KARMANOS CANCER FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- KARMANOS CANCER FOUNDATION (EIN 38-3584572)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201222289349303162
- Schema version
- 2010v3.4
- 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 | 2012-08-15T14:09:36-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383584572 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT LAKES CANCER INSTITUTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GREA | NameControl |
| Phone | 8103421290 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 S BALLENGER HWY | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 48532 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANIS RIZZO TREASURER | Name |
| Title | TREASURER | Title |
| Phone | 8103421290 | Phone |
| Date Signed | 2012-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAROL LALONDE CPA | Name |
| Phone | 2695674500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JANIS RIZZO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 S BALLENGER HWY | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 48532 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2082588 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GLCI.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | TO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH & CANCER EDUCATION IN THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1709523 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1819715 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 259552 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 262873 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1969075 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2082588 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | 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 | 2024442 | OtherExpensePriorYear |
| Other Expenses Current Year | 2074663 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2024442 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2074663 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -55367 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 7925 | RevenuesLessExpensesCY |
| Total Assets BOY | 207525 | TotalAssetsBOY |
| Total Assets EOY | 341279 | TotalAssetsEOY |
| Total Liabilities BOY | 205685 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 331514 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1840 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9765 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH AND CANCER EDUCATION IN THE COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2036581 | Expense |
| Revenue | 262873 | Revenue |
| Description | TO OVERSEE AND ADMINISTER A NETWORK OF CERTIFIED/ACCREDITED PROVIDERS OF CANCER CARE, PROVIDE FOR CANCER RESEARCH AND CANCER EDUCATION IN THE COMMUNITY. | Description |
| Total Program Service Expense | 2036581 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | 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 | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | 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 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JANIS RIZZO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8103422091 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 S BALLENGER HWY | AddressLine1 |
| City | FLINT | City |
| State | MI | State |
| ZIP Code | 48532 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| PHILIP INCARNATI | ||||||
| DIRECTOR-CHAIR | 0.30 | X | X | 0 | 5565975 | 619868 |
| DON KOOY | ||||||
| DIRECTOR | 0.30 | X | 0 | 893828 | 254940 | |
| JANIS RIZZO | ||||||
| DIRECTOR-TREASURER | 0.30 | X | X | 0 | 307861 | 44576 |
| RAYMOND DEMERS MD | ||||||
| PRESIDENT/CEO/DIRECTOR | 40.00 | X | X | 0 | 352758 | 25785 |
| BART BUXTON | ||||||
| DIRECTOR | 0.30 | X | 0 | 633386 | 94181 | |
| ALICE GERARD | ||||||
| DIRECTOR | 0.30 | X | 0 | 600651 | 91594 | |
| MARK O'HALLA | ||||||
| DIRECTOR | 0.30 | X | 0 | 658132 | 101077 | |
| PATRICK LAMBERTI | ||||||
