NORTH OAKLAND-NORTH MACOMB IMAGING INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTH OAKLAND-NORTH MACOMB IMAGING INC (EIN 38-2807040)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349307517
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:10:59-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 TRADE CENTRE WAY STE 300 | AddressLine1 |
| City | PORTAGE | City |
| State | MI | State |
| ZIP Code | 49002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382807040 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH OAKLAND - NORTH MACOMB IMAGING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 2482998000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 BARCLAY CIRCLE NO STE A | AddressLine1 |
| City | ROCHESTER HILLS | City |
| State | MI | State |
| ZIP Code | 483074511 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FRED KORTE | Name |
| Title | TREASURER | Title |
| Phone | 2482998000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHIGAN RESONANCE IMAGING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | FRED KORTE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 355 BARCLAY CIRCLE NO STE A | AddressLine1 |
| City | ROCHESTER HILLS | City |
| State | MI | State |
| ZIP Code | 483074511 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12985662 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MRIOFMICHIGAN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE DISEASES OF THE CENTRAL NERVOUS SYSTEM, SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 70 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12321599 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12780615 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1405 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1532 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 200207 | OtherRevenuePriorYear |
| Other Revenue Current Year | 203515 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12523211 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12985662 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 600000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 600000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3111994 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3536286 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8090626 | OtherExpensePriorYear |
| Other Expenses Current Year | 8896863 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11802620 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13033149 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 720591 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -47487 | RevenuesLessExpensesCY |
| Total Assets BOY | 10947203 | TotalAssetsBOY |
| Total Assets EOY | 9502600 | TotalAssetsEOY |
| Total Liabilities BOY | 5647683 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4250567 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5299520 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5252033 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO IMPROVE THE QUALITY OF DIAGNOSTIC CARE PROVIDED TO THE PATIENTS OF OUR PARTNERS, PHYSICIANS, COMMUNITIES AND FOUNDING HOSPITALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11819757 | Expense |
| Grants | 600000 | Grants |
| Revenue | 12780615 | Revenue |
| Description | FOR THE CALENDAR YEAR ENDING DECEMBER 31, 2012, NORTH OAKLAND NORTH MACOMB IMAGING PROVIDED MAGNETIC RESONANCE IMAGING SERVICES TO DIAGNOSE OVER 13,000 SPINAL CORD DETERIORATION, ABNORMALITIES IN JOINTS AND TUMORS OF THE BRAIN. | Description |
| Total Program Service Expense | 11819757 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 22 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 70 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRED KORTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2483385681 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 N PERRY STREET | AddressLine1 |
| City | PONTIAC | City |
| State | MI | State |
| ZIP Code | 48342 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHAEL CLARK | ||||||||
| PRESIDENT | 1.00 | 40.00 | X | X | 0 | 153084 | 41354 | |
| PATRICIA KEIGHER | ||||||||
| SECRETARY | 1.00 | 40.00 | X | X | 0 | 152369 | 20322 | |
| GREG LANE | ||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 1892584 | 103671 | ||
| FRED KORTE | ||||||||
| TREASURER | 1.00 | 40.00 | X | X | 0 | 208261 | 0 | |
| CLARENCE SEVILLIAN | ||||||||
| DIRECTOR | 1.00 | 40.00 | X | 0 | 535042 | 140192 | ||
| JANELLE SPANN | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | X | 195113 | 0 | 9396 | ||
