2015-05-15T13:11:28-05:00 2014-06-30 382157642 MANER COSTERISAN PC 2425 E GRAND RIVER SUITE 1 LANSING MI 489123291 990 2014-01-01 263765394 GREAT LAKES HEALTH INFORMATION EXCHANGE GREA 5173473373 271 WOODLAND PASS NO 110 EAST LANSING MI 48823 DOUG DIETZMAN EXECUTIVE DIRECTOR 5173473373 2015-05-15 1 DENNIS D THEIS CPA P00010168 5173237500 2014 2016-02-25 16:41:14Z X DOUG DIETZMAN 271 WOODLAND PASS NO 110 EAST LANSING MI 48823 1523054 0 X WWW.GL-HC.ORG X 2008 MI TO FACILITATE THE COMPREHENSIVE & SECURE EXCHANGE OF ELECTRONIC HEALTH RECORDS THROUGHOUT MICHIGAN. 13 13 34 13 0 0 27822 0 3323794 1521814 2947 1240 0 0 3354563 1523054 0 0 0 0 1303312 458749 0 0 0 1540193 766353 2843505 1225102 511058 297952 1951816 0 247603 0 1704213 0 TO PROVIDE THE SECURE EXCHANGE OF PERTINENT CLINICAL INFORMATION ACROSS ORGANIZATIONAL BOUNDARIES THROUGHOUT THE STATE OF MICHIGAN. 0 0 1078090 1521814 ONGOING COORDINATION OF DEVELOPING AND IMPLEMENTING A PLAN FOR A REGIONAL HEALTH INFORMATION EXCHANGE TO BE UTILIZED BY HEALTH CARE PROVIDERS IN MICHIGAN. THE MERGER OF GREAT LAKES HEALTH INFORMATION EXCHANGE INTO GREAT LAKES HEALTH CONNECT ON JULY 1, 2014 RESULTED IN THE TERMINATION OF THIS ENTITY AND THE GROWTH AND STRENGTH OF THE REMAINING ENTITY NAMED GREAT LAKES HEALTH CONNECT. 1078090 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 6 0 1 34 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 MI X X STEPHANIE SCHULTZ 5179997563 271 WOODLAND PASS SUITE 110 EAST LANSING MI 48823 KURT RICHARDSON DIRECTOR 0.20 X 0 0 0 GARY LEY DIRECTOR 0.20 X 0 0 0 CHUCK DOUGHERTY DIRECTOR 0.20 X 0 0 0 SUE SCHADE DIRECTOR 0.20 X 0 0 0 CHRISTOPHER T BEAL DIRECTOR 0.20 X 0 0 0 BARB DAWSON DIRECTOR 0.20 X 0 0 0 RICH ESTILL DIRECTOR 0.20 X 0 0 0 CARMEN BROWN DIRECTOR 0.20 X 0 0 0 VALERIE GLESNES-ANDERSON DIRECTOR 0.20 X 0 0 0 RENEE B CANADY DIRECTOR 0.20 X 0 0 0 BRIAN MCCARDEL CHAIR 0.40 X X 0 0 0 THOMAS BRES VICE CHAIR 0.40 X X 0 0 0 BILL BEEKMAN TREASURER 0.40 X X 0 0 0 CAROL PARKER EXECUTIVE DIRECTOR 40.00 X 33720 0 2648 33720 0 2648 0 0 0 1 OPTUM 160 W SANTA CLARA STREET SUITE 100 SAN JOSE CA 95113 TECHNOLOGY 426428 IMPACT ADVISORS 931 W 75TH STREET SUITE 137-304 NAPERVILLE IL 60565 TECHNOLOGY CONSULTANT 109236 2 PARTICIPATION FEES 900099 1439867 1439867 MEMBERSHIP DUES 900099 54444 54444 PHYSICIAN SUBSCRIPTION 900099 20442 20442 CONSULTING INCOME 900099 7061 7061 1521814 1240 1240 1523054 1521814 0 1240 X 377572 332263 45309 48665 42825 5840 32512 28611 3901 54650 48092 6558 7429 6538 891 171287 150733 20554 8657 7618 1039 17815 15677 2138 436165 383825 52340 19813 17435 2378 16978 14941 2037 20868 18364 2504 9238 8129 1109 2608 2295 313 MISCELLANEOUS 845 744 101 1225102 1078090 147012 0 479958 0 728271 0 0 633498 0 0 0 0 0 28735 0 0 81354 0 0 0 0 0 0 1951816 0 237795 7500 2308 247603 0 X 1704213 0 1704213 0 1951816 0 X 297952 -2002165 X 0 0 0 X 192378 121090 317613 27822 658903 1035450 1686842 3075177 3323794 1521814 10643077 1227828 1807932 3392790 3351616 1521814 11301980 0 0 0 11301980 1453 1123 1866 2947 1240 8629 1453 1123 1866 2947 1240 8629 1229281 1809055 3394656 3354563 1523054 11310609 0.99920 0.00080 X SCHEDULE A, PART IV GREAT LAKES HEALTH INFORMATION EXCHANGE MERGED WITH GREAT LAKES HEALTH CONNECT ON JULY 1, 2014, RESULTING IN A FINAL RETURN JANUARY 1, 2014 THROUGH JUNE 30, 2014. 