FURP.ORG / PUBLIC DATA EXPLORER

GREAT LAKES MOBILE PET: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
GREAT LAKES MOBILE PET (EIN 36-4508671)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-14
IRS object ID
201422269349303157
Schema version
2013v3.1
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

FieldValueIRS element (for citing)
Return2014-08-14T13:30:27-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364508671EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREAT LAKES MOBILE PETBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlGREABusinessNameControlTxt
Phone2319355000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1188AddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code496851188ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA WARDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2319355000PhoneNum
Signature2014-08-12SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDERK PRONGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,404,301GrossReceiptsAmt
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$1,314,800PYProgramServiceRevenueAmt
CY Program Service Revenue$1,404,301CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,314,800PYTotalRevenueAmt
CY Total Revenue$1,404,301CYTotalRevenueAmt
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$1,089,666PYOtherExpensesAmt
CY Other Expenses$1,070,285CYOtherExpensesAmt
PY Total Expenses$1,089,666PYTotalExpensesAmt
CY Total Expenses$1,070,285CYTotalExpensesAmt
PY Revenues Less Expenses$225,134PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$334,016CYRevenuesLessExpensesAmt
Total Assets BOY$940,506TotalAssetsBOYAmt
Total Assets EOY$918,832TotalAssetsEOYAmt
Total Liabilities BOY$385,882TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,192TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$554,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$888,640NetAssetsOrFundBalancesEOYAmt
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$1,018,957ExpenseAmt
Revenue$1,404,301RevenueAmt
DescPROVISION OF POSITRON EMISSION TOMOGRAPHY TO PATIENTS OF THREE MEMBER HOSPITALS: MUNSON MEDICAL CENTER, ALPENA REGIONAL MEDICAL CENTER AND MCLAREN NORTHERN MICHIGAN. IN 2013, GREAT LAKES MOBILE PET PERFORMED 2,133 SCANS IN NORTHERN MICHIGAN.Desc
Total Program Service Expenses$1,018,957TotalProgramServiceExpensesAmt
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 Document1IRPDocumentCnt
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)
PersonMUNSON HEALTHCARE CORPORATE ACCOUNTPersonNm
Phone2319357777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14230 COPPER RIDGE DR BLG EAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
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
DERK PRONGER
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CHUCK SHERWIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
LINDA WARD
TREASURER1.00Yes (X)Yes (X)$0$0$0
KATHLEEN A MCMANUS
DIRECTOR1.00Yes (X)$0$0$0
DOUG KREIS
DIRECTOR1.00Yes (X)$0$0$0
KRISTY SMOLINSKI
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 MOBILE IMAGINGBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11105 SIXTH STAddressLine1
CityTRAVERSE CITYCity
StateMIState
ZIP Code49684ZIPCode
FieldValueIRS element (for citing)
ServicesMEDICAL & TECHServicesDesc
Compensation$255,585CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICES FEESDesc
Business621990BusinessCd
Total Revenue Column$1,404,301TotalRevenueColumnAmt
Related Or Exempt Func Income$1,404,301RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,404,301TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,404,301TotalRevenueColumnAmt
Related Or Exempt Func Income$1,404,301RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,532TotalAmt
Management And General$5,532ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$265,473TotalAmt
Program Services$255,585ProgramServicesAmt
Management And General$9,888ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$627TotalAmt
Program Services$345ProgramServicesAmt
Management And General$282ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$760TotalAmt
Program Services$760ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,803TotalAmt
Program Services$9,803ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,061TotalAmt
Program Services$2,061ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$450,177TotalAmt
Program Services$444,292ProgramServicesAmt
Management And General$5,885ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,731TotalAmt
Management And General$24,731ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
VEHICLE REPAIR AND FUEL$277,844$277,844
SUPPLIES - PATIENT CARE$13,953$13,953
ELECTRICITY FOR PET MACHI$13,470$13,470
LICENSE FEES$4,460$4,460

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,394TotalAmt
Program Services$844ProgramServicesAmt
Management And General$550ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,070,285TotalAmt
Program Services$1,018,957ProgramServicesAmt
Management And General$51,328ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$287,544BOYAmt
EOY$725,992EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$141,300BOYAmt
EOY$155,800EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$57,133BOYAmt
EOY$36,550EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,424,123LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,424,123LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$444,293BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,375BOYAmt
EOY$490EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,861BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$940,506BOYAmt
EOY$918,832EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,248BOYAmt
EOY$30,192EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$354,634BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$385,882BOYAmt
EOY$30,192EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$554,624BOYAmt
EOY$888,640EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$554,624BOYAmt
EOY$888,640EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$940,506BOYAmt
EOY$918,832EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$334,016ReconcilationRevenueExpnssAmt
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$2,424,123OtherCostOrOtherBasisAmt
Depreciation$2,424,123DepreciationAmt

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 255,585 9,888 0