MHA KEYSTONE CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MHA KEYSTONE CENTER (EIN 46-2128815)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201721359349303627
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)
Return2017-05-15T11:57:16-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462128815EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MHA KEYSTONE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMHAKBusinessNameControlTxt
Phone5173233443PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12112 UNIVERSITY PARK DRIVEAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN PETERSPersonNm
Person TitleCEOPersonTitleTxt
Phone5173233443PhoneNum
Signature2017-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLU ANN TRAPPPreparerPersonNm
PTINP01506476PTIN
Phone3122071040PhoneNum
Preparation2017-05-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1MHA PATIENT SAFETY ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRIAN PETERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12112 UNIVERSITY PARK DRIVEAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,040,936GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MHAKEYSTONECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionBRING TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,514,000PYContributionsGrantsAmt
CY Contributions Grants$1,521,785CYContributionsGrantsAmt
PY Program Service Revenue$1,538,982PYProgramServiceRevenueAmt
CY Program Service Revenue$3,462,652CYProgramServiceRevenueAmt
PY Investment Income$48,471PYInvestmentIncomeAmt
CY Investment Income$56,499CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,101,453PYTotalRevenueAmt
CY Total Revenue$5,040,936CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,000CYTotalFundraisingExpenseAmt
PY Other Expenses$1,780,768PYOtherExpensesAmt
CY Other Expenses$3,548,819CYOtherExpensesAmt
PY Total Expenses$1,780,768PYTotalExpensesAmt
CY Total Expenses$3,548,819CYTotalExpensesAmt
PY Revenues Less Expenses$1,320,685PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,492,117CYRevenuesLessExpensesAmt
Total Assets BOY$7,834,341TotalAssetsBOYAmt
Total Assets EOY$9,392,692TotalAssetsEOYAmt
Total Liabilities BOY$762,096TotalLiabilitiesBOYAmt
Total Liabilities EOY$818,188TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,072,245NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,574,504NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO LEAD THE NATION IN QUALITY AND PATIENT SAFETY THROUGH THE DIFFUSION OF CHANGE USING PATIENT-CENTERED, EVIDENCE-BASED INTERVENTIONS SUPPORTED BY CULTURAL IMPROVEMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,261,856ExpenseAmt
Revenue$2,039,388RevenueAmt
DescCOLLABORATIVES - THE MHA KEYSTONE CENTER OPERATES PROJECTS FOCUSED ON CARE TRANSITIONS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, EMERGENCY ROOMS, INTENSIVE CARE UNITS, OBSTETRICS, SAFE CARE, SEPSIS AND SURGERY. THE CENTER IS ALSO A CO-LEADER IN THREE NATIONAL PROJECTS AIMED AT ELIMINATING SPECIFIC HOSPITAL-ASSOCIATED INFECTIONS AND SERVES AS A PARTNERSHIP FOR PATIENTS HOSPITAL ENGAGEMENT NETWORK.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$736,518ExpenseAmt
Revenue$1,214,899RevenueAmt
DescPATIENT SAFETY - THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION (MHA) KEYSTONE CENTER BRINGS TOGETHER HOSPITALS, STATE AND NATIONAL PATIENT SAFETY EXPERTS, AND EVIDENCE-BASED BEST PRACTICES TO IMPROVE PATIENT SAFETY AND REDUCE HEALTHCARE COSTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$161,967ExpenseAmt
Revenue$140,905RevenueAmt
DescTHE 2016 MHA PATIENT SAFETY & QUALITY SYMPOSIUM DREW MORE THAN 300 CLINICAL AND ADMINISTRATIVE LEADERS TO SOUTHEAST MICHIGAN TO LEARN HOW INNOVATIVE PROVIDERS ARE IMPROVING PATIENT SAFETY AND QUALITY, DELIVERING VALUE, CULTIVATING PATIENT ENGAGEMENT AND PROVIDING THE BEST CLINICAL CARE POSSIBLE USING TOOLS LIKE HIGH RELIABILITY. ATTENDEES WERE ABLE TO INTERACT WITH MORE THAN 20 SUPPORTERS AND EXHIBITORS DEMONSTRATING PRODUCTS AND SERVICES THAT HELP CLINICIANS BE MORE EFFECTIVE AND EFFICIENT AND IMPROVE PATIENT CARE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$18,229ExpenseAmt
Revenue$67,460RevenueAmt
DescOTHER PROGRAMS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$18,229TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$67,460TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,178,570TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM JACKSON CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5173233443PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12112 UNVERSITY PARK DRIVEAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MATTHEW RUSH
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
SHERRY SOHN
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
MICHELLE SCHREIBER
VICE-CHAIR1.000.00Yes (X)Yes (X)$0$0$0
BRIAN PETERS
CEO1.0039.00Yes (X)Yes (X)$0$655,644$132,028
SAM WATSON
SECRETARY1.0039.00Yes (X)Yes (X)$0$287,630$103,709
WILLIAM JACKSON
TREASURER1.0039.00Yes (X)Yes (X)$0$203,591$72,917
LAWRENCE ABRAMSON
DIRECTOR1.000.00Yes (X)$0$0$0
RICHARD BOOTHMAN
DIRECTOR1.000.00Yes (X)$0$0$0
ROBERT CASALOU
DIRECTOR1.003.00Yes (X)$0$0$0
PAUL CONLON
DIRECTOR1.000.00Yes (X)$0$0$0
THOMAS DEFAUW
DIRECTOR1.003.00Yes (X)$0$0$0
ROBERT HYZY
DIRECTOR1.000.00Yes (X)$0$0$0
MARK JANKE
DIRECTOR1.000.00Yes (X)$0$0$0
CHERYL KNAPP
DIRECTOR1.000.00Yes (X)$0$0$0
KEVIN MCCARTHY
DIRECTOR1.000.00Yes (X)$0$0$0
MARJORIE MITCHELL
DIRECTOR1.000.00Yes (X)$0$0$0
JAMES RICHARD
DIRECTOR1.000.00Yes (X)$0$0$0
BARBARA SMITH
DIRECTOR1.000.00Yes (X)$0$0$0
ROBERT WELSH
DIRECTOR1.000.00Yes (X)$0$0$0
ED WOLKING
DIRECTOR1.000.00Yes (X)$0$0$0
SPENCER JOHNSON
FORMER PRESIDENT (THRU 6/2015)1.0039.00$0$1,142,995$118,674Yes (X)
GARY HENRIKSEN
FORMER CFO/CONSULTANT1.0039.00$0$399,828$51,925Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,689,688TotReportableCompRltdOrgAmt
Total Other Compensation$479,253TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECRI INSTITUTE
5200 BUTLER PIKEPLYMOUTH MEETINGPA19462PUBLICATIONS, INFO & CONSULTING SERVICES$380,848
BATELLE MEMORIAL INSTITUTE
505 KING AVECOLUMBUSOH43201TECHNICAL SERVICES$213,979
ARBORMETRIX INC
339 E LIBERTY STANN ARBORMI48104QUALITY REPORTING & BENCHMARKING$185,000
NEXTPLANE SOLUTIONS LLC
1200 W MAGNOLIA 230FORTH WORTHTX76104PUBLICATIONS, INFO & CONSULTING SERVICES$110,125
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Membership Dues$2,750MembershipDuesAmt
All Other Contributions$1,519,035AllOtherContributionsAmt
Total Contributions$1,521,785TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE FEES900099$1,997,857$1,997,857
SUBSCRIPTIONS511120$1,215,099$1,215,099
REGISTRATIONS900099$91,795$91,795
OTHER PROGRAM REVENUE900099$79,501$79,501
SYMPOSIUM SPONSORSHIP900099$78,400$78,400
FieldValueIRS element (for citing)
Total Program Service Revenue$3,462,652TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,499TotalRevenueColumnAmt
Exclusion$56,499ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,040,936TotalRevenueColumnAmt
Related Or Exempt Func Income$3,462,652RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$56,499ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,509TotalAmt
Management And General$33,509ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,485TotalAmt
Management And General$3,485ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,692,083TotalAmt
Program Services$2,466,704ProgramServicesAmt
Management And General$225,379ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Fundraising$1,000FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170,212TotalAmt
Program Services$158,719ProgramServicesAmt
Management And General$11,493ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$89,345TotalAmt
Program Services$23,255ProgramServicesAmt
Management And General$66,090ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$181,831TotalAmt
Program Services$179,782ProgramServicesAmt
Management And General$2,049ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$300,622TotalAmt
Program Services$300,622ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,585TotalAmt
Management And General$1,585ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,773TotalAmt
Program Services$17,659ProgramServicesAmt
Management And General$5,114ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
SPONSORSHIPS$20,475$20,475
HONORARIUM$19,300$19,300
DUES & SUBSCRIPTION$9,382$9,382

