MICHIGAN PRIMARY CARE CONSORTIUM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MICHIGAN PRIMARY CARE CONSORTIUM (EIN 27-1432637)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-23
IRS object ID
201212059349300206
Schema version
2011v1.2
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)
Timestamp2012-07-23T08:31:26-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1YEO & YEO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16639 CENTURION DR SUITE 170AddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN271432637EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN PRIMARY CARE CONSORTIUMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMICHNameControl
Phone5172417353Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 TOWNSEND SIXTH FLOORAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48913ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCRAIG MAGNATTAName
TitleCHAIRPERSONTitle
Phone5172417353Phone
Date Signed2012-06-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHARLES A HAWESName
Phone5173239500Phone
Date Prepared2012-07-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Gross Receipts231672GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MIPCC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionIMPROVING MICHIGAN'S PRIMARY HEALTH CARE SYSTEMActivityOrMissionDescription
Nbr Voting Members Governing Body33NbrVotingMembersGoverningBody
Nbr Independent Voting Members33NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year189750ContributionsGrantsPriorYear
Contributions Grants Current Year231000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2050ProgramServiceRevenuePriorYear
Program Service Revenue CY550ProgramServiceRevenueCY
Investment Income Prior Year284InvestmentIncomePriorYear
Investment Income Current Year122InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year192084TotalRevenuePriorYear
Total Revenue Current Year231672TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12758OtherExpensePriorYear
Other Expenses Current Year188720OtherExpensesCurrentYear
Total Expenses Prior Year12758TotalExpensesPriorYear
Total Expenses Current Year188720TotalExpensesCurrentYear
Revenues Less Expenses Prior Year179326RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42952RevenuesLessExpensesCY
Total Assets BOY190334TotalAssetsBOY
Total Assets EOY253250TotalAssetsEOY
Total Liabilities EOY20000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY190334NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY233250NetAssetsOrFundBalancesEOY
Mission DescriptionIMPROVING MICHIGAN'S PRIMARY HEALTH CARE SYSTEMMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense153598Expense
DescriptionIN 2011, ACTIVITIES INCLUDED REVISING AND REFINING THE STRATEGIC PLAN AND OPERATIONAL PLANS, BEGINNING AN INITIATIVE TO GET 100% OF MICHIGAN ADULTS FULLY IMMUNIZED, CONDUCTING BOARD OFFICER ELECTIONS, AND INVOLVEMENT IN PRACTICE TRANSFORMATION AND WORKFORCE ISSUES WITH A NUMBER OF MEMBERS AND PARTNERS.Description
Total Program Service Expense153598TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members33NbrVotingGoverningBodyMembers
Number Independent Voting Members33NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN PRIMARY CARE ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5173818000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17215 WESTSHIRE DRIVEAddressLine1
CityLANSINGCity
StateMIState
ZIP Code48917ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RAVI GOVILA
BOARD MEMBER1.00X000
LODY ZWARENSTEYN
BOARD MEMBER1.00X000
ERNIE YODER
BOARD MEMBER1.00X000
ROBERT BURACK
BOARD MEMBER1.00X000
KRIS MARCATH
BOARD MEMBER1.00X000
CHRIS ALLEN
BOARD MEMBER1.00X000
DOYLE HAYES
BOARD MEMBER1.00X000
JAMES SEGERSON
BOARD MEMBER1.00X000
BARRY KLEIN
BOARD MEMBER1.00X000
LISA MASON
BOARD MEMBER1.00X000
BALA PAI
BOARD MEMBER1.00X000
KIMBERLYDAWN WISDOM
BOARD MEMBER1.00X000
LAWRENCE COWSILL
BOARD MEMBER1.00X000
GARON SMITH
BOARD MEMBER1.00X000
MARK DICKENS
BOARD MEMBER1.00X000
MIKE DEGROW
BOARD MEMBER1.00X000
KIM SINGH
BOARD MEMBER1.00X000
MARY GOLDMAN
MEMBER AT-LA1.00X000X
CHARLES BARONE II
BOARD MEMBER1.00X000
MELANIE BRIM
BOARD MEMBER1.00X000
SUSAN MORAN
BOARD MEMBER1.00X000
JEAN CHABUT
BOARD MEMBER1.00X000
ANNE ROSEWARNE
BOARD MEMBER1.00X000
KAREN HOLCOMB-MERRILL
BOARD MEMBER1.00X000
CRAIG MAGNATTA
CHAIRPERSON1.00X000X
LARRY WAGENKNECHT
BOARD MEMBER1.00X000
KIM SIBILSKY
TREASURER1.00X000X
REBECCA BLAKE
BOARD MEMBER1.00X000
TERESA WEHRWEIN
SECRETARY1.00X000X
ROBERT YELLAN
BOARD MEMBER1.00X000
RODGER PRONG
MEMBER AT-LA1.00X000X
JOE FORTUNA
VICE CHAIRPE1.00X000X
KEVIN PIGGOTT
MEMBER AT-LA1.00X000X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHIGAN PUBLIC HEALTH INSTITUTEBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12436 WOODLAKE CIRCLE SUITE 300AddressLine1
CityOKEMOSCity
StateMIState
ZIP Code48864ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIONDescriptionOfServices
Compensation169315Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Membership Dues231000MembershipDues
Total Contributions231000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionADMINISTRATIVE FEESDescription
Total Revenue Column550TotalRevenueColumn
Related Or Exempt Function Income550RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue550TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column122TotalRevenueColumn
Exclusion$122ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column231672TotalRevenueColumn
Related Or Exempt Function Income550RelatedOrExemptFunctionIncome
Exclusion$122ExclusionAmount

