FAMILY MEDICAL CENTER OF MICHIGAN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY MEDICAL CENTER OF MICHIGAN INC (EIN 38-2308659)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2016-10-03
- IRS object ID
- 201612779349300246
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-10-03T14:20:54-05:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3275 | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382308659 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY MEDICAL CENTER OF | BusinessNameLine1Txt |
| Business Name Line2 | MICHIGAN INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 7348506915 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8765 LEWIS AVE | AddressLine1Txt |
| City | TEMPERANCE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48182 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ED LARKINS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7348473802 | PhoneNum |
| Signature | 2016-09-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 9897939830 | PhoneNum |
| Preparation | 2016-09-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ED LARKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8765 LEWIS AVE | AddressLine1Txt |
| City | TEMPERANCE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48182 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,086,199 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAMILYMEDICALMI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | FAMILY MEDICAL CENTER OF MICHIGAN, INC. IS DEDICATED TO QUALITY AND EXCELLENCE IN PROVIDING COMPREHENSIVE, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH CARE REGARDLESS OF AGE, ETHNIC BACKGROUND, OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 140 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,290,853 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,859,562 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,516,245 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,903,956 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,865 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,000 | CYInvestmentIncomeAmt |
| PY Other Revenue | $95,635 | PYOtherRevenueAmt |
| CY Other Revenue | $319,681 | CYOtherRevenueAmt |
| PY Total Revenue | $15,906,598 | PYTotalRevenueAmt |
| CY Total Revenue | $14,086,199 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,344,714 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,649,113 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,833,620 | PYOtherExpensesAmt |
| CY Other Expenses | $4,314,152 | CYOtherExpensesAmt |
| PY Total Expenses | $10,178,334 | PYTotalExpensesAmt |
| CY Total Expenses | $11,963,265 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,728,264 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,122,934 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,311,608 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,933,425 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,877,501 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,376,384 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,434,107 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,557,041 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FAMILY MEDICAL CENTER OF MICHIGAN, INC. IS DEDICATED TO QUALITY AND EXCELLENCE IN PROVIDING COMPREHENSIVE, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH CARE REGARDLESS OF AGE, ETHNIC BACKGROUND, OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,256,552 | ExpenseAmt |
| Revenue | $2,160,627 | RevenueAmt |
| Desc | DENTAL SERVICES ARE PROVIDED AT THREE DIFFERENT LOCATIONS IN LENAWEE AND MONROE COUNTIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,252,803 | ExpenseAmt |
| Revenue | $7,169,361 | RevenueAmt |
| Desc | MEDICAL SERVICES ARE PROVIDED AT FIVE DIFFERENT LOCATIONS IN LENAWEE AND MONROE COUNTIES IN MICHIGAN. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $606,018 | ExpenseAmt |
| Revenue | $1,573,968 | RevenueAmt |
| Desc | THE 340B PHARMACY PROGRAM WAS SET UP BY THE FEDERAL GOVERNMENT TO GIVE PATIENTS ACCESS TO VETERAN PRESCRIPTION DRUG PRICING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,115,373 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 34 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 140 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINE CROLEY | PersonNm |
| Phone | 7348506915 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8765 LEWIS AVE | AddressLine1Txt |
| City | TEMPERANCE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48182 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DAVID BROWN | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOYCE BROWN-WILLIAMS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHIE BUSEN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BURT FENBY | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAMELA LAPAN | |||||||