| DEBRA MONTROSE | ||||||||
| LEAD TECHNICIAN | 40.00 | 0.00 | 112672 | 0 | 14395 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 307785 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2941340 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 329330 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MACOMB OAKLAND MRI PC | |||||
| 1101 WEST UNIVERSITY | ROCHESTER HILLS | MI | 48037 | RADIOLOGY SERVICES | 2110178 |
| SIEMENS MEDICAL SOLUTIONS USA INC | |||||
| DEPT CH 14195 | PALATINE | IL | 60055 | EQUIPMENT MAINTENANCE | 812864 |
| MRI LEASING LLC | |||||
| 11228 LEMEN ROAD SUITE A | WHITEMORE LAKE | MI | 48489 | LEASING SERVICES | 301376 |
| MCKESSON | |||||
| PO BOX 841838 | DALLAS | TX | 75284 | MEDICAL SUPPLIES | 290376 |
| TESLA LLC | |||||
| 3420 SHIMMONS ROAD | AUBURN HILLS | MI | 48326 | COURIER SERVICES | 193818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MRI SCANS | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 12780615 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12780615 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12780615 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1532 | TotalRevenueColumn |
| Exclusion | $1,532 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 203515 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 203515 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 203515 | TotalRevenueColumn |
| Exclusion | $203,515 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12985662 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12780615 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $205,047 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 600000 | Total |
| Program Services | 600000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195113 | Total |
| Program Services | 22000 | ProgramServices |
| Management And General | 173113 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2591284 | Total |
| Program Services | 2280330 | ProgramServices |
| Management And General | 310954 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34991 | Total |
| Program Services | 30792 | ProgramServices |
| Management And General | 4199 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492788 | Total |
| Program Services | 433653 | ProgramServices |
| Management And General | 59135 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222110 | Total |
| Program Services | 195457 | ProgramServices |
| Management And General | 26653 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159407 | Total |
| Program Services | 159407 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29200 | Total |
| Program Services | 29200 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3510165 | Total |
| Program Services | 3355446 | ProgramServices |
| Management And General | 154719 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167690 | Total |
| Program Services | 167690 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 656349 | Total |
| Program Services | 577587 | ProgramServices |
| Management And General | 78762 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 930816 | Total |
| Program Services | 819118 | ProgramServices |
| Management And General | 111698 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44614 | Total |
| Program Services | 39260 | ProgramServices |
| Management And General | 5354 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170704 | Total |
| Program Services | 170704 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2299045 | Total |
| Program Services | 2023160 | ProgramServices |
| Management And General | 275885 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107669 | Total |
| Program Services | 94749 | ProgramServices |
| Management And General | 12920 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 438750 | 438750 |
| BAD DEBT EXPENSE | 370913 | 370913 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11541 | Total |
| Program Services | 11541 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13033149 | Total |
| Program Services | 11819757 | ProgramServices |
| Management And General | 1213392 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2087493 | BOY |
| EOY | 1193047 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518478 | BOY |
| EOY | 1490971 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207595 | BOY |
| EOY | 289236 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22318275 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17176408 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7043753 | BOY |