| DIRECTOR | 0.30 | X | 0 | 601372 | 93402 | |
| CLARENCE SEVILLIAN | ||||||
| DIRECTOR | 0.30 | X | 0 | 298850 | 16349 | |
| WILLIAM LAWRENCE | ||||||
| DIRECTOR | 0.30 | X | 0 | 344706 | 27532 | |
| PATRICK SALOW | ||||||
| DIRECTOR | 0.30 | X | 0 | 201103 | 10422 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10458622 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1379726 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCLAREN HEALTH CARE CORPORATION | |||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | LABOR AND BENEFITS | 858450 |
| MICHIGAN STATE UNIVERSITY | |||||
| 426 AUDITORIUM RD | EAST LANSING | MI | 48824 | LABOR AND BENEFITS | 444121 |
| PUBLICOM INC | |||||
| 333 ALBERT AVE SUITE 400 | EAST LANSING | MI | 48823 | MARKETING SERVICES | 164873 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 1153109 | RelatedOrganizations |
| All Other Contributions | 666606 | AllOtherContributions |
| Total Contributions | 1819715 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CLINICAL TRIALS | Description |
| Business Code | 621500 | BusinessCode |
| Total Revenue Column | 262873 | TotalRevenueColumn |
| Related Or Exempt Function Income | 262873 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 262873 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2082588 | TotalRevenueColumn |
| Related Or Exempt Function Income | 262873 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1700801 | Total |
| Program Services | 1700801 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 229995 | Total |
| Program Services | 229995 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20622 | Total |
| Management And General | 20622 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7487 | Total |
| Program Services | 7487 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17460 | Total |
| Management And General | 17460 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20089 | Total |
| Program Services | 20089 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22379 | Total |
| Program Services | 22379 | ProgramServices |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMUNITY SUPPORT | Description |
| Total | 55830 | Total |
| Program Services | 55830 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2074663 | Total |
| Program Services | 2036581 | ProgramServices |
| Management And General | 38082 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35613 | BOY |
| EOY | 86268 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166225 | BOY |
| EOY | 255011 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5687 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207525 | BOY |
| EOY | 341279 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199998 | BOY |
| EOY | 331514 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5687 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205685 | BOY |
| EOY | 331514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1840 | BOY |
| EOY | 9765 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1840 | BOY |
| EOY | 9765 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207525 | BOY |
| EOY | 341279 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 7925 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1255294 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1327727 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1578806 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1709523 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1819715 | CurrentTaxYear |
| Total | 7691065 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1255294 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1327727 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1578806 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1709523 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1819715 | CurrentTaxYear |
| Total | 7691065 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 7691065 | PublicSupportTotal170 |
| Total Support | 7691065 | TotalSupport |