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,217TotalAmt
Program Services$3,147ProgramServicesAmt
Management And General$70ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,548,819TotalAmt
Program Services$3,178,570ProgramServicesAmt
Management And General$369,249ManagementAndGeneralAmt
Fundraising$1,000FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,267,819BOYAmt
EOY$2,546,248EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,005,584BOYAmt
EOY$96,967EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$127,102BOYAmt
EOY$88,111EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,012BOYAmt
EOY$270,282EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,510LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,510LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,584BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,420,240BOYAmt
EOY$5,885,620EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$505,464EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,834,341BOYAmt
EOY$9,392,692EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$84,567BOYAmt
EOY$71,205EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$661,775BOYAmt
EOY$610,177EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,754BOYAmt
EOY$136,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$762,096BOYAmt
EOY$818,188EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$371,911BOYAmt
EOY$374,170EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,700,334BOYAmt
EOY$8,200,334EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,072,245BOYAmt
EOY$8,574,504EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,834,341BOYAmt
EOY$9,392,692EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,492,117ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,142NetUnrlzdGainsLossesInvstAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$435,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,533,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,514,000CurrentTaxYearMinus1YearAmt
Current Tax Year$1,621,686CurrentTaxYearAmt
Total$9,105,295TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$435,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,533,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,514,000CurrentTaxYearMinus1YearAmt
Current Tax Year$1,621,686CurrentTaxYearAmt
Total$9,105,295TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,823,179SubstantialContributorsTotAmt
Public Support Total170$6,282,116PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$21,773CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,471CurrentTaxYearMinus1YearAmt
Current Tax Year$56,499CurrentTaxYearAmt
Total$126,743TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,000CurrentTaxYearMinus1YearAmt
Total$9,000TotalAmt
FieldValueIRS element (for citing)
Total Support$9,241,038TotalSupportAmt
Gross Receipts Rltd Activities$6,854,551GrossReceiptsRltdActivitiesAmt
First5 Years170Yes (X)First5Years170Ind

