2015-04-29T12:42:51-05:00 2014-09-30 381357951 PLANTE & MORAN PLLC 1111 MICHIGAN AVE EAST LANSING MI 48823 990 2013-10-01 273871301 MICHIGAN HEALTH INFORMATION NETWORK SHARED SERVICES MICH 9897741851 120 WEST SAGINAW STREET EAST LANSING MI 48823 TIMOTHY PLETCHER EXECUTIVE DIRECTOR 9897741851 2015-04-27 1 P00904574 5173326200 2013 2016-02-25 16:41:14Z X TIMOTHY PLETCHER 120 WEST SAGINAW STREET EAST LANSING MI 48823 9240340 0 X MIHIN.ORG X 2010 MI THE 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. 11 11 32 74 0 0 0 2365604 8200755 6874736 0 0 0 0 8200755 9240340 231608 0 0 0 497702 1073114 0 0 0 6473231 6057174 7202541 7130288 998214 2110052 3494985 5596478 2480052 2471493 1014933 3124985 X THE 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. 0 0 6434486 6874736 STATE OF MICHIGAN EXCHANGE OF HEALTH INFORMATION AND DATA 6434486 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 36 0 1 32 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 MI X OLGA DUBOIS 5173365771 120 WEST SAGINAW STREET EAST LANSING MI 48823 LARRY WAGENKNECHT CHAIRMAN 2.00 X X 0 0 0 JOHN VISMARA BOARD MEMBER 2.00 X 0 0 0 HELEN HILL BOARD MEMBER 2.00 X 0 0 0 DENNIS SMITH SECRETARY 2.00 X X 0 0 0 DR THOMAS SIMMER MD BOARD MEMBER 2.00 X 0 0 0 KRISCHA WINRIGHT BOARD MEMBER 2.00 X 0 0 0 CYNTHIA GREEN EDWARDS BOARD MEMBER 2.00 X 0 0 0 JIM COLLINS BOARD MEMBER 2.00 X 0 0 0 RICK WARREN BOARD MEMBER 2.00 X 0 0 0 TOM LAUZON TREASURER 2.00 X X 0 0 0 NICK LYON BOARD MEMBER 2.00 X 0 0 0 CHRIS PIKE TREASURER THRU 7/14/14 2.00 X X 0 0 0 CAROL PARKER MPH BOARD MEMBER THRU 6/18/14 2.00 X 0 0 0 PATRICK O'HARE VICE CHAIRMAN THRU 7/14/14 2.00 X X 0 0 0 TIMOTHY PLETCHER EXECUTIVE DIRECTOR 40.00 X 204574 0 0 BRIAN SEGGIE SECURITY DIRECTORY/CHIEF SECURITY OFFICER 40.00 X 151604 0 6000 JEFFREY SHAW FORMER SN INTEGRATION TECH ARCHITECT 0.00 X 110000 0 0 466178 0 6000 3 1 1 1 NITOR GROUP 8432 CABIN BRANCH COURT MANASSAS VA 20111 HEALTH INFORMATION EXCHANGE 1191640 WINDWARD SOLUTIONS 1903 W 8TH STREET PMB 290 ERIE PA 16505 HEALTH INFORMATION EXCHANGE 543085 TREZUNO 5 RIDGEMOR DR ANN ARBOR MI 48103 HEALTH INFORMATION EXCHANGE 540475 LOGICALIS INC PO BOX 67000 DETROIT MI 482671723 HEALTH INFORMATION EXCHANGE 522275 HIPER LOGIC LLC 47647 PINE CREEK COURT NORTHVILLE MI 48168 HEALTH INFORMATION EXCHANGE 442043 18 2365604 2365604 STATE HIE COOPERATIVE 900099 6113742 6113742 SERVICE FEES 900099 678371 678371 CONFERENCES 561000 82623 82623 6874736 9240340 6874736 0 0 204574 184117 20457 652458 501509 150949 20533 16426 4107 127928 102342 25586 67621 54097 13524 252530 202335 50195 118045 59022 59023 23244 15159 8085 4267 4267 57539 1327 56212 41716 9836 31880 728 728 220000 197452 22548 37835 37835 PROJECT EXPENSES 4070578 4027900 42678 PROFESSIONAL SERVICES 1042711 905618 137093 MISCELLANEOUS 183737 157346 26391 TRAINING 4244 4244 7130288 6434486 695802 0 322434 1444886 2424708 420750 750 2420584 158001 305381 1246904 242027 589092 1004877 3494985 5596478 2195296 2077308 170018 194185 114738 200000 2480052 2471493 X 1014933 3124985 1014933 3124985 3494985 5596478 2110052 0 X 0 1 X 0 1 1 X 91858 4235952 7747048 2365604 14440462 91858 4235952 7747048 2365604 14440462 14440462 446 798 1244 30861 43170 82623 156654 14598360 7202650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1246904 242027 1004877 1004877 REFUNDABLE ADVANCE 200000 200000 X 9240340 0 9240340 0 9240340 7130288 0 7130288 0 7130288 PART X, LINE 2: MIHIN 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. 0 0 0 0 0 0 0 0 0 TIMOTHY PLETCHER EXECUTIVE DIRECTOR 204574 0 0 0 0 0 0 0 0 0 204574 0 0 0 BRIAN SEGGIE SECURITY DIRECTORY/CHIEF SECURITY OF 127604 0 24000 0 0 0 0 0 6000 0 157604 0 0 0 JEFFREY SHAW FORMER SN INTEGRATION TECH ARCHITECT 110000 0 0 0 0 0 0 0 0 0 110000 0 0 0 SCHEDULE J PART II, LINE 1: TIMOTHY 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. 0 HELEN HILL - DIRECTOR SEMHIE BOARD MEMBER 74750 PAYMENT TO SEMHIE FOR PERFORMED SERVICES 0 DENNIS SMITH - DIRECTOR AT UPHIE BOARD MEMBER 60000 PAYMENT TO UPHIE FOR PERFORMED SERVICES 0 JOHN VISMARA - DIRECTOR AT INGENIUM BOARD MEMBER 37000 PAYMENT TO INGENIUM FOR PERFORMED SERVICES 0 FORM 990, PART VI, SECTION A, LINE 4 ADOPTED 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 8B THERE ARE NO COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 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 12C CONCERNS 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 15 EXECUTIVE 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 19 REQUESTS 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.