| Gross Receipts From Admissions Etc | 1460180 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 1.00000 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 1.00000 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Total Revenue | 2082588 | TotalRevenue |
| Total Expenses | 2074663 | TotalExpenses |
| Excess Or Deficit For Year | 7925 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 7925 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE CORPORATION AND SUBSTANTIALLY ALL ITS SUBSIDIARIES ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. SOME SUBSIDIARIES ARE FOR-PROFIT CORPORATIONS. INCOME TAX PROVISIONS ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION ADOPTED ACCOUNTING STANDARDS RELATED TO UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, REVIEWED ALL TAX POSITIONS. THE ACCOUNTING STANDARD THAT REFERS TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IS EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2006 FOR NONPUBLIC ENTITIES THAT HOLD PUBLIC DEBT. THE STANDARD ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED ON THE CONSOLIDATED FINANCIAL STATEMENT. COMPANIES MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE STANDARD ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS, AND REQUIRES INCREASED DISCLOSURES. THE EVALUATED POTENTIAL EXPOSURE RELATED TO UNCERTAIN TAX POSITIONS WAS FOUND TO BE IMMATERIAL. THE CORPORATION IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES; HOWEVER, NO EXAMINATIONS ARE IN PROGRESS. MANAGEMENT BELIEVES THE CORPORATION IS NOT SUBJECT TO TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2008. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | 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 (11 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILIP INCARNATI | |||||||||||||
| 0 | 1314422 | 0 | 1231316 | 0 | 3020237 | 0 | 612326 | 0 | 7542 | 0 | 6185843 | 0 | 0 |
| DON KOOY | |||||||||||||
| 0 | 511358 | 0 | 148750 | 0 | 233720 | 0 | 234561 | 0 | 20379 | 0 | 1148768 | 0 | 0 |
| JANIS RIZZO | |||||||||||||
| 0 | 254862 | 0 | 52999 | 0 | 0 | 0 | 30000 | 0 | 14576 | 0 | 352437 | 0 | 0 |
| RAYMOND DEMERS MD | |||||||||||||
| 0 | 297690 | 0 | 55068 | 0 | 0 | 0 | 12250 | 0 | 13535 | 0 | 378543 | 0 | 0 |
| BART BUXTON | |||||||||||||
| 0 | 390556 | 0 | 128800 | 0 | 114030 | 0 | 75194 | 0 | 18987 | 0 | 727567 | 0 | 0 |
| ALICE GERARD | |||||||||||||
| 0 | 416112 | 0 | 143763 | 0 | 40776 | 0 | 74667 | 0 | 16927 | 0 | 692245 | 0 | 0 |
| MARK O'HALLA | |||||||||||||
| 0 | 459700 | 0 | 149800 | 0 | 48632 | 0 | 81205 | 0 | 19872 | 0 | 759209 | 0 | 0 |
| PATRICK LAMBERTI | |||||||||||||
| 0 | 403776 | 0 | 0 | 0 | 197596 | 0 | 72816 | 0 | 20586 | 0 | 694774 | 0 | 0 |
| CLARENCE SEVILLIAN | |||||||||||||
| 0 | 238539 | 0 | 25000 | 0 | 35311 | 0 | 12250 | 0 | 4099 | 0 | 315199 | 0 | 0 |
| WILLIAM LAWRENCE | |||||||||||||
| 0 | 303456 | 0 | 41250 | 0 | 0 | 0 | 10015 | 0 | 17517 | 0 | 372238 | 0 | 0 |
| PATRICK SALOW | |||||||||||||
| 0 | 144744 | 0 | 56359 | 0 | 0 | 0 | 9250 | 0 | 1172 | 0 | 211525 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEO'S AND CORPORATE VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION. THE FOLLOWING INDIVIDUAL HAS RECEIVED THESE BENEFITS: PHIL INCARNATI, DONALD KOOY, ROBERT WRIGHT, ALICE GERARD, MARK O'HALLA, PATRICK LAMBERTI, CLARENCE SEVILLIAN AND BART BUXTON. | |
| 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 EITHER THE FORM OF A SINGLE SUM DISTRIBUTION OR IN MONTHLY PAYMENTS 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 PARTICIPANT'S 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 INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE OLD SERP ARE PHILIP INCARNATI, DONALD KOOY, AND BARTON BUXTON THE INDIVIDUALS LISTED IN PART VII WHO PARTICIPATED IN THE NEW SERP ARE ALICE GERARD, MARK O'HALLA, PATRICK LAMBERTI, AND WILLIAM LAWRENCE. | |
| PART I, LINE 6 | MCLAREN HEALTH CARE CORPORATION (MHCC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, AND CORPORATE MANAGERS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS 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 MHCC SERVES, AND (C) PROTECTING MHCC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS. | |
