FURP.ORG / PUBLIC DATA EXPLORER

GREAT LAKES MOBILE PET: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GREAT LAKES MOBILE PET (EIN 36-4508671)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201723189349308822
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)
Return2017-11-14T11:05:06-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364508671EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTY SMOLINSKIPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone2319355000PhoneNum
Signature2017-11-14SignatureDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id4E4967798F4ED3095182E155237A997966F5D60FAtSubmissionCreationDeviceId
At Submission Filing Device Id3AD8FE5AAD7F1E7C8842AE1699DABE20D9503696AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER PODGESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STREETAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,424,153GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO ESTABLISH, ACQUIRE AND MAINTAIN A MOBILE POSITRON EMISSION TOMOGRAPHY NETWORK TO IMPROVE AND PROMOTE THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,417,201PYProgramServiceRevenueAmt
CY Program Service Revenue$1,424,153CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,417,201PYTotalRevenueAmt
CY Total Revenue$1,424,153CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$669,640PYOtherExpensesAmt
CY Other Expenses$803,482CYOtherExpensesAmt
PY Total Expenses$669,640PYTotalExpensesAmt
CY Total Expenses$803,482CYTotalExpensesAmt
PY Revenues Less Expenses$747,561PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$620,671CYRevenuesLessExpensesAmt
Total Assets BOY$2,032,582TotalAssetsBOYAmt
Total Assets EOY$2,700,322TotalAssetsEOYAmt
Total Liabilities BOY$50,989TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,058TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,981,593NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,602,264NetAssetsOrFundBalancesEOYAmt
MissionTO ESTABLISH, ACQUIRE AND MAINTAIN A MOBILE POSITRON EMISSION TOMOGRAPHY NETWORK TO IMPROVE AND PROMOTE THE HEALTH OF THE CITIZENS OF NORTHERN MICHIGAN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$709,134ExpenseAmt
Revenue$1,424,153RevenueAmt
DescPROVISION OF POSITRON EMISSION TOMOGRAPHY TO PATIENTS OF THREE MEMBER HOSPITALS: MUNSON MEDICAL CENTER, ALPENA REGIONAL MEDICAL CENTER AND MCLAREN NORTHERN MICHIGAN, AND SEVERAL OTHER NORTHERN MICHIGAN EXEMPT HOSPITALS. IN 2016, GREAT LAKES MOBILE PET PERFORMED 2,474 SCANS IN NORTHERN MICHIGAN.Desc
Total Program Service Expenses$709,134TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln 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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICOLE SULAK MUNSON HEALTHCAREPersonNm
Phone2319357777PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

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

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MUNSON MEDICAL CENTERBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1Txt
CityTRAVERSE CITYCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49684ZIPCd
FieldValueIRS element (for citing)
ServicesMEDICAL & TECHServicesDesc
Compensation$261,770CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICES FEESDesc
Business621990BusinessCd
Total Revenue Column$1,424,153TotalRevenueColumnAmt
Related Or Exempt Func Income$1,424,153RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,424,153TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,424,153TotalRevenueColumnAmt
Related Or Exempt Func Income$1,424,153RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,867TotalAmt
Management And General$24,867ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$287,667TotalAmt
Program Services$270,509ProgramServicesAmt
Management And General$17,158ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,639TotalAmt
Program Services$238ProgramServicesAmt
Management And General$3,401ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$110TotalAmt
Program Services$110ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,658TotalAmt
Program Services$12,658ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$882TotalAmt
Management And General$882ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,186TotalAmt
Program Services$13,186ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,146TotalAmt
Management And General$42,146ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
VEHICLE REPAIR AND FUEL$383,186$383,186
SUPPLIES - PATIENT CARE$15,374$15,374
ELECTRICITY FOR PET MACHI$13,873$13,873
LICENSE FEES$5,348$5,348

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$546TotalAmt
Management And General$546ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$803,482TotalAmt
Program Services$709,134ProgramServicesAmt
Management And General$94,348ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,740,924BOYAmt
EOY$2,400,916EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$158,623BOYAmt
EOY$199,417EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,860BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,555,977LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,455,988LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$113,175BOYAmt
EOY$99,989EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,032,582BOYAmt
EOY$2,700,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,989BOYAmt
EOY$98,058EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,989BOYAmt
EOY$98,058EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,981,593BOYAmt
EOY$2,602,264EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,981,593BOYAmt
EOY$2,602,264EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,032,582BOYAmt
EOY$2,700,322EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$620,671ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,555,977OtherCostOrOtherBasisAmt
Depreciation$2,455,988DepreciationAmt
Book Value$99,989BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$99,989TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 6GREAT LAKES MOBILE PET IS ORGANIZED AS A NON-STOCK MEMBERSHIP CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 7AEACH MEMBER OF THE CORPORATION SHALL APPOINT TWO TRUSTEES TO THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 7BMEMBER ORGANIZATIONS APPROVE THE DECISIONS OF THE BOARD OF TRUSTEES.
FORM 990, PAGE 6, PART VI, LINE 11BONE MEMBER ORGANIZATION PREPARES THE FORM 990 AT THE CORPORATE OFFICE. MANAGEMENT AT THE ORGANIZATION, KNOWLEDGEABLE ABOUT THE REQUIREMENTS FOR FORM 990, REVIEWS THE RETURN FOR ACCURACY. THE VICE PRESIDENT OF GENERAL COUNSEL FOR THAT MEMBER ORGANIZATION REVIEWS THE GOVERNANCE PORTION OF THE RETURN. A COPY OF THE RETURN IS PROVIDED TO THE MEMBERS OF THE BOARD PRIOR TO ITS FILING WITH THE IRS. ANY QUESTIONS ARE CLARIFIED PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION DOES NOT MAKE ITS BYLAWS, CONFLICT OF INTEREST POLICY OR FINANCIALS STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT LABOR 270,509 17,158 0