FURP.ORG / PUBLIC DATA EXPLORER

COPPER SHORES COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COPPER SHORES COMMUNITY HEALTH FOUNDATION (EIN 38-3022945)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-12
IRS object ID
201721939349300202
Schema version
2016v3.0
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)
Return2017-07-12T08:21:01-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383435918PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUKKILA NEGRO AND ASSOCIATES CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1310 SHELDEN AVENUEAddressLine1Txt
CityHOUGHTONCityNm
State AbbreviationMIStateAbbreviationCd
ZIP499311964ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383022945EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTAGE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone9065235920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 QUINCY ST 405 PO BOX 299AddressLine1Txt
CityHANCOCKCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49930ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN STOREPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9065235920PhoneNum
Signature2017-07-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER A NEGROPreparerPersonNm
PTINP01076084PTIN
Phone9064826601PhoneNum
Preparation2017-07-07PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdF4E7C586417B8E8D0A2CFE8B07DCBA13CB4050C9AtSubmissionCreationDeviceId
At Submission Filing Device Id256691838CE90A2440BD6ACA45594FE1CB481A7BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN STOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 299AddressLine1Txt
CityHANCOCKCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49930ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,964,128GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHFGIVE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO SUPPORT THE CHARITABLE HEALTH NEEDS OF THE COMMUNITY THROUGH ENHANCED PHILANTHROPY AND COMMUNITY COLLABORATIONActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,112,048PYContributionsGrantsAmt
CY Contributions Grants$369,639CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,002,344PYInvestmentIncomeAmt
CY Investment Income$830,096CYInvestmentIncomeAmt
PY Other Revenue$45,281PYOtherRevenueAmt
CY Other Revenue-$308,257CYOtherRevenueAmt
PY Total Revenue$5,159,673PYTotalRevenueAmt
CY Total Revenue$891,478CYTotalRevenueAmt
PY Grants And Similar Paid$2,934,745PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$520,432CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$263,519PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$297,103CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$181,688PYOtherExpensesAmt
CY Other Expenses$188,151CYOtherExpensesAmt
PY Total Expenses$3,379,952PYTotalExpensesAmt
CY Total Expenses$1,005,686CYTotalExpensesAmt
PY Revenues Less Expenses$1,779,721PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$114,208CYRevenuesLessExpensesAmt
Total Assets BOY$57,465,012TotalAssetsBOYAmt
Total Assets EOY$59,636,574TotalAssetsEOYAmt
Total Liabilities BOY$2,361,619TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,860,434TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$55,103,393NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$57,776,140NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO SUPPORT THE CHARITABLE HEALTH NEEDS OF THE COMMUNITY THROUGH ENHANCED PHILANTHROPY AND COMMUNITY COLLABORATIONMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$520,432ExpenseAmt
Grant$520,432GrantAmt
DescGRANTS TO ORGANIZATIONS AND INDIVIDUALS WITH EMPHASIS ON THE FOLLOWING: HEALTH EDUCATION - LEARNING EXPERIENCES DESIGNED TO EXPAND AWARENESS AND KNOWLEDGE OF COMMUNITY HEALTH ISSUES HEALTH RESEARCH - PEOPLE, INSTITUTIONS, AND PROJECTS WITH THE PRIMARY PURPOSE OF IMPROVING INDIVIDUAL AND/OR COMMUNITY WELL-BEING THROUGH DEVELOPMENT AND IMPLEMENTATION OF HEALTH INITIATIVES COMMUNITY HEALTH - ACTIVITIES OR OPPORTUNITIES THAT PROMOTE HEALTHY LIFESTYLES. AS ONE EXAMPLE OF THIS INITIATIVE, AREA LAW ENFORCEMENT AGENCIES AND PORTAGE HEALTH FOUNDATION FORMED A COMMUNITY-WIDE PARTNERSHIP TO FINANCIALLY SUPPORT AN INCREASED UPPER PENINSULA SUBSTANCE ENFORCEMENT TEAM (UPSET WEST) IN AN EFFORT TO COMBAT THE GROWTH IN DRUG ABUSE AND DRUG-RELATED CRIME IN THE REGION. HEALTHCARE LEADERS - SCHOLARSHIPS AND/OR EDUCATIONAL OPPORTUNITIES THAT SUPPORT THE ADVANCEMENT OF TRADITIONAL AND NON-TRADITIONAL STUDENTS ACCESS TO CARE - PROVIDES FINANCIAL RESOURCES NEEDED TO DEVELOP NEW AND/OR EXPAND HEALTH SERVICES TO MEET COMMUNITY NEEDSDesc
