MICHIGAN HEALTH INFORMATION TECHNOLOGY NETWORK SHARED SERVICE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MICHIGAN HEALTH INFORMATION TECHNOLOGY NETWORK SHARED SERVICE (EIN 27-3871301)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-04-29
IRS object ID
201501199349301100
Schema version
2013v4.0
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)
Return2015-04-29T12:42:51-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 MICHIGAN AVEAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48823ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273871301EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH INFORMATION NETWORKBusinessNameLine1
Business Name Line2SHARED SERVICESBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt
Phone9897741851PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 WEST SAGINAW STREETAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48823ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY PLETCHERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9897741851PhoneNum
Signature2015-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP00904574PTIN
Phone5173326200PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerTIMOTHY PLETCHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 WEST SAGINAW STREETAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48823ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$9,240,340GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMIHIN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTHE MICHIGAN HEALTH INFORMATION NETWORK (MIHIN) SHARED SERVICES IS A PUBLIC AND PRIVATE COLLABORATION DEDICATED TO IMPROVING THE HEALTHCARE EXPERIENCE, IMPROVING QUALITY AND DECREASING COST FOR MICHIGAN'S PEOPLE BY SUPPORTING THE STATE WIDE EXCHANGE OF HEALTH INFORMATION AND MAKING VALUABLE DATA AVAILABLE AT THE POINT OF CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$2,365,604CYContributionsGrantsAmt
PY Program Service Revenue$8,200,755PYProgramServiceRevenueAmt
CY Program Service Revenue$6,874,736CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,200,755PYTotalRevenueAmt
CY Total Revenue$9,240,340CYTotalRevenueAmt
PY Grants And Similar Paid$231,608PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$497,702PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,073,114CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,473,231PYOtherExpensesAmt
CY Other Expenses$6,057,174CYOtherExpensesAmt
PY Total Expenses$7,202,541PYTotalExpensesAmt
CY Total Expenses$7,130,288CYTotalExpensesAmt
PY Revenues Less Expenses$998,214PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,110,052CYRevenuesLessExpensesAmt
Total Assets BOY$3,494,985TotalAssetsBOYAmt
Total Assets EOY$5,596,478TotalAssetsEOYAmt
Total Liabilities BOY$2,480,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,471,493TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,014,933NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,124,985NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MICHIGAN HEALTH INFORMATION NETWORK (MIHIN) SHARED SERVICES IS A PUBLIC AND PRIVATE COLLABORATION DEDICATED TO IMPROVING THE HEALTHCARE EXPERIENCE, IMPROVING QUALITY AND DECREASING COST FOR MICHIGAN'S PEOPLE BY SUPPORTING THE STATE WIDE EXCHANGE OF HEALTH INFORMATION AND MAKING VALUABLE DATA AVAILABLE AT THE POINT OF CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,434,486ExpenseAmt
Revenue$6,874,736RevenueAmt
DescSTATE OF MICHIGAN EXCHANGE OF HEALTH INFORMATION AND DATADesc
Total Program Service Expenses$6,434,486TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To 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 EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document36IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee32EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonOLGA DUBOISPersonNm
Phone5173365771PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 WEST SAGINAW STREETAddressLine1
CityEAST LANSINGCity
StateMIState
ZIP Code48823ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LARRY WAGENKNECHT
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
JOHN VISMARA
BOARD MEMBER2.00Yes (X)$0$0$0
HELEN HILL
BOARD MEMBER2.00Yes (X)$0$0$0
DENNIS SMITH
SECRETARY2.00Yes (X)Yes (X)$0$0$0
DR THOMAS SIMMER MD
