MHA HEALTH FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MHA HEALTH FOUNDATION (EIN 38-6091188)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349303085
Schema version
2011v1.5
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)
Timestamp2013-05-15T10:31:26-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN386091188EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MHA HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMHAHNameControl
Phone5173233443Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16215 WEST ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSPENCER JOHNSONName
TitlePRESIDENTTitle
Phone5173233443Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLU ANN TRAPPName
PTINP01506476PTIN
Phone3122071040Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MHA CENTER FOR HEALTH RESOURCESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonSPENCER JOHNSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16215 WEST ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6688313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionPERFORM THE CHARITABLE AND EDUCATIONAL FUNCTIONS OF THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI37688TotalGrossUBI
Net Unrelated Business Txbl Income12064NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3941518ContributionsGrantsPriorYear
Contributions Grants Current Year2647880ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2074628ProgramServiceRevenuePriorYear
Program Service Revenue CY3920501ProgramServiceRevenueCY
Investment Income Prior Year30903InvestmentIncomePriorYear
Investment Income Current Year17366InvestmentIncomeCurrentYear
Other Revenue Prior Year54790OtherRevenuePriorYear
Other Revenue Current Year84014OtherRevenueCurrentYear
Total Revenue Prior Year6101839TotalRevenuePriorYear
Total Revenue Current Year6669761TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1268938SalariesEtcPriorYear
Salaries Etc Current Year1456783SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5299765OtherExpensePriorYear
Other Expenses Current Year4616443OtherExpensesCurrentYear
Total Expenses Prior Year6568703TotalExpensesPriorYear
Total Expenses Current Year6073226TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-466864RevenuesLessExpensesPriorYear
Revenues Less Expenses CY596535RevenuesLessExpensesCY
Total Assets BOY6471740TotalAssetsBOY
Total Assets EOY7017292TotalAssetsEOY
Total Liabilities BOY1949626TotalLiabilitiesBOY
Total Liabilities EOY1898643TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4522114NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5118649NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPERFORM CHARITABLE AND EDUCATIONAL FUNCTIONS OF THE MICHIGAN HEALTH & HOSPITAL ASSOCIATION.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3014087Expense
Revenue2537496Revenue
DescriptionKEYSTONE CENTER: ITS PURPOSE IS TO PROMOTE THE DELIVERY OF QUALITY HEALTHCARE IN MICHIGAN HOSPITALS BY SHARING BEST PRACTICES BETWEEN HOSPITALS AND DRAWING ON NATIONAL EXPERTS TO EDUCATE HOSPITALS ON QUALITY AND PATIENT SAFETY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1158950Expense
Revenue1273647Revenue
DescriptionPATIENT SAFETY ORGANIZATION: ITS PURPOSE IS TO ENCOURAGE PATIENT SAFETY PRACTICES IN MICHIGAN HOSPITALS BY COLLECTING AND SHARING DATA BETWEEN HOSPITALS REGARDING SAFETY INCIDENTS IN HOSPITALS AND BEST PRACTICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1203554Expense
Revenue0Revenue
DescriptionBIO-TERRORISM PROGRAM: ITS PURPOSE IS TO PREPARE MICHIGAN HOSPITALS TO TREAT MICHIGAN CITIZENS IN THE EVENT OF BIO-TERRORISM IN MICHIGAN.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense383722Expense
Revenue109358Revenue
DescriptionSEMINARS, WORKSHOPS, AND GOVERNANCE: THE PURPOSES ARE TO EDUCATE/INFORM HEALTH CARE INDUSTRY EMPLOYEES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp383722TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev109358TotalOfOtherProgramServiceRev
Total Program Service Expense5760313TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY HENRIKSENBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5173233443TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DOUG STRONG
CHAIR1.00XX000
GERSON COOPER
MEMBER1.00X000
GARRY FAJA
MEMBER1.00X000
GERALD FITZGERALD
MEMBER1.00X000
GEORGIA FOJTASEK
MEMBER1.00X000
DAVID JAHN
MEMBER1.00X000
SPENCER MAIDLOW
MEMBER1.00X000
FRANK SARDONE
MEMBER1.00X000
HENRY VEENSTRA
MEMBER1.00X000
SPENCER JOHNSON
PRESIDENT1.00X0791702320193
BRIAN PETERS
MEMBER1.00X032328498372
SAM WATSON
EXECUTIVE DIRECTOR, KEYSTONE40.00201136083276X
LUCILLE SMITH
PRESIDENT, VODI40.00107576040964X
FieldValueIRS element (for citing)
Total Reportable Comp From Org308712TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1114986TotalReportableCompFrmRltdOrgs
Total Other Compensation542805TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ECRI INSTITUTE