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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,510OtherCostOrOtherBasisAmt
Depreciation$27,510DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescSTIFEL, NICOLAUS & CO INVESTMENTDesc
Book Value$5,885,620BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$5,885,620TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$505,464BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$505,464TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATESDesc
Amt$136,806Amt
FieldValueIRS element (for citing)
Total Liability$136,806TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2016 AND 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN PETERS
CEO$0$524,799$0$106,313$0$24,532$0$100,998$0$31,030$0$787,672$0$878
SAM WATSON
SECRETARY$0$223,937$0$49,500$0$14,193$0$70,806$0$32,903$0$391,339$0$10,976
WILLIAM JACKSON
TREASURER$0$166,091$0$37,500$0$0$0$47,212$0$25,705$0$276,508$0$0
SPENCER JOHNSON
FORMER PRESIDENT (THRU 6/2015)$0$472,499$0$428,728$0$241,768$0$104,220$0$14,454$0$1,261,669$0$197,828
GARY HENRIKSEN
FORMER CFO/CONSULTANT$0$185,333$0$62,965$0$151,530$0$47,524$0$4,401$0$451,753$0$81,396

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. - BRIAN PETERS - SAM WATSON - SPENCER JOHNSON - GARY HENRIKSEN THE FOLLOWING INDIVIDUALS RECEIVED A PAYMENT FROM THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE CURRENT YEAR: - BRIAN PETERS - $878 - SAM WATSON - $10,976 - SPENCER JOHNSON - $197,828 - GARY HENRIKSEN - $81,396

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S SOLE MEMBER IS MHA HEALTH FOUNDATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE OFFICERS, EXCEPT FOR THE PRESIDENT, AND DIRECTORS ARE APPOINTED BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER HAS CERTAIN RESERVED POWERS.
FORM 990, PART VI, SECTION B, LINE 11PREPARED BY INDEPENDENT ACCOUNTING/AUDIT FIRM, REVIEWED BY CONTROLLER, CFO AND PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 12CWE REQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE REPORTING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION, USING THE FOLLOWING METHODS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPROGRAMMING & DATA COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 326,163. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,163. PROGRAMS/COLLABORATIVES SERVICES: PROGRAM SERVICE EXPENSES 1,955,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,955,769. MANAGEMENT CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 190,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,800. MHA FEES: PROGRAM SERVICE EXPENSES 184,772. MANAGEMENT AND GENERAL EXPENSES 34,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,351.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
2112 UNIVERSITY PARK DRIVEOKEMOSMI48864381458751PROMOTE HEALTH CAREMI501(C)(6)N/A0
MHA HEALTH FOUNDATION
2112 UNIVERSITY PARK DRIVEOKEMOSMI48864386091188PERFORM CHARITABLE & EDUCATIONAL FUNCTIONS OF THE MHAMI501(C)(3)0LINE 11A, IMICHIGAN HEALTH & HOSPITAL ASSOCIATION

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MHA SERVICE CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12112 UNIVERSITY PARK DRIVEAddressLine1Txt
CityOKEMOSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48864ZIPCd
FieldValueIRS element (for citing)
EIN382259766EIN
Primary ActivitiesSERVICES TO HOSPITALSPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MICHIGAN HEALTH AND HOSPITAL ASSOCIATION
L$60,240BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH AND HOSPITAL ASSOCIATION
M$64,772BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH AND HOSPITAL ASSOCIATION
O$634,640COST
MICHIGAN HEALTH AND HOSPITAL ASSOCIATION
K$64,032BOOKS MAINTAINED AT FMV
MHA SERVICE CORP
O$238,831COST
MHA HEALTH FOUNDATION
L$903,311BOOKS MAINTAINED AT FMV
MHA HEALTH FOUNDATION
O$566,803COST

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