0 0 0 0 0 0 0 0 0 SCHEDULE J, PART II MSU COMPENSATES CAROL PARKER FOR HER WORK WITH GREAT LAKES HEALTH INFORMATION EXCHANGE. ASSETS 2014-06-30 2212854 BOOK VALUE 272538408 GREAT LAKES HEALTH CONNECT 695 KENMOORE AVE SE B GRAND RAPIDS MI 49546 501(C)(3) LIABILITIES AND EQUITY 2014-06-30 210689 BOOK VALUE 272538408 GREAT LAKES HEALTH CONNECT 695 KENMOORE AVE SE B GRAND RAPIDS MI 49546 501(C)(3) 1 0 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: 6 DIRECTORS FROM GREAT LAKES HEALTH INFORMATION EXCHANGE BECAME DIRECTORS OF GREAT LAKES HEALTH CONNECT PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: THE SIX DIRECTORS INCLUDE THOMAS BRES, SUE SCHADE, BRIAN MCCARDEL, CHUCK DOUGHERTY, CHRISTOPHER BEAL, AND BILL BEEKMAN. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS RECEIVED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR WHO REVIEWS THE RETURN FOR ACCURACY. UPON THE EXECUTIVE DIRECTOR'S APPROVAL, THE 990 IS MADE AVAILABLE TO THE EXECUTIVE COMMITTEE IN ELECTRONIC FORMAT. AFTER ANY CONCERNS PRESENTED BY THE EXECUTIVE COMMITTEE ARE ADDRESSED, THE EXECUTIVE DIRECTOR SIGNS AND FILES THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS PROVIDE AN ANNUAL WRITTEN STATEMENT REGARDING CONFLICTS OR POTENTIAL CONFLICTS. CONFLICTS THAT ARISE DURING THE YEAR ARE ALSO VERBALLY REPORTED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS MEETS TO REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE COMMITTEE REVIEWS COMPARISON DATA FROM SIMILAR NON-FOR-PROFIT ORGANIZATIONS IN THE AREA. AFTER DELIBERATION BY THE BOARD, THE EXECUTIVE COMMITTEE APPROVES THE COMPENSATION. A RECORD OF THE MEETING AND DECISION BY THE EXECUTIVE COMMITTEE IS RETAINED BY THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990 IS ALSO POSTED ANNUALLY ON GUIDESTAR'S WEBSITE. THE 990 IS PUBLIC INFORMATION THROUGH THE MICHIGAN ATTORNEY GENERAL'S OFFICE. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 150,733. MANAGEMENT AND GENERAL EXPENSES 20,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,287. FORM 990, PART XI, LINE 9: MERGER WITH GREAT LAKES HEALTH CONNECT -1,704,213. CURRENT YEAR EQUITY TRANSFER -297,952. FORM 990, PART XI, LINE 9 GREAT LAKES HEALTH INFORMATION EXCHANGE MERGED INTO GREAT LAKES HEALTH CONNECT ON JULY 1, 2014, THUS FILING A FINAL RETURN COVERING THE PERIOD FOR JUNE 30, 2014. FORM 990, PART I, LINE 2 MERGER DOCUMENTS ARE ATTACHED AS REQUIRED. IF ADDITIONAL INFORMATION IS RECEIVED BY EITHER GREAT LAKES HEALTH INFORMATION EXCHANGE OR GREAT LAKES HEALTH CONNECT THAT IS NEEDED BY THE IRS IN ORDER TO PROVIDE COMPLETE AND ACCURATE INFORMATION REGARDING THE TERMINATION OF THIS ENTITY AN AMENDED RETURN WILL BE FILED IF APPROPRIATE.