5200 BUTLER PIKEPLYMOUTH MEETINGPA19462DATA SERVICES372000
BARBARA ANN MEYER LUCAS
531 S DENWOODDEARBORNMI48124CONSULTANT120928
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations300000RelatedOrganizations
Government Grants1203284GovernmentGrants
All Other Contributions1144596AllOtherContributions
Total Contributions2647880TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICE FEES54190021665832166583
SUBSCRIPTIONS AND OTHE90009912736471273647
SEMINAR FEES611600480271480271
FieldValueIRS element (for citing)
Total Program Service Revenue3920501TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17366TotalRevenueColumn
Exclusion$17,366ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events64878GrossIncomeFundraisingEvents
Fundraising Direct Expenses18552FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column46326TotalRevenueColumn
Exclusion$46,326ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionADVERTISING INCOMEDescription
Business Code541800BusinessCode
Total Revenue Column37688TotalRevenueColumn
Unrelated Business Revenue37688UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue37688TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6669761TotalRevenueColumn
Related Or Exempt Function Income3920501RelatedOrExemptFunctionIncome
Unrelated Business Revenue37688UnrelatedBusinessRevenue
Exclusion$63,692ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1010455Total
Program Services932675ProgramServices
Management And General77780ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total154269Total
Program Services143689ProgramServices
Management And General10580ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total212879Total
Program Services187153ProgramServices
Management And General25726ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total79180Total
Program Services72309ProgramServices
Management And General6871ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14801Total
Management And General14801ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3284Total
Management And General3284ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2453166Total
Program Services2429109ProgramServices
Management And General24057ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total179610Total
Program Services177462ProgramServices
Management And General2148ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20333Total
Program Services18000ProgramServices
Management And General2333ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total174204Total
Program Services154854ProgramServices
Management And General19350ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total303708Total
Program Services303708ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12491Total
Program Services12491ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total25730Total
Program Services8532ProgramServices
Management And General17198ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UNRELATED BUSINESS INCO94449444
GRANTS IMPLEMENTATION12035541203554
ADMINISTRATIVE FEES105487105487
HONORARIA7915079150

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31481Total
Program Services28183ProgramServices
Management And General3298ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6073226Total
Program Services5760313ProgramServices
Management And General312913ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2136418BOY
EOY2392118EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3215165BOY
EOY3233923EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY924014BOY
EOY884957EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY408698EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis138219LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec106556LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34955BOY
EOY31663EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1647BOY
EOY1550EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY159541BOY
EOY64383EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6471740BOY
EOY7017292EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY522710BOY
EOY463826EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY735747BOY
EOY1065370EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY691169BOY
EOY369447EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1949626BOY
EOY1898643EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1437783BOY
EOY1730480EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3084331BOY
EOY3388169EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4522114BOY
EOY5118649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6471740BOY
EOY7017292EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses596535ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH & HOSPITAL ASSOCIATION (A 501(C)(6) ORGANIZATION)BusinessNameLine1
FieldValueIRS element (for citing)