BOARD MEMBER2.00Yes (X)$0$0$0
KRISCHA WINRIGHT
BOARD MEMBER2.00Yes (X)$0$0$0
CYNTHIA GREEN EDWARDS
BOARD MEMBER2.00Yes (X)$0$0$0
JIM COLLINS
BOARD MEMBER2.00Yes (X)$0$0$0
RICK WARREN
BOARD MEMBER2.00Yes (X)$0$0$0
TOM LAUZON
TREASURER2.00Yes (X)Yes (X)$0$0$0
NICK LYON
BOARD MEMBER2.00Yes (X)$0$0$0
CHRIS PIKE
TREASURER THRU 7/14/142.00Yes (X)Yes (X)$0$0$0
CAROL PARKER MPH
BOARD MEMBER THRU 6/18/142.00Yes (X)$0$0$0
PATRICK O'HARE
VICE CHAIRMAN THRU 7/14/142.00Yes (X)Yes (X)$0$0$0
TIMOTHY PLETCHER
EXECUTIVE DIRECTOR40.00Yes (X)$204,574$0$0
BRIAN SEGGIE
SECURITY DIRECTORY/CHIEF SECURITY OFFICER40.00$151,604$0$6,000Yes (X)
JEFFREY SHAW
FORMER SN INTEGRATION TECH ARCHITECT0.00$110,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$466,178TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,000TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
NITOR GROUP
8432 CABIN BRANCH COURTMANASSASVA20111HEALTH INFORMATION EXCHANGE$1,191,640
WINDWARD SOLUTIONS
1903 W 8TH STREET PMB 290ERIEPA16505HEALTH INFORMATION EXCHANGE$543,085
TREZUNO
5 RIDGEMOR DRANN ARBORMI48103HEALTH INFORMATION EXCHANGE$540,475
LOGICALIS INC
PO BOX 67000DETROITMI482671723HEALTH INFORMATION EXCHANGE$522,275
HIPER LOGIC LLC
47647 PINE CREEK COURTNORTHVILLEMI48168HEALTH INFORMATION EXCHANGE$442,043
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Government Grants$2,365,604GovernmentGrantsAmt
Total Contributions$2,365,604TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
STATE HIE COOPERATIVE900099$6,113,742$6,113,742
SERVICE FEES900099$678,371$678,371
CONFERENCES561000$82,623$82,623
FieldValueIRS element (for citing)
Total Program Service Revenue$6,874,736TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,240,340TotalRevenueColumnAmt
Related Or Exempt Func Income$6,874,736RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$204,574TotalAmt
Program Services$184,117ProgramServicesAmt
Management And General$20,457ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$652,458TotalAmt
Program Services$501,509ProgramServicesAmt
Management And General$150,949ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,533TotalAmt
Program Services$16,426ProgramServicesAmt
Management And General$4,107ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$127,928TotalAmt
Program Services$102,342ProgramServicesAmt
Management And General$25,586ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$67,621TotalAmt
Program Services$54,097ProgramServicesAmt
Management And General$13,524ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$252,530TotalAmt
Program Services$202,335ProgramServicesAmt
Management And General$50,195ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,045TotalAmt
Program Services$59,022ProgramServicesAmt
Management And General$59,023ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,244TotalAmt
Program Services$15,159ProgramServicesAmt
Management And General$8,085ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,267TotalAmt
Management And General$4,267ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,539TotalAmt
Program Services$1,327ProgramServicesAmt
Management And General$56,212ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,716TotalAmt
Program Services$9,836ProgramServicesAmt
Management And General$31,880ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$728TotalAmt
Management And General$728ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$220,000TotalAmt
Program Services$197,452ProgramServicesAmt
Management And General$22,548ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,835TotalAmt
Management And General$37,835ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROJECT EXPENSES$4,070,578$4,027,900$42,678
PROFESSIONAL SERVICES$1,042,711$905,618$137,093
MISCELLANEOUS$183,737$157,346$26,391
TRAINING$4,244$4,244

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,130,288TotalAmt
Program Services$6,434,486ProgramServicesAmt
Management And General$695,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$322,434BOYAmt
EOY$1,444,886EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,424,708BOYAmt
EOY$420,750EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$2,420,584EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$158,001BOYAmt