Total Program Service Expenses$520,432TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 Line1PORTAGE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9065235920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 299AddressLine1Txt
CityHANCOCKCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49930ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BERNADETTE YEOMAN-OULETTE
CHAIR1.00Yes (X)Yes (X)$0$0$0
ROGER HELMAN
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
TIM BARONI
TREASURER1.00Yes (X)Yes (X)$0$0$0
ANN CLANCY-KLEMME
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MICHELLE BLAU
DIRECTOR1.00Yes (X)$0$0$0
TERRY KINZEL
DIRECTOR1.00Yes (X)$0$0$0
JEANNE KURTZ
DIRECTOR1.00Yes (X)$0$0$0
PAUL OLLILA
DIRECTOR1.00Yes (X)$0$0$0
BRENT PETERSON
DIRECTOR1.00Yes (X)$0$0$0
LENNON MATTILA HUGHES
DIRECTOR1.00Yes (X)$0$0$0
KEVIN STORE
EXECUTIVE DI40.00Yes (X)$102,363$0$26,095
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,363TotalReportableCompFromOrgAmt
Total Other Compensation$26,095TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$156,000GovernmentGrantsAmt
All Other Contributions$213,639AllOtherContributionsAmt
Total Contributions$369,639TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,095,746TotalRevenueColumnAmt
Exclusion$1,095,746ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,385,793SecuritiesAmt
Other$399,156OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,050,599SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$664,806SecuritiesAmt
Other$399,156OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$265,650TotalRevenueColumnAmt
Exclusion-$265,650ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$37,222FundraisingGrossIncomeAmt
Fundraising Direct Expenses$22,051FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,171TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS SETTLEMENTS$1,010$1,010
GRANT REFUND$640$640
JOINT VENTURE GAIN/(LOSS)-$325,078-$325,078
FieldValueIRS element (for citing)
Other Revenue Total-$323,428OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$891,478TotalRevenueColumnAmt
Related Or Exempt Func Income-$323,428RelatedOrExemptFuncIncomeAmt
Exclusion$830,096ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$515,932TotalAmt
Program Services$515,932ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$4,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$225,777TotalAmt
Management And General$225,777ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,429TotalAmt
Management And General$19,429ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$33,300TotalAmt
Management And General$33,300ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,597TotalAmt
Management And General$18,597ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,795TotalAmt
Management And General$22,795ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$38,532TotalAmt
Management And General$38,532ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,511TotalAmt
Management And General$24,511ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,211TotalAmt
Management And General$10,211ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,632TotalAmt
Management And General$4,632ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,490TotalAmt
Management And General$11,490ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,731TotalAmt
Management And General$1,731ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,952TotalAmt
Management And General$8,952ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,663TotalAmt
Management And General$12,663ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,954TotalAmt
Management And General$7,954ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
EDUCATION/STAFF AND BOARD$31,231$31,231
DUES AND SUBSCRIPTIONS$6,127$6,127
TELEPHONE/INTERNET$4,293$4,293
MISCELLANEOUS$2,640$2,640

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$389TotalAmt
Management And General$389ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,005,686TotalAmt