| PART III | SCHEDULE J, PART I, LINE 3: THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PHILIP INCARNATI, DON KOOY, AND MARK O'HALLA HAVE A BUSINESS RELATIONSHIP. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THIS ORGANIZATION IS MCLAREN HEALTH CARE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ELECT OR APPOINT THE DIRECTORS OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS BY THE GOVERNING BODY ARE SUBJECT TO THE POWERS OF THE MEMBER. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY THE CORPORATE DIRECTOR OF BUDGET, THE CORPORATE SENIOR VICE PRESIDENT AND CFO OF MCLAREN HEALTH CARE CORPORATION (MHCC). COPIES OF THE RETURNS ARE MADE AVAILABLE TO THE MHCC BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MHCC IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MHCC IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF OUR SYSTEM WHOSE RESPONSIBILITIES INCLUDES BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. | |
| THE CORPORATE COMPLIANCE DEPARTMENT, IN ACCORDANCE WITH THE MCLAREN HEALTH CARE (MHC) BOARD CONFLICT OF INTEREST POLICY, ANNUALLY DISTRIBUTES THE CONFLICT OF INTEREST DISCLOSURE SURVEY TO ALL MHC CORPORATE AND SUBSIDIARY ORGANIZATION BOARD MEMBERS, EXECUTIVES AND OTHER LEADERSHIP EMPLOYEES. THE CORPORATE COMPLIANCE DEPARTMENT, THROUGH THE GOVERNANCE COMMITTEE, COMPILES AND ANALYZES SURVEY DATA BY ORGANIZATION, INVESTIGATES, AND REVIEWS POTENTIAL CONFLICTS WITH THE ORGANIZATION'S CEO AND BOARD CHAIR, AND WHEN NECESSARY, RECOMMENDS ACTIONS TO BE TAKEN TO RESOLVE IDENTIFIED CONFLICTS. A COMPLETE REPORT OF ALL CORPORATE AND SUBSIDIARY BOARD MEMBER AND EXECUTIVE DISCLOSURES, CONFLICTS IDENTIFIED AND ACTIONS TAKEN IS REVIEWED BY THE MHC GOVERNANCE COMMITTEE AND EACH SUBSIDIARY CEO AND BOARD CHAIR RECEIVES A REPORT SPECIFIC TO THEIR ORGANIZATION'S BOARD MEMBERS AND EXECUTIVES. CONFLICTS ARE DISCLOSED TO THE FULL BOARD AND BOARD COMMITTEES SO APPROPRIATE ACTIONS CAN BE TAKEN. ACTIONS MAY INCLUDE PROHIBITING A BOARD MEMBER FROM PARTICIPATING IN DELIBERATIONS INVOLVING TRANSACTIONS WITH A COMPANY WITH WHICH THEY CONDUCT FINANCIAL TRANSACTIONS; BOARD MEMBERS FAILING TO COMPLETE A DISCLOSURE SURVEY OR INTENTIONALLY FAILING TO REPORT A KNOWN CONFLICT OF INTEREST ARE ASKED TO RESIGN. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION BASED UPON THE PERFORMANCE OF THE CEO. THE COMPENSATION OF THE CEO IS WITHIN THE SALARY RANGES DETERMINED BY THE COMPENSATION COMMITTEE OF MCLAREN HEALTH CARE CORPORATION. THE PROCESS OF THE COMPENSATION COMMITTEE IS AS FOLLOWS: THE COMPENSATION COMMITTEE IS APPOINTED BY THE BOARD OF DIRECTORS TO REVIEW THE PERFORMANCE AND RECOMMEND THE TOTAL COMPENSATION PACKAGE OF THE MCLAREN HEALTH CARE CORPORATIONS CEO'S TO THE BOARD. FURTHER THE COMMITTEE ESTABLISHES THE SALARY RANGES AND PREREQUISITES OF THE CORPORATION'S OTHER MOST HIGHLY COMPENSATED OFFICERS (MHC VICE-PRESIDENTS AND MHC HOSPITAL/SUBSIDIARIES CEO'S) TO THE BOARD. THE MEMBERS OF THE COMMITTEE MUST MEET THE INDEPENDENCE REQUIREMENTS OF THE APPLICABLE PROVISIONS OF SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND FINAL TREASURY REGULATIONS SECTION 53.4956-6(C)(1)(III). THE COMMITTEE RETAINS THE SERVICES OF AN INDEPENDENT FIRM WITH SIGNIFICANT QUALIFICATIONS AND EXPERIENCE TO CONDUCT A REVIEW OF THE CORPORATION'S EXECUTIVE COMPENSATION PROGRAM. THE RETAINED FIRM UTILIZES APPROPRIATE COMPENSATION COMPARABILITY DATA. THE RETAINED FIRM CONDUCTS ANALYSIS OF THE COMPETITIVENESS OF THESE PROGRAMS AND EXPRESSES AN OPINION TO THE REASONABLENESS OF THESE COMPENSATION PROGRAMS. ALL DATA UTILIZED BY THE COMMITTEE, DELIBERATIONS OF THE COMMITTEE, AND FINAL COMPENSATION DECISIONS BY THE COMMITTEE ARE DOCUMENTED IN FORMAL REPORTS AND MINUTES. THE CORPORATE COMPENSATION COMMITTEE WORKS UNDER AND PERIODICALLY RENEWS THE MCLAREN HEALTH CARE CORPORATION COMPENSATION COMMITTEE CHARTER AND MCLAREN HEALTH CARE CORPORATION COMPENSATION PHILOSOPHY. FOR SUBSIDIARY VICE PRESIDENTS AND DIRECTORS, THE CORPORATE HUMAN RESOURCES COMMITTEE COORDINATES THE GATHERING OF MARKET INFORMATION FROM A NUMBER OF INDEPENDENT SOURCES. THIS DATA IS ANALYZED ALONG WITH EXPECTED BUDGETARY GUIDELINES. THE CORPORATE VICE PRESIDENT OF HUMAN RESOURCES DETERMINES THE AMOUNT, IF ANY, THAT PAY RANGES INCREASE. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2011. | FORM 990, PART VI, SECTION B, LINE 15 | |
| DOCUMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| THE FOLLOWING INDIVIDUALS DEVOTE A MINIMUM OF THE FOLLOWING HOURS PER WEEK TO A RELATED ORGANIZATION FOR WHICH COMPENSATION IS REPORTED IN COLUMNS E & F: PHIL INCARNATI 40 HOURS MCLAREN HEALTH CARE CORPORATION DON KOOY 40 HOURS MCLAREN REGIONAL MEDICAL CENTER JANIS RIZZO 40 HOURS MCLAREN HEALTH CARE CORPORATION ROBERT WRIGHT 40 HOURS INGHAM REGIONAL MEDICAL CENTER RAYMOND DEMERS 40 HOURS MCLAREN HEALTH CARE CORPORATION BART BUXTON 40 HOURS LAPEER REGIONAL MEDICAL CENTER ALICE GERARD 40 HOURS BAY REGIONAL MEDICAL CENTER MARK O'HALLA 40 HOURS MOUNT CLEMENS REGIONAL MEDICAL CENTER PATRICK LAMBERTI 40 HOURS PONTIAC OSTEOPATHIC HOSPITAL CLARENCE SEVILLIAN 40 HOURS PONTIAC OSTEOPATHIC HOSPITAL WILLIAM LAWRENCE 40 HOURS CENTRAL MICHIGAN COMMUNITY HOSPITAL PATRICK SALOW 40 HOURS INGHAM REGIONAL MEDICAL CENTER | FORM 990, PART VII, SECTION A: | |
| THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. | FORM 990, PART XII, LINE 2C: |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
| 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 CARE CORPORATION | |||||||||||
| 401 S BALLENGER HWY | FLINT | MI | 48532 | 382397643 | SUPPORTING ORG | MI | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MCLAREN HEALTH PLAN | |||||||||||
| G-3245 BEECHER ROAD | FLINT | MI | 48532 | 383383640 | HEALTH CARE SERVICES | MI | 501(C)(4) | MCLAREN HEALTH CARE CORPORATION | 1 | ||
| MCLAREN HEALTH CARE VILLAGE FOUNDATION | |||||||||||
| 401 S BALLENGER HIGHWAY | FLINT | MI | 48532 | 262693350 | FOUNDATION | MI | 501(C)(3) | LINE 11A, I | 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 | |
| POH REGIONAL MEDICAL CENTER | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 381428164 | HOSPITAL | MI | 501(C)(3) | LINE 3 | MCLAREN HEALTH CARE CORPORATION | 1 | |
| POH RILEY FOUNDATION | |||||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 200442217 | FOUNDATION | MI | 501(C)(3) | LINE 11C, III-FI | POH REGIONAL MEDICAL CENTER | 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 | |
| REGIONAL EMERGENCY MEDICAL SERVICE INC | |||||||||||
| 25400 W 8 MILE ROAD | SOUTHFIELD | MI | 48034 | 383255499 | AMBULANCE SERVICE | MI | 501(C)(3) | LINE 9 | MCLAREN MEDICAL MANAGEMENT INC | 1 | |
| NORTH OAKLAND NORTH MACOMB IMAGING INC | |||||||||||
| 355 BARCLAY CIR STE A | ROCHESTER HILLS | MI | 48307 | 382807040 | MRI IMAGING | MI | 501(C)(3) | LINE 3 | 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 | |
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 |
|---|---|---|---|---|---|---|---|---|
| HEALTH ADVANTAGE INC | ||||||||
| G3245 BEECHER ROAD | FLINT | MI | 48532 | 912141720 | HEALTH CARE SERVICES | MI | N/A | C |
| CLARKSTON PROPERTY ASSOCIATES | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 432006072 | REAL ESTATE | MI | N/A | C |
| HOSPITAL HEALTH CARE INC | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 382643070 | HEALTH CARE | MI | N/A | C |
| PHYSICIAN ORGANIZED HEALTHCARE SYSTEM | ||||||||
| 50 NORTH PERRY STREET | PONTIAC | MI | 48342 | 383136458 | MANAGED CARE | MI | N/A | C |
| MCLAREN HEALTH PLAN INSURANCE COMPANY | ||||||||
| G-3245 BEECHER ROAD SUITE 200 | FLINT | MI | 48532 | 271780283 | INSURANCE | MI | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MCLAREN HEALTH CARE CORPORATION | ||
| N | 859604 | ALLOCATION OF ACTUAL COST |
| MCLAREN HEALTH CARE CORPORATION | ||
| C | 1093109 | ALLOCATION OF ACTUAL COST |
| MCLAREN REGIONAL MEDICAL CENTER | ||
| O | 657387 | ALLOCATION OF ACTUAL COST |
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