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total184777Total
Program Services149655ProgramServices
Management And General35122ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1177Total
Program Services1177ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2766Total
Program Services2766ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total188720Total
Program Services153598ProgramServices
Management And General35122ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY190334BOY
EOY253250EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY190334BOY
EOY253250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY20000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY20000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY190334BOY
EOY233250EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190334BOY
EOY233250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY190334BOY
EOY253250EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42952ReconcilationRevenueExpenses
Reconcilation Other Changes-36ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years11100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year191800CurrentTaxYearMinus1Year
Current Tax Year231000CurrentTaxYear
Total433900Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year550CurrentTaxYear
Total550Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years11100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year191800CurrentTaxYearMinus1Year
Current Tax Year231550CurrentTaxYear
Total434450Total
FieldValueIRS element (for citing)
Public Support Total509434450PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year284CurrentTaxYearMinus1Year
Current Tax Year122CurrentTaxYear
Total409Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year284CurrentTaxYearMinus1Year
Current Tax Year122CurrentTaxYear
Total409Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years11103CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year192084CurrentTaxYearMinus1Year
Current Tax Year231672CurrentTaxYear
Total434859Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

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 O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAD 121 MEMBERS. ALL MEMBERS HAD EQUAL RIGHTS.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AMEMBER ORGANIZATIONS HAVE THE OPPORTUNITY EACH YEAR TO NOMINATE MEMBER REPRESENTATIVES TO FILL ANY EXPIRING OR NEW POSITIONS ON THE BOARD OF DIRECTORS. EACH MEMBER ORGANIZATION MAY SUBMIT ONE BALLOT FOR THE ANNUAL ELECTION OF DIRECTORS.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE ANNUAL ELECTION OF MEMBERS TO THE BOARD OF DIRECTORS AND BY-LAW AMENDMENTS ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S MEMBERS. PROPOSED BY-LAW AMENDMENTS MUST BE RATIFIED BY A TWO-THIRDS VOTE OF THE MEMBERSHIP.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO BEING FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES THE CONFLICT OF INTEREST POLICY BY REQUIRING INTERESTED PERSONS TO DISCLOSE ANY MATERIAL SITUATION IN WHICH THEY (INCLUDING THEIR BUSINESS OR OTHER NON- PROFIT AFFILIATIONS), FAMILY AND/OR SIGNIFICANT OTHER, EMPLOYER, OR CLOSE ASSOCIATES ARE IN A POSITION TO EXPLOIT A PROFESSIONAL OR OFFICIAL CAPACITY IN SOME WAY FOR THEIR PERSONAL OR CORPORATE BENEFIT.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION'S BY-LAWS, CONFLICT OF INTEREST POLICY, AND BOARD OF DIRECTORS MEETING MINUTES ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE. OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5THE 36 DECREASE IN NET ASSETS IS DUE TO A PRIOR PERIOD ADJUSTMENT.

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