813382007629501(C)(3)$9,377SEE STATEMENT 1.
HELEN NEWBERRY JOY HOSPITAL
502 W HARRIE STNEWBERRYMI49868382873485501(C)(3)$13,950SEE STATEMENT 1.
HILLS & DALES HOSPITAL
4675 HILL STCASS CITYMI487261099381619577501(C)(3)$9,377SEE STATEMENT 1.
HURON MEDICAL CENTER
1100 S VAN DYKE RDBAD AXEMI48413381474929501(C)(3)$9,377SEE STATEMENT 1.
KALKASKA HOSPITAL
419 S CORAL ST PO BOX 249KALKASKAMI496469348386032904501(C)(3)$9,377SEE STATEMENT 1.
MACKINAC STRAITS HEALTH SYSTEM
1140 N STATE STREETST IGNACEMI49781208756459501(C)(3)$9,377SEE STATEMENT 1.
MARLETTE COMMUNITY HOSPITAL
2770 MAIN ST PO BOX 307MARLETTEMI484530307381507302501(C)(3)$9,377SEE STATEMENT 1.
MCKENZIE HEALTH SYSTEM
120 DELAWARE STSANDUSKYMI484711087381738615501(C)(3)$9,377SEE STATEMENT 1.
MERCY HEALTH PARTNERS LAKESHORE
720 S STATE STREETSHELBYMI49455382549295501(C)(3)$9,377SEE STATEMENT 1.
MIDMICHIGAN MEDICAL CENTER-CLARE
703 N MCEWAN STCLAREMI48617381518643501(C)(3)$9,377SEE STATEMENT 1.
MIDMICHIGAN MEDICAL CENTER-GLADWIN
515 S QUARTER STGLADWINMI48624386020434501(C)(3)$9,377SEE STATEMENT 1.
MUNISING MEMORIAL HOSPITAL
1500 SAND POINT RDMUNISINGMI49862381507046501(C)(3)$9,377SEE STATEMENT 1.
MUNSON HEALTHCARE CADILLAC
400 HOBART STCADILLACMI49601471156297501(C)(3)$9,377SEE STATEMENT 1.
MUNSON HEALTHCARE CHARLEVOIX
14700 LAKE SHORE DRIVECHARLEVOIXMI49720381459366501(C)(3)$9,377SEE STATEMENT 1.
MUNSON HEALTHCARE GRAYLING
1100 E MICHIGAN AVENUEGRAYLINGMI49738471161992501(C)(3)$9,377SEE STATEMENT 1.
OSF ST FRANCIS
3401 LUDINGTONESCANABAMI49829381359528501(C)(3)$9,377SEE STATEMENT 1.
OTSEGO MEMORIAL HOSPITAL
825 N CENTER STGAYLORDMI49735381303843501(C)(3)$9,377SEE STATEMENT 1.
PAUL OLIVER MEMORIAL HOSPITAL
224 PARK AVEFRANKFORTMI496359348381415623501(C)(3)$9,377SEE STATEMENT 1.
PORTAGE HEALTH SYSTEM
500 CAMPUS DRHANCOCKMI499301576381381288501(C)(3)$9,377SEE STATEMENT 1.
PROMEDICA HERRICK
500 E POTTAWATAMIETECUMSEHMI49286383049015501(C)(3)$9,377SEE STATEMENT 1.
SCHEURER HOSPITAL
170 N CASEVILLE RDPIGEONMI48755381456056501(C)(3)$9,377SEE STATEMENT 1.
SCHOOLCRAFT MEMORIAL HOSPITAL
500 MAIN STMANISTIQUEMI49854742517055501(C)(3)$9,377SEE STATEMENT 1.
SHERIDAN COMMUNITY HOSPITAL
301 N MAIN STSHERIDANMI488849775381369796501(C)(3)$9,377SEE STATEMENT 1.
SOUTH HAVEN HEALTH SYSTEM
955 SOUTH BAILEY AVENUESOUTH HAVENMI49090381676780501(C)(3)$9,377SEE STATEMENT 1.
SPARROW CARSON CITY
406 E ELM STREET PO BOX 879CARSON CITYMI48811381490180501(C)(3)$9,377SEE STATEMENT 1.
SPARROW CLINTON HOSPITAL
805 S OAKLAND/PO BOX 260ST JOHNSMI488792253381358172501(C)(3)$9,377SEE STATEMENT 1.
SPARROW IONIA
479 LAFAYETTE STIONIAMI48846383218134501(C)(3)$9,377SEE STATEMENT 1.
SPECTRUM HEALTH SYSTEM
100 MICHIGAN ST NEGRAND RAPIDSMI49503381360529501(C)(3)$46,885SEE STATEMENT 1.
ST JOSEPH HEALTH SYSTEM
200 HEMLOCK STTAWAS CITYMI48764384443395501(C)(3)$9,377SEE STATEMENT 1.
ST MARY'S STANDISH HOSPITAL
805 W CEDAR STSTANDISHMI48658381671120501(C)(3)$9,377SEE STATEMENT 1.
THREE RIVERS HEALTH
1111 W BROADWAYTHREE RIVERSMI49093382317300501(C)(3)$9,377SEE STATEMENT 1.
WEST SHORE MEDICAL CENTER
1465 E PARKDALE AVEMANISTEEMI49660383565083501(C)(3)$9,377SEE STATEMENT 1.
AVENTRIC TECHNOLOGIES
25916 DEQUINDRE RD SUITE BWARRENMI480916112383586797$207,897SEE STATEMENT 2.
BEAVER ISLAND RHC
3730 KINGS HIGHWAYBEAVER ISLANDMI49782383299988501(C)(3)$100,000SEE STATEMENT 3.
BOIS BLANC MEDICAL CLINIC
431 SIOUX AVEPOINTE AUX PINSMI49775208756459501(C)(3)$25,000SEE STATEMENT 3.
DRUMMOND ISLAND MEDICAL CENTER
PO BOX 98DRUMMOND ISLANDMI49726383503863501(C)(3)$123,136SEE STATEMENT 3.