EOY$305,381EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,246,904LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$242,027LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$589,092BOYAmt
EOY$1,004,877EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,494,985BOYAmt
EOY$5,596,478EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,195,296BOYAmt
EOY$2,077,308EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$170,018BOYAmt
EOY$194,185EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,738BOYAmt
EOY$200,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,480,052BOYAmt
EOY$2,471,493EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,014,933BOYAmt
EOY$3,124,985EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,014,933BOYAmt
EOY$3,124,985EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,494,985BOYAmt
EOY$5,596,478EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,110,052ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$91,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,235,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,747,048CurrentTaxYearMinus1YearAmt
Current Tax Year$2,365,604CurrentTaxYearAmt
Total$14,440,462TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$91,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,235,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,747,048CurrentTaxYearMinus1YearAmt
Current Tax Year$2,365,604CurrentTaxYearAmt
Total$14,440,462TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$14,440,462PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$446CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$798CurrentTaxYearMinus2YearsAmt
Total$1,244TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$30,861CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,170CurrentTaxYearMinus1YearAmt
Current Tax Year$82,623CurrentTaxYearAmt
Total$156,654TotalAmt
FieldValueIRS element (for citing)
Total Support$14,598,360TotalSupportAmt
Gross Receipts Rltd Activities$7,202,650GrossReceiptsRltdActivitiesAmt
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,246,904OtherCostOrOtherBasisAmt
Depreciation$242,027DepreciationAmt
Book Value$1,004,877BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,004,877TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescREFUNDABLE ADVANCEDesc
Amt$200,000Amt
FieldValueIRS element (for citing)
Total Liability$200,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,240,340TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$9,240,340RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,240,340TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,130,288TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,130,288ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,130,288TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMIHIN IS A NOT-FOR-PROFIT CORPORATION UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). THEREFORE, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. NET INCOME FROM ACTIVITIES UNRELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION. TAXES ON UNRELATED BUSINESS INCOME ARE NOT MATERIAL TO THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS 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 POSITION TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (3 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
TIMOTHY PLETCHER
EXECUTIVE DIRECTOR$204,574$0$0$0$0$0$0$0$0$0$204,574$0$0$0
BRIAN SEGGIE
SECURITY DIRECTORY/CHIEF SECURITY OF$127,604$0$24,000$0$0$0$0$0$6,000$0$157,604$0$0$0
JEFFREY SHAW
FORMER SN INTEGRATION TECH ARCHITECT$110,000$0$0$0$0$0$0$0$0$0$110,000$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J PART II, LINE 1:FormAndLineReferenceDesc
ExplanationTIMOTHY PLETCHER IS THE EXECUTIVE DIRECTOR OF MIHIN. HE RECEIVES HIS COMPENSATION FOR HIS SERVICES PROVIDED AS EXECUTIVE DIRECTOR FROM CENTRAL MICHIGAN UNIVERSITY. MIHIN PAID $204,574 TO THE UNIVERSITY FOR TIMOTHY PLETCHER'S SERVICES TO MIHIN.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Sharing Of RevenuesSharingOfRevenuesIndRelationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDesc
(no name)
0
HELEN HILL - DIRECTOR SEMHIE
0BOARD MEMBER$74,750PAYMENT TO SEMHIE FOR PERFORMED SERVICES
DENNIS SMITH - DIRECTOR AT UPHIE
0BOARD MEMBER$60,000PAYMENT TO UPHIE FOR PERFORMED SERVICES