| PAST PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WES LANGER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IONE PARKER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH SZILAGYI | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALMA SALYER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MEG SMITH | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ELAINE TROXELL-ROBSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WALTER TYLICKI | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARL VANWERT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES WATKINS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ED LARKINS | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $219,160 | $0 | $16,154 | ||
| SIN CHING CHIU | |||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $180,464 | $0 | $24,148 | ||
| CHRISTINE CROLEY | |||||||
| CFO | 40.00 | Yes (X) | $116,371 | $0 | $11,803 | ||
| PER OAKEY | |||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $86,516 | $0 | $15,496 | ||
| MARK KOEHL | |||||||
| MEDICAL DOCT | 40.00 | $194,407 | $0 | $21,177 | Yes (X) | ||
| CORNELIO NAGUIT JR | |||||||
| MEDICAL DOCT | 40.00 | $192,574 | $0 | $26,455 | Yes (X) | ||
| WILLIAM PETTIT JR | |||||||
| MEDICAL DOCT | 40.00 | $168,446 | $0 | $0 | Yes (X) | ||
| SANGEETA JUNEJA | |||||||
| MEDICAL DOCT | 40.00 | $152,150 | $0 | $7,538 | Yes (X) | ||
| CAROL WIESE | |||||||
| MEDICAL DOCT | 40.00 | $143,270 | $0 | $7,183 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,453,358 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $129,954 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| SCHWEITZER INC | ||||||
| 9807 BELLEVUE ROAD | BATTLE CREEK | MI | 49014 | CONSTRUCTION | $431,978 | |
| COMPUTER WORKS INC | ||||||
| 1112 UNION ST | MONROE | MI | 48161 | COMPUTER | $240,735 | |
| EMPLOYEE FIDUCIARY LLC | ||||||
| 1100 DAUPHIN STREET | MOBILE | AL | 36604 | PENSION | $212,228 | SUITE B |
| HENRY SCHEIN | ||||||
| DEPT CH 10241 | PALATINE | IL | 60055 | MEDICAL SUPPLY | $128,831 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $3,193 | FederatedCampaignsAmt |
| Government Grants | $2,693,323 | GovernmentGrantsAmt |
| All Other Contributions | $163,046 | AllOtherContributionsAmt |
| Noncash Contributions | $140,899 | NoncashContributionsAmt |
| Total Contributions | $2,859,562 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $7,247,138 | $7,247,138 |
| 340B PHARMACY PROGRAM | 624100 | $1,573,968 | $1,573,968 |
| PATIENT FEES, NET | 624100 | $1,112,162 | $1,112,162 |
| MEDICARE | 624100 | $970,688 | $970,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,903,956 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,000 | TotalRevenueColumnAmt |
| Exclusion | $3,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MDCH INCENTIVES | 624110 | $234,193 | $234,193 |
| MISCELLANEOUS | 624110 | $85,488 | $85,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $319,681 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,086,199 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,223,637 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,000 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,742 | TotalAmt |
| Program Services | $277,721 | ProgramServicesAmt |
| Management And General | $433,021 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,745,820 | TotalAmt |
| Program Services | $5,422,514 | ProgramServicesAmt |
| Management And General | $323,306 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,453 | TotalAmt |
| Program Services | $194,257 | ProgramServicesAmt |
| Management And General | $9,196 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,090 | TotalAmt |
| Program Services | $498,222 | ProgramServicesAmt |
| Management And General | $56,868 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,008 | TotalAmt |
| Program Services | $387,749 | ProgramServicesAmt |
| Management And General | $46,259 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,297 | TotalAmt |
| Management And General | $15,297 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,600 | TotalAmt |
| Management And General | $23,600 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,662 | TotalAmt |
| Program Services | $135,723 | ProgramServicesAmt |
| Management And General | $456,939 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,026 | TotalAmt |
| Program Services | $301,740 | ProgramServicesAmt |
| Management And General | $76,286 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,336 | TotalAmt |
| Program Services | $261,981 | ProgramServicesAmt |
| Management And General | $21,355 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,003 | TotalAmt |
| Program Services | $26,856 | ProgramServicesAmt |
| Management And General | $48,147 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,375 | TotalAmt |
| Program Services | $1,011 | ProgramServicesAmt |
| Management And General | $109,364 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,166 | TotalAmt |
| Program Services | $521,932 | ProgramServicesAmt |
| Management And General | $15,234 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,681 | TotalAmt |
| Management And General | $55,681 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $606,018 | $606,018 | |