Program Services$520,432ProgramServicesAmt
Management And General$485,254ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$997,510BOYAmt
EOY$152,412EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,002BOYAmt
EOY$475EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$236,400EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,993BOYAmt
EOY$4,182EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$84,863LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,815LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$60,047BOYAmt
EOY$56,048EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$47,166,153BOYAmt
EOY$50,280,467EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$19,675BOYAmt
EOY$21,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,210,632BOYAmt
EOY$8,885,554EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,465,012BOYAmt
EOY$59,636,574EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,619BOYAmt
EOY$24,084EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$2,350,000BOYAmt
EOY$1,836,350EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,361,619BOYAmt
EOY$1,860,434EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,090,710BOYAmt
EOY$57,427,454EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,683BOYAmt
EOY$348,686EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,103,393BOYAmt
EOY$57,776,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,465,012BOYAmt
EOY$59,636,574EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$114,208ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,785,978NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$977OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$51,533,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$84,004CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,112,048CurrentTaxYearMinus1YearAmt
Current Tax Year$369,639CurrentTaxYearAmt
Total$55,099,384TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$51,533,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$84,004CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,112,048CurrentTaxYearMinus1YearAmt
Current Tax Year$369,639CurrentTaxYearAmt
Total$55,099,384TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$55,099,384PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$80,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,112,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,068,193CurrentTaxYearMinus1YearAmt
Current Tax Year$830,096CurrentTaxYearAmt
Total$3,091,409TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years-$123,476CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,225CurrentTaxYearMinus1YearAmt
Current Tax Year-$323,428CurrentTaxYearAmt
Total-$421,679TotalAmt
FieldValueIRS element (for citing)
Total Support$57,769,114TotalSupportAmt
Gross Receipts Rltd Activities$59,813GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95380PublicSupportCY170Pct
Public Support PY1700.96200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationJOINT VENTURE GAIN/LOSS & MISC. -421,679ExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,695OtherCostOrOtherBasisAmt
Depreciation$3,970DepreciationAmt
Book Value$6,725BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,168OtherCostOrOtherBasisAmt
Depreciation$24,845DepreciationAmt
Book Value$49,323BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,048TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescJOINT VENTURE EQUITYDesc
Book Value$8,885,554BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,885,554TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$3,819,507TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,785,978NetUnrealizedGainsInvstAmt
Other Revenue$142,051OtherRevenueAmt
Revenue Not Reported$2,928,029RevenueNotReportedAmt
Revenue Subtotal$891,478RevenueSubtotalAmt
Total Revenue Per Form990$891,478TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,146,760TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$142,051OtherExpensesIncludedAmt
Expenses Not Reported$142,051ExpensesNotReportedAmt
Expenses Subtotal$1,004,709ExpensesSubtotalAmt
Other Expenses Not Included$977OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$977ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,005,686TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DINTERFUND TRANSFER 120,000 DIRECT FUNDRAISING EXP 22,051