LSSU HEALTH CARE CENTER
650 W EASTERDAY AVENUESAULT STE MARIEMI49783382576021501(C)(3)$9,250SEE STATEMENT 3.
MACKINAC ISLAND MEDICAL CENTER
7474 MARKET STREETMACKINAC ISLANDMI49757382218858501(C)(3)$100,000SEE STATEMENT 3.
TOWNSHIP OF BURT ALGER COUNTY
PO BOX 430GRAND MARAISMI49839386006889501(C)(3)$7,713SEE STATEMENT 3.
WEST MACKINAC HEALTH ASSOCIATION
PO BOX 182ENGADINEMI49827382784832501(C)(3)$25,901SEE STATEMENT 3.
MICHIGAN STATE UNIVERSITY BOARD OF TRUSTEES
426 AUDITORIUM RD 450EAST LANSINGMI488241046386005984501(C)(3)$7,500SEE STATEMENT 4.
FieldValueIRS element (for citing)
Total501c3 Org52Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 2:PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS FOR GRANT FUNDS INCLUDED WITH STATEMENT 1 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE OBSERVING THE DETAIL OF EXPENDITURES PROVIDED BY THE HOSPITALS IN THE APPLICATION FOR FUNDS IN THE UPCOMING YEAR. FOR GRANT FUNDS INCLUDED WITH STATEMENT 2 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE THE COLLECTION OF DATA SUBMITTED BY THE GRANT RECIPIENTS WITH REGARD TO THE USAGE OF GRANT FUND EQUIPMENT. THE GRANT RECIPIENT IS ALSO REQUIRED TO SIGN A MAINTENANCE AGREEMENT FOR THE EQUIPMENT AND PROVIDE AN ANNUAL INSPECTION FORM TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 3 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE GATHERING INFORMATION REGARDING HOW THE FUNDS WERE USED BY EACH OF THE CLINICS IN ORDER TO SUBMIT A REPORT TO THE MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR GRANT FUNDS INCLUDED WITH STATEMENT 4 - WHEN MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES, THE ORGANIZATION'S PROCEDURES INCLUDE DISBURSING SCHOLARSHIP FUNDS DIRECTLY TO THE ACCREDITED UNIVERSITY.
FORM 990, SCHEDULE I, PART II, COLUMN H: DESCRIPTION OF GRANT OR ASSISTANCESTATEMENT 1: IMPROVE HOSPITAL INPATIENT CARE- PROGRAM TO IMPLEMENT ACTIVITIES AND PROVIDE SERVICES FOR IMPROVING SMALL HOSPITALS IN RURAL AREAS OF MICHIGAN. STATEMENT 2: RURAL ACCESS TO EMERGENCY DEVICES- FUNDING TO PURCHASE, DISTRIBUTE AND IMPLEMENT AUTOMATIC EXTERNAL DEFIBRILLATORS TO RURAL EMERGENCY MEDICAL SERVICES AGENCIES. STATEMENT 3: INCREASE ACCESS TO PRIMARY CARE SERVICES ON MICHIGAN'S INHABITED ISLANDS AND RURAL CLINICS. STATEMENT 4: SCHOLARSHIPS FOR STUDENTS TO ATTEND RURAL OSTEOCHAMPS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS MAY AUTHORIZE ANY OFFICER OR OFFICERS, AGENT OR AGENTS, TO ENTER INTO ANY CONTRACT OR EXECUTE OR DELIVER ANY CONVEYANCE OR OTHER INSTRUMENT IN THE NAME OF THE CORPORATION, AND SUCH AUTHORITY MAY BE GENERAL OR CONFINED TO SPECIFIC INSTANCES.
FORM 990, PART VI, SECTION B, LINE 11THE AUDITOR PRESENTS THE FORM 990 TO THE EXECUTIVE COMMITTEE FOR REVIEW; ONE WEEK LATER, THE FORM 990 IS PRESENTED BY THE AUDITOR TO THE FULL BOARD OF DIRECTORS AT THE JANUARY BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CA COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED ANNUALLY TO ALL BOARD MEMBERS AND TO EACH NEW BOARD MEMBER AS THEY ARE ADDED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15ATHE SECRETARY/TREASURER REVIEWS MICHIGAN NONPROFIT ASSOCIATION COMPENSATION SURVEY DATA AND THE STATE OF MICHIGAN EMPLOYEE DATA AND PRESENTS THE INFORMATION/RECOMMENDATION TO THE EXECUTIVE COMMITTEE FOR APPROVAL; THEN IT IS PRESENTED TO THE FULL BOARD FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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