JOHN VISMARA - DIRECTOR AT INGENIUM
0BOARD MEMBER$37,000PAYMENT TO INGENIUM FOR PERFORMED SERVICES

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4ADOPTED AND MADE EFFECTIVE AS OF JUNE 18, 2014 NUMBER AND DIVISION. THERE SHALL BE NOT LESS THAN NINE (9) NOR MORE THAN TWENTY-ONE (21) DIRECTORS WITH VOTE ON THE BOARD AS SHALL BE FIXED FROM TIME TO TIME BY THE BOARD OF DIRECTORS; PROVIDED, THAT THOSE SERVING EX OFFICIO WITHOUT VOTE SHALL NOT BE COUNTED. REPRESENTATION OF STAKEHOLDERS. IN RECOGNITION OF THE CRITICALITY OF TRANSPARENCY, REPRESENTATION OF INTERESTED STAKEHOLDERS, AND ACCOUNTABILITY, THE BOARD OF THE CORPORATION SHALL CONSIST OF REPRESENTATIVES OF THE CORPORATION'S STAKEHOLDERS AS FOLLOWS: UP TO SEVEN (7) DIRECTORS WILL REPRESENT HEALTH INFORMATION EXCHANGE QUALIFIED ORGANIZATION AS RECOGNIZED BY THE BOARD. A HIE QUALIFIED ORGANIZATION SHALL HAVE ONE DIRECTOR'S SEAT. IF THERE ARE MORE THAN SEVEN (7) HIE QUALIFIED ORGANIZATIONS RECOGNIZED BY THE BOARD, THE BOARD SHALL ALLOCATE THE SEVEN DIRECTORS POSITIONS AMONG THE HIE QUALIFIED ORGANIZATIONS. THE HIE QUALIFIED ORGANIZATION SHALL MEET THE REQUIREMENTS FOR BECOMING A HEALTH INFORMATION EXCHANGE QUALIFIED ORGANIZATION AND MUST HAVE A FULLY EXECUTED QUALIFIED DATA SHARING ORGANIZATION AGREEMENT IN EFFECT TO REMAIN ELIGIBLE; UP TO THREE (3) DIRECTORS WILL REPRESENT PAYORS, WHO ARE ENTITIES WITH THE RESPONSIBILITY TO PAY FOR OR REIMBURSE HEALTHCARE COSTS FOR MICHIGAN RESIDENTS AND WORKERS WHICH, FOR PURPOSES OF THESE BYLAWS, INCLUDE (I) AN INSURANCE COMPANY AUTHORIZED TO PROVIDE HEALTH INSURANCE IN MICHIGAN; OR (II) A HEALTH MAINTENANCE ORGANIZATION. THE TERM "PAYOR" DOES NOT INCLUDE AN INDIVIDUAL OR A TRUST WHICH PAYS FOR HEALTH CARE SERVICES ONLY FOR A SINGLE INDIVIDUAL OR A GROUP OF RELATED INDIVIDUALS, UNLESS SUCH TRUST OTHERWISE QUALIFIES AS A PAYOR UNDER PROVISIONS (I) (II) ABOVE; TWO DIRECTORS, ONE FROM THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH AND ONE FROM MICHIGAN MEDICAID, WILL REPRESENT GOVERNMENTAL INTERESTS; ONE DIRECTOR WILL BE A MEMBER OF THE MICHIGAN HEALTH INFORMATION TECHNOLOGY COMMISSION; UP TO THREE (3) DIRECTORS REPRESENTING PHYSICIANS, ONE PHYSICIAN NOMINATED BY THE MICHIGAN STATE MEDICAL SOCIETY, ONE PHYSICIAN NOMINATED BY THE MICHIGAN OSTEOPATHIC ASSOCIATION, ONE PHYSICIAN FROM A PHYSICIAN ORGANIZATION UP TO ONE CLINICIAN FROM A BEHAVIORAL HEALTH ORGANIZATION UP TO ONE DIRECTOR REPRESENTING PHARMACISTS, A PHARMACIST NOMINATED BY THE MICHIGAN PHARMACISTS ASSOCIATION; UP TO ONE DIRECTOR REPRESENTING HOSPITALS, AN INDIVIDUAL EMPLOYED BY A MEMBER HOSPITAL OF THE MICHIGAN HEALTH AND HOSPITAL ASSOCIATION; UP TO ONE DIRECTOR REPRESENTING THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) OR FQHC LOOK-ALIKES NOMINATED BY THE MICHIGAN PRIMARY CARE ASSOCIATION; UP TO TWO (2) AT LARGE MEMBERS SELECTED AT THE DISCRETION OF THE BOARD; AND IN THE EVENT OF A QUESTION OR DISPUTE, THE BOARD SHALL HAVE THE AUTHORITY TO DETERMINE, IN ITS SOLE DISCRETION, WHETHER AN ENTITY QUALIFIES AS A REPRESENTATIVE OF A PARTICULAR CLASS OF STAKEHOLDER. A DIRECTOR MAY CONCURRENTLY REPRESENT MORE THAN ONE CLASS OF STAKEHOLDERS. DIRECTORS SHALL BE APPOINTED TO THREE (3) YEAR TERMS.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS SHARED WITH THE BOARD EITHER AT A REGULAR BOARD OF DIRECTORS MEETING OR VIA FORMAL ELECTRONIC COMMUNICATIONS.
FORM 990, PART VI, SECTION B, LINE 12CCONCERNS IDENTIFIED OR EXPRESSED ARE BROUGHT TO THE ATTENTION OF THE BOARD CHAIR. THESE CONFLICTS ARE MANAGED AT THE CHAIR'S DISCRETION BY REMOVAL FROM THE ROOM, VIA NOTED ABSTENTION FROM THE VOTING PROCESS. SHOULD THE CHAIR HAVE A CONFLICT THE VICE CHAIR WOULD ASSUME THIS ROLE.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION IS REVIEWED BY THE COMPENSATION COMMITTEE AND EVALUATED BASED ON EXTERNAL REFERENCE DATA USED IN THE COMPETITIVE RFP PROCESS FOR MAVS AS WELL AS TO VALIDATE EQUITABLE HOURLY RATES AND OR TOTAL COMPENSATION. LAST REVEIWED SEPTEMBER OF 2013.
FORM 990, PART VI, SECTION C, LINE 19REQUESTS FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANICAL STATEMENTS CAN COME IN THROUGH OFFICIAL WEBSITE INFO@MIHIN.ORG AND ARE TRACKED IN THE MIHIN HELP DESK.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.