| EOY | 5141867 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1375000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89884 | BOY |
| EOY | 12479 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10947203 | BOY |
| EOY | 9502600 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 485262 | BOY |
| EOY | 679874 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5162421 | BOY |
| EOY | 3570693 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5647683 | BOY |
| EOY | 4250567 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5299520 | BOY |
| EOY | 5252033 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5299520 | BOY |
| EOY | 5252033 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10947203 | BOY |
| EOY | 9502600 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -47487 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type1 | X | SupportingOrg509a3Type1 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (3 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| POH REGIONAL MEDICAL CENTER | |||||
| 381428164 | 3 | 1 | 1 | 1 | $200,000 |
| MT CLEMENS REGIONAL MEDICAL CENTER | |||||
| 381218516 | 3 | 1 | 1 | 1 | $200,000 |
| CRITTENTON HOSPITAL | |||||
| 381359247 | 3 | 1 | 1 | 1 | $200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 3 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 600000 | SumOfAmounts |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 250000 | OtherCostOrOtherBasis |
| Book Value | 250000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2312672 | OtherCostOrOtherBasis |
| Depreciation | 1217270 | Depreciation |
| Book Value | 1095402 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 762142 | OtherCostOrOtherBasis |
| Book Value | 762142 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18567444 | OtherCostOrOtherBasis |
| Depreciation | 15672592 | Depreciation |
| Book Value | 2894852 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 426017 | OtherCostOrOtherBasis |
| Depreciation | 286546 | Depreciation |
| Book Value | 139471 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5141867 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 12985662 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12985662 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12985662 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13033149 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 13033149 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 13033149 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(3) OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN 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 POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|
| POH REGIONAL MEDICAL CENTER | |||||||||
| 50 N PERRY | PONTIAC | MI | 48342 | 381428164 | 501(C)(3) | 200000 | N/A | N/A | PROGRAM SUPPORT |
| MT CLEMENS REGIONAL MEDICAL CENTER | |||||||||
| 1000 HARRINGTON STREET | MT CLEMENS | MI | 48043 | 381218516 | 501(C)(3) | 200000 | N/A | N/A | PROGRAM SUPPORT |
| CRITTENTON HOSPITAL | |||||||||
| 1101 W UNIVERSITY DRIVE | ROCHESTER | MI | 48307 | 381359247 | 501(C)(3) | 200000 | N/A | N/A | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: FUNDS ARE DISTRIBUTED TO SUPPORTED ORGANIZATIONS. NO PROCEDURES ARE IN PLACE TO MONITOR THE USE OF FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL CLARK | ||||||||||||||
| PRESIDENT | 0 | 151856 | 0 | 0 | 0 | 1228 | 0 | 22222 | 0 | 19132 | 0 | 194438 | 0 | 0 |
| PATRICIA KEIGHER | ||||||||||||||
| SECRETARY | 0 | 141486 | 0 | 10883 | 0 | 0 | 0 | 7618 | 0 | 12704 | 0 | 172691 | 0 | 0 |
| GREG LANE | ||||||||||||||
| DIRECTOR | 0 | 745201 | 0 | 613046 | 0 | 534337 | 0 | 87781 | 0 | 15890 | 0 | 1996255 | 0 | 0 |
| FRED KORTE | ||||||||||||||
| TREASURER | 0 | 163192 | 0 | 26875 | 0 | 18194 | 0 | 0 | 0 | 0 | 0 | 208261 | 0 | 0 |
| CLARENCE SEVILLIAN | ||||||||||||||
| DIRECTOR | 0 | 329959 | 0 | 171100 | 0 | 33983 | 0 | 136262 | 0 | 3930 | 0 | 675234 | 0 | 0 |
| JANELLE SPANN | ||||||||||||||
| EXECUTIVE DIRECTOR | 158955 | 0 | 30158 | 0 | 6000 | 0 | 0 | 0 | 9396 | 0 | 204509 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN THE FORM OF A SINGLE SUM DISTRIBUTION EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANTS COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A. THE INDIVIDUAL LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP IS GREG LANE. THERE ARE NO INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP. |