| MEDICAL SUPPLIES | $587,539 | $532,663 | $54,876 |
| CONTRACTED SERVICES/MAT | $435,669 | $434,826 | $843 |
| MAINTENANCE | $290,584 | $278,452 | $12,132 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,196 | TotalAmt |
| Program Services | $233,708 | ProgramServicesAmt |
| Management And General | $89,488 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,963,265 | TotalAmt |
| Program Services | $10,115,373 | ProgramServicesAmt |
| Management And General | $1,847,892 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,552,704 | BOYAmt |
| EOY | $4,887,012 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,036,983 | BOYAmt |
| EOY | $2,761,190 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,196 | BOYAmt |
| EOY | $1,321,009 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,287 | BOYAmt |
| EOY | $139,317 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,873 | BOYAmt |
| EOY | $129,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,259,767 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,564,289 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,202,565 | BOYAmt |
| EOY | $10,695,478 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,311,608 | BOYAmt |
| EOY | $19,933,425 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $790,565 | BOYAmt |
| EOY | $1,121,153 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,920 | BOYAmt |
| EOY | $55,626 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,130,016 | BOYAmt |
| EOY | $2,696,605 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $951,000 | BOYAmt |
| EOY | $503,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,877,501 | BOYAmt |
| EOY | $4,376,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,434,107 | BOYAmt |
| EOY | $15,557,041 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,434,107 | BOYAmt |
| EOY | $15,557,041 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,311,608 | BOYAmt |
| EOY | $19,933,425 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,122,934 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $392,500 | OtherCostOrOtherBasisAmt |
| Book Value | $392,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,344,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,701,376 | DepreciationAmt |
| Book Value | $9,643,251 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,522,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,862,913 | DepreciationAmt |
| Book Value | $659,727 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,695,478 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENTS | Desc |
| Amt | $503,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $503,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $14,086,199 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $14,086,199 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $14,086,199 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,963,265 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $11,963,265 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $11,963,265 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| ED LARKINS | ||||
| EXECUTIVE DIRECTOR | $219,160 | $8,766 | $7,388 | $235,314 |
| SIN CHING CHIU | ||||
| MEDICAL DIRECTOR | $180,464 | $7,219 | $16,929 | $204,612 |
| MARK KOEHL | ||||
| MEDICAL DOCTOR | $194,407 | $7,776 | $13,401 | $215,584 |
| CORNELIO NAGUIT JR | ||||
| MEDICAL DOCTOR | $192,574 | $7,703 | $18,752 | $219,029 |
| WILLIAM PETTIT JR | ||||
| MEDICAL DOCTOR | $168,446 | $168,446 | ||
| SANGEETA JUNEJA | ||||
| MEDICAL DOCTOR | $152,150 | $6,086 | $1,452 | $159,688 |
| CAROL WIESE | ||||
| MEDICAL DOCTOR | $143,270 | $5,731 | $1,452 | $150,453 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4042 | ContributionCnt |
| Noncash Contributions Rpt F990 | $140,899 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | FAMILY MEDICAL CENTER OF MICHIGAN, INC. IS DEDICATED TO QUALITY AND EXCELLENCE IN PROVIDING COMPREHENSIVE, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH CARE REGARDLESS OF AGE, ETHNIC BACKGROUND, OR ABILITY TO PAY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY MANAGEMENT AND EXECUTIVE COMMITTEE OF THE BOARD. A COPY IS THEN PROVIDED TO THE FULL BOARD BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS UPON BECOMING A BOARD MEMBER ARE PROVIDED THE POLICY CONCERNING CONFLICT OF INTEREST. IF THERE IS PERCEIVED CONFLICT THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS THE ISSUE AND RECOMMENDS TO THE FULL BOARD WHAT ACTION(S) SHOULD OCCUR. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ANNUAL PERFORMANCE REVIEW OF THE CEO IS CONDUCTED AND AN OUTSIDE COMPENSATION EXPERT SETS RANGES FOR ALL STAFF INCLUDING THE CEO BASED UPON PERFORMANCE AND MARKET COMPARABLES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | AN OUTSIDE COMPENSATION EXPERT SETS RANGES FOR ALL STAFF BASED UPON PERFORMANCE AND MARKET COMPARABLES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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