EIN381458751EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc0ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis138219OtherCostOrOtherBasis
Depreciation106556Depreciation
Book Value31663BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31663TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$153,394
ACCRUED COMPENSATION$127,696
ACCRUED VACATION, BENEFITS, AND PENSION$88,357
FieldValueIRS element (for citing)
Total Of Amounts369447TotalOfAmounts
Total Revenue6669761TotalRevenue
Total Expenses6073226TotalExpenses
Excess Or Deficit For Year596535ExcessOrDeficitForYear
Excess Or Deficit Per FS596535ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATIONS AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATIONS HAVE 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 POSITIONS TAKEN BY THE ORGANIZATIONS, AND HAS CONCLUDED THAT AS OF JUNE 30, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. THE ORGANIZATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LINKS 4 HEALTH GOLFNameOfEvent1
Gross Receipts Event164878GrossReceiptsEvent1
Gross Revenue Event164878GrossRevenueEvent1
Rent Facility Costs Event12340RentFacilityCostsEvent1
Food And Beverage Event15236FoodAndBeverageEvent1
Other Direct Expenses Event110976OtherDirectExpensesEvent1
Gross Receipts Total64878GrossReceiptsTotal
Gross Revenue Total Events64878GrossRevenueTotalEvents
Rent Facility Costs Total Events2340RentFacilityCostsTotalEvents
Food And Beverage Total Events5236FoodAndBeverageTotalEvents
Other Direct Expenses Total Events10976OtherDirectExpensesTotalEvents
Direct Expense Summary Events18552DirectExpenseSummaryEvents
Net Income Summary46326NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SPENCER JOHNSON
0592946016195603680002858710343220111189500
BRIAN PETERS
0268284045000010000069129029243042165600
SAM WATSON
176136025000000534940297820284412000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3COMPENSATION IS BEING REPORTED FROM A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION. MICHIGAN HEALTH & HOSPITAL ASSOCATION USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BPART I, LINE 4B - THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: SPENCER JOHNSON BRIAN PETERS SAM WATSON

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS ARE ELECTED BY THE MHA BOARD (FOUNDATION'S ONLY MEMBER).
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING/AUDIT FIRM, AND REVIEWED BY THE CONTROLLER, CFO, AND PRESIDENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CREQUIRE BOARD MEMBERS TO SIGN CONFLICT OF INTEREST STATEMENTS AND VERBALLY REMIND THEM OF THAT PERIODICALLY DURING THE YEAR. THE INDIVIDUAL BOARD MEMBER IS EXPECTED TO RAISE THE ISSUE THAT HE OR SHE MAY HAVE A CONFLICT OF INTEREST AND DESCRIBE THAT CONFLICT. THE BOARD THEN DETERMINES IN EXECUTIVE SESSION WHETHER THAT PERSON HAS A CONFLICT OF INTEREST THAT WOULD PRECLUDE THAT PERSON FROM PARTICIPATING IN THE DISCUSSION AND VOTING ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION IS REPORTING COMPENSATION FROM A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION. MICHIGAN HEALTH & HOSPITAL ASSOCIATION'S INDEPENDENT COMPENSATION COMMITTEE RECEIVES COMPARABILITY DATA ANNUALLY AND DOCUMENTS DECISION IN WRITTEN FORM.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1ATHE FOLLOWING INDIVIDUALS LISTED WORKED AN AVERAGE OF 40 HOURS PER WEEK FOR A RELATED ORGANIZATION, MICHIGAN HEALTH & HOSPITAL ASSOCIATION. SPENCER JOHNSON BRIAN PETERS
FORM 990, PART XI, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MHA PATIENT SAFETY ORGANIZATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN800244102EIN
Primary ActivitiesHOSPITAL PROCESSES IMPROVEMENTSPrimaryActivities
Legal Domicile StateMILegalDomicileState
Total Income1273647TotalIncome
EOY Assets1325629EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH & HOSPITAL ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN381458751EIN
Primary ActivitiesPROMOTE HEALTH CAREPrimaryActivities
Legal Domicile StateMILegalDomicileState
Exempt Code Section501(C)(6)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MHA SERVICE CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16215 W ST JOSEPH HIGHWAYAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
EIN382259766EIN
Primary ActivitySERVICE TO HOSPITALSPrimaryActivity
Legal Domicile StateMILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN HEALTH & HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
C300000BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
J20333BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
K12710BOOKS MAINTAINED AT FMV
MHA SERVICE CORPORATION
K5195BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
L64887BOOKS MAINTAINED AT FMV
MHA SERVICE CORPORATION
L388763BOOKS MAINTAINED AT FMV
MICHIGAN HEALTH & HOSPITAL ASSOCIATION
N449141BOOKS MAINTAINED AT FMV

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