| PART I, LINE 6 | NONM HAS A LEADERSHIP INCENTIVE PROGRAM FOR THEIR EXECUTIVE DIRECTOR. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES SERVED. THIS PROGRAM IS COMPRISED OF TWO SECTIONS - FINANCIAL AND OPERATIONAL GOALS. EACH GOAL IS DEFINED AND SCORED ON A SCALE FROM 1 TO 5 AND IS WEIGHTED TO ACHIEVE AN OVERALL SCORE FOR THE SECTION. THE SCORING TAKES INTO ACCOUNT THE ORGANIZATION'S GOALS, AND THE INDIVIDUALS OWN SPECIFIC GOALS. THE FINANCIAL GOAL SECTION CONTAINS GOALS FOR ACHIEVING A LEVEL OF NET OPERATING INCOME. THE WEIGHT OF THESE SPECIFIC GOALS MAY RANGE FROM 25% TO 50%. THE OVERALL SCORING OF THIS SECTION IS FOR ALL GOALS WHICH INCLUDE GOALS RELATED TO NET EARNINGS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION IS ORGANIZED ON A STOCK BASIS. THE TOTAL NUMBER OF SHARES WHICH THE CORPORATION HAS THE AUTHORITY TO ISSUE IS 60,000 CONSISTING OF VOTING COMMON SHARES WITH NO PAR VALUE. THE STOCK IS OWNED EQUALLY BY THE THREE SUPPORTED ORGANIZATIONS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | STOCKHOLDERS MAY ELECT GOVERNING BODY MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY MERGER, CONSOLIDATION, RECAPITALIZATION, RECLASSIFICATION, LIQUIDATION, DISSOLUTION OR BANKRUTPCY PROCEEDING IN WHICH THE COPRORATION IS A PARTY, OR THE SALE LEASE, EXCHANGE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION MAY BE AUTHORIZED ONLY BY AN AFFIRMATIVE VOTE OF THE STOCKHOLDER OWNING NOT LESS THAN 75% OF THE OUTSTANDING COMMON SHARES OF THE CORPORATION ENTITLED TO VOTE THEREON. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM AND THEN REVIEWED BY MANAGEMENT FOR COMPLETENESS AND ACCURACY. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY THE BOARD OF DIRECTORS RESOLVE TO REPORT ANY CONFLICT OF INTEREST AND SIGN AN ANNUAL DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE BOARD OF DIRECTORS MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY BY UNTILIZING THE BOARD POLICY AND BY VIRTUE OF THE INTERESTS OF THE INDIVIDUAL BOARD MEMBERS. ANY POTENTIAL CONFLICTS THAT ARISE ARE DISCUSSED FOR VARIOUS RESOLUTIONS, THE INDIVIDUAL WHO HAS A CONFLICT IS ALLOWED TO PARTICIPATE IN THE DISCUSSION BUT IS NOT ALLOWED TO VOTE. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF DIRECTORS AND IS BASED UPON THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND COMPARABILITY DATA. THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS WITHIN THE SALARY RANGES DETERMINED BY THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY, BASED ON BUDGETARY REQUIREMENTS AND PERFORMANCE APPRAISALS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2012. | |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS THAT ARE NOT OPEN TO PUBLIC INSPECTION ARE NOT AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART IX, LINE 11G | PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,110,455. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,110,455. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,134,604. MANAGEMENT AND GENERAL EXPENSES 154,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,289,323. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 110,387. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,387. | OTHER FEES |
| FORM 990, PART XII, LINE 2C: | NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| POH REGIONAL MEDICAL CENTER | |||||||||||
| 50 N PERRY | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| CRITTENTON HOSPITAL MEDICAL CENTER | |||||||||||
| 1101 W UNIVERSITY DRIVE | ROCHESTER | MI | 48307 | 381359247 | HOSPITAL | MI | 501(C)(3) | LINE 3 | 0 | N/A | |
| POH RILEY FOUNDATION | |||||||||||
| 50 N PERRY | PONTIAC | MI | 48342 | 200442217 | FUNDRAISING | MI | 501(C)(3) | LINE 11C, III-FI | PONTIAC OSTEOPATHIC HOSPITAL | 1 | |
| MCLAREN HEALTH CARE CORPORATION | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382397643 | MANAGEMENT COMPANY | MI | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| BAY MEDICAL FOUNDATION | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 382156534 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | BAY REGIONAL MEDICAL CENTER | 1 | |
| BAY REGIONAL MEDICAL CENTER | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 381976271 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| BAY REGIONAL MEDICAL CENTER AUXILIARY | |||||||||||
| 1908 COLUMBUS AVENUE | BAY CITY | MI | 48708 | 386081235 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 11A, I | BAY REGIONAL MEDICAL CENTER | 1 | |
| BAY SPECIAL CARE HOSPITAL | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 383161753 | HOSPITAL | MI | 501(C)(3) | LINE 3 | BAY REGIONAL MEDICAL CENTER | 1 | |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL | |||||||||||