SCHEDULE D, PAGE 4, PART XII, LINE 2DINTERFUND TRANSFER 120,000 DIRECT FUNDRAISING EXPENSES 22,051
SCHEDULE D, PAGE 4, PART XII, LINE 4BBOOK / TAX DEPRECIATION DIFFERENCE 977

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISING BALEvent1Nm
Gross Receipts Event1$37,222GrossReceiptsEvent1Amt
Gross Revenue Event1$37,222GrossRevenueEvent1Amt
Non Cash Prizes Event1$422NonCashPrizesEvent1Amt
Rent Facility Costs Event1$4,451RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,198FoodAndBeverageEvent1Amt
Entertainment Event1$6,990EntertainmentEvent1Amt
Other Direct Expenses Event1$4,990OtherDirectExpensesEvent1Amt
Gross Receipts Total$37,222GrossReceiptsTotalAmt
Gross Revenue Total Events$37,222GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$422NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,451RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,198FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,990EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,990OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,051DirectExpenseSummaryEventsAmt
Net Income Summary$15,171NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
FINLANDIA UNIVERSITY
601 QUINCY STREETHANCOCKMI49930381359570GOV$225,000CASHHEALTH EDUCATION
DIAL HELP
609 SHELDEN AVENUEHOUGHTONMI499313820269183$60,000CASHCRISIS UNIT FUNDING
FINLANDIA UNIVERSITY
601 QUINCY STREETHANCOCKMI49930381359570GOV$10,000CASHSCHOLARSHIP GRANT
GOGEBIC COMMUNITY COLLEGE
E4946 JACKSON ROADIRONWOODMI49938382193133GOV$10,000CASHSCHOLARSHIP GRANT
MSU COLLEGE OF HUMAN MEDICINE
965 FEE RD A110EAST LANSINGMI48824386005984GOV$10,000CASHSCHOLARSHIP GRANT
MICHIGAN TECHNOLOGICAL UNIVERSITY
1400 TOWNSEND DRIVEHOUGHTONMI49931386005955GOV$10,000CASHSCHOLARSHIP GRANT
BARBARA KETTLE GUNDLACH SHELTER
620 CONGLOMERATE STONTONAGONMI499533823211263$20,000CASHFAMILY SUPPORT
UPPER GREAT LAKES FAMILY HEALTH CEN
600 MACINNES DRHOUGHTONMI499312642992753$10,881CASHHEALTH PROGRAM COSTS
NORTHERN MICHIGAN UNIVERSITY
1401 PRESQUE ISLE AVEMARQUETTEMI49855386029206GOV$10,000CASHSCHOLARSHIP GRANT
CITY OF HOUGHTON
616 SHELDEN AVEHOUGHTONMI49931386007225GOV$134,021CASHTASK FORCE SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION REQUESTS A PROGRAM OVERVIEW AND BUDGET, A SIX-MONTH PROGRESS REPORT, AND A FINAL STATUS REPORT COMPLETED WITHIN 60 DAYS FROM THE FINAL EXPENDITURES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6COMMUNITY MEMBERS WHO ASSISTED ON VARIOUS COMMITTEES THROUGHOUT THE YEAR.
FORM 990, PAGE 2, PART III, LINE 4AAGENCIES AND PORTAGE HEALTH FOUNDATION FORMED A COMMUNITY-WIDE PARTNERSHIP TO FINANCIALLY SUPPORT AN INCREASED UPPER PENINSULA SUBSTANCE ENFORCEMENT TEAM (UPSET WEST) IN AN EFFORT TO COMBAT THE GROWTH IN DRUG ABUSE AND DRUG-RELATED CRIME IN THE REGION. HEALTHCARE LEADERS - SCHOLARSHIPS AND/OR EDUCATIONAL OPPORTUNITIES THAT SUPPORT THE ADVANCEMENT OF TRADITIONAL AND NON-TRADITIONAL STUDENTS ACCESS TO CARE - PROVIDES FINANCIAL RESOURCES NEEDED TO DEVELOP NEW AND/OR EXPAND HEALTH SERVICES TO MEET COMMUNITY NEEDS
FORM 990, PAGE 6, PART VI, LINE 10BTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR OF THE FOUNDATION REVIEWS THE FORM 990 IN DETAIL PRIOR TO FILING. THE 990 IS THEN REVIEWED WITH FOUNDATION BOARD MEMBERS AT A REGULARLY SCHEDULED BOARD MEETING. EACH BOARD MEMBER IS PROVIDED A COPY OF THE FORM 990 FOR REVIEW BEFORE THE RETURN IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CAN ANNUAL CONFLICT OF INTEREST POLICY STATEMENT IS COMPLETED AND SIGNED BY EACH BOARD MEMBER. THE EXECUTIVE DIRECTOR REVIEWS THE COMPLETED CONFLICT OF INTEREST FORMS. IF A CONFLICT IS IDENTIFIED, THAT BOARD MEMBER IS EXCUSED FROM ANY DISCUSSION OR VOT RELATING TO THE IDENTIFIED CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15ATHE ORGANIZATION UTILIZES WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDIES, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15BTHE ORGANIZATION UTILIZES WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDIES, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9INTERFUND TRANSFER 120,000 DIRECT FUNDRAISING EXP 22,051 INTERFUND TRANSFER -120,000 DIRECT FUNDRAISING EXPENSES -22,051 BOOK / TAX DEPRECIATION DIFFERENCE 977 TOTAL 977