| 1221 SOUTH DRIVE | MT PLEASANT | MI | 48858 | 381420304 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| CENTRAL MICHIGAN COMMUNITY HOSPITAL RADIATION ONCOLOGY | |||||||||||
| 1000 HARRINGTON | MT PLEASANT | MI | 48858 | 300312172 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| GREAT LAKES CANCER INSTITUTE | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 383584572 | CANCER CARE CENTER | MI | 501(C)(3) | LINE 7 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| INGHAM REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 382463637 | FOUNDATION | MI | 501(C)(3) | LINE 7 | INGHAM REGIONAL MEDICAL CENTER | 1 | |
| INGHAM REGIONAL MEDICAL CENTER | |||||||||||
| 401 S GREENLAWN AVE | LANSING | MI | 48910 | 381434090 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| LAPEER REGIONAL MEDICAL CENTER | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689033 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| LAPEER REGIONAL MEDICAL CENTER FOUNDATION | |||||||||||
| 1375 N MAIN ST | LAPEER | MI | 48446 | 382689603 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | LAPEER REGIONAL MEDICAL CENTER | 1 | |
| MCLAREN HEALTH PLAN | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383383640 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | 1 | ||
| MCLAREN MEDICAL MANAGEMENT INC | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382988086 | MANAGEMENT COMPANY | MI | 501(C)(3) | LINE 11A, I | MCLAREN HEALTH CARE CORPORATION | 1 | |
| MCLAREN REGIONAL MEDICAL CENTER | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382383119 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| MOUNT CLEMENS REGIONAL HEALTHCARE FOUNDATION | |||||||||||
| PO BOX 326 | MOUNT CLEMENS | MI | 48046 | 382578873 | FOUNDATION | MI | 501(C)(3) | LINE 9 | MOUNT CLEMENS REGIONAL MEDICAL CENTER | 1 | |
| MOUNT CLEMENS REGIONAL MEDICAL CENTER | |||||||||||
| 1000 HARRINGTON | MOUNT CLEMENS | MI | 48043 | 381218516 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| VISITING NURSE SERVICE OF MICHIGAN | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 383491714 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 9 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| WOMENS HOSPITAL ASSOCIATION OF FLINT MICHIGAN | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 381358053 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 11A, I | MCLAREN HEALTH CARE CORPORATION | 1 | |
| PRIMARY CARE | |||||||||||
| 1900 COLUMBUS AVE | BAY CITY | MI | 48708 | 202443604 | HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 9 | BAY REGIONAL MEDICAL CENTER | 1 | |
| MCLAREN HEALTH CARE VILLAGE FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | SUPPORTING ORGANIZATION | MI | 501(C)(3) | LINE 11A, I | MCLAREN HEALTH CARE CORPORATION | 1 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC | |||||||
| 39000 COUNTRY CLUB DRIVE | FARMINGTON HILLS | MI | 48331 | 263112935 | RENTAL REAL ESTATE | MI | N/A |
| MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS | |||||||
| 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 48043 | 262524717 | BUILDING MANAGEMENT | MI | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HOSPITAL HEALTH CARE INC | |||||||||
| 50 N PERRY | PONTIAC | MI | 48342 | 382643070 | HEALTH CARE | MI | N/A | C | 0 |
| HEALTH ADVANTAGE INC | |||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | HEALTH CARE SERVICES | MI | N/A | C | 0 |
| CLARKSTON PROPERTY ASSOCIATES | |||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C | 0 |
| PHYSICIAN ORGANIZED HEALTHCARE SYSTEM | |||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 383136458 | MANAGED CARE | MI | N/A | C | 0 |
| MCLAREN HEALTH PLAN INSURANCE COMPANY | |||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 271780283 | INSURANCE | MI | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CRITTENTON HOSPITAL MEDICAL CENTER | ||
| J | 194496 | LEASE AGREEMENT |
| MT CLEMENS REGIONAL MEDICATL CENTER | ||
| K | 68224 | LEASE AGREEMENT |
| POH REGIONAL MEDICAL CENTER | ||
| B | 200000 | BOARD APPROVAL |
| MT CLEMENS REGIONAL MEDICATL CENTER | ||
| B | 200000 | BOARD APPROVAL |
| CRITTENTON HOSPITAL MEDICAL CENTER | ||
| B | 200000 | BOARD APPROVAL |
| POH RILEY FOUNDATION | ||
| M | 1000 | INVOICES |
| POH REGIONAL MEDICAL CENTER | ||
| L | 124761 | AR REPORTS |
| CRITTENTON HOSPITAL MEDICAL CENTER | ||
| L | 562390 | AR REPORTS |
| MT CLEMENS REGIONAL MEDICATL CENTER | ||
| L | 584569 | AR REPORTS |
| POH REGIONAL MEDICAL CENTER | ||
| P | 50004 